2,018 results match your criteria Journal of Pediatric and Adolescent Gynecology [Journal]


Emergency Contraception Use in School-Based Health Centers: A Qualitative Study.

J Pediatr Adolesc Gynecol 2019 Apr 27;32(2):175-181. Epub 2018 Oct 27.

Department of Obstetrics, Gynecology and Reproductive Sciences, Icahn School of Medicine at Mount Sinai, New York, New York.

Study Objective: To understand contraceptive behaviors and decision-making in school-based health center (SBHC) female patients who have used emergency contraception (EC).

Design: Qualitative interviews and questionnaires.

Setting: SBHCs. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.10.005DOI Listing
April 2019
2 Reads

Pediatric and Adolescent Gynecology: The Potpourri of Our Clinical Practices.

J Pediatr Adolesc Gynecol 2019 Apr;32(2):101-102

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http://dx.doi.org/10.1016/j.jpag.2019.02.120DOI Listing
April 2019
1 Read

Laparoscopic bilateral gonadectomy and inguinal hernia repair with mesh for Complete Androgen Insensitivity Syndrome: A Case Report.

J Pediatr Adolesc Gynecol 2019 Feb 27. Epub 2019 Feb 27.

1st Department of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens, Greece. Electronic address:

Introduction: Complete Androgen Insensitivity (CAIS) is a Difference of Sex Development, where there is complete androgen receptor resistance, leading to a female phenotype, despite the presence of normal testes. There is a recognized risk of testicular germ cell tumor in adulthood as high as 15%, and gonadectomy is usually performed in late adolescence or early adulthood.

Case Presentation: A 20-year-old, with a known diagnosis of CAIS since the age of 16, underwent an MRI-pelvis revealing the testes lying deep into the inguinal canal. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.02.123DOI Listing
February 2019
2 Reads

Being on the Safe Side: A Qualitative Study of Condom Use Motivations by Contraceptive Type among Adolescents in Atlanta, GA.

J Pediatr Adolesc Gynecol 2019 Feb 27. Epub 2019 Feb 27.

Emory University Rollins School of Public Health, Department of Behavioral Sciences and Health Education.

Study Objective: Quantitative data suggest that adolescent users of long-acting reversible contraception (LARC), as compared to short-acting methods (pill, patch, ring, depot medroxyprogesterone acetate [DMPA]), may be less likely to use condoms. We qualitatively describe and explain adolescent contraceptive users' motivations for condom use, including variation by contraceptive type.

Design: Individual, in-depth qualitative interviews, analyzed thematically. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.02.122DOI Listing
February 2019
1 Read

TEMPORARY REMOVAL: Practical tips for IUD Counselling, Insertion, and Pain Relief in Adolescents: An Update.

J Pediatr Adolesc Gynecol 2019 Feb 22. Epub 2019 Feb 22.

Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.

The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at https://www. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.02.121DOI Listing
February 2019
1 Read

Messages about Contraception and Condoms in Mother-Adolescent Dyadic Conversations: Knowledge, Risks and Effectiveness.

J Pediatr Adolesc Gynecol 2019 Feb 16. Epub 2019 Feb 16.

Assistant Professor of Biobehavioral Health, Penn State New Kensington, 3550 7(th) St. Rd., New Kensington, PA 15068. Electronic address:

Study Objective: Little is known about the content of parental discussions with young adolescents about reproductive health topics. We sought to characterize the messages mothers share about contraception and condoms.

Design: Recruitment occurred between January 2012 and May 2013. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.02.117DOI Listing
February 2019
1 Read

Development of Ovulatory Menstrual Cycles in Adolescent Girls.

J Pediatr Adolesc Gynecol 2019 Feb 14. Epub 2019 Feb 14.

Pediatric Neuroendocrinology Group, Clinical Research Branch, National Institute of Environmental Health Sciences, 111 TW Alexander Drive, MD A2-03, Research Triangle Park, NC 27709. Electronic address:

Irregular menstrual cycles due to anovulation are well-described in the first few years after menarche, but the normal developmental trajectory from anovulatory to mature ovulatory cycles during adolescence remains undefined. This paper presents our very limited understanding of this final stage of female reproductive axis development and why additional research in this area is critical to the health of women. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.02.119DOI Listing
February 2019
1 Read

An Open-Label, Single-Arm, Efficacy Study of Tranexamic Acid in Adolescents with Heavy Menstrual Bleeding.

J Pediatr Adolesc Gynecol 2019 Feb 4. Epub 2019 Feb 4.

Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK.

Study Objective: Heavy menstrual bleeding (HMB) occurs in up to 40 % of adolescent girls, significantly impacting their daily activities. Identifying alternative treatment strategies for HMB is particularly important for adolescents who prefer not to take hormonal contraception. Our objective was to determine the ability of tranexamic acid (TA) to increase health-related quality of life and decrease menstrual blood loss (MBL) in adolescents with HMB. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.01.009DOI Listing
February 2019
8 Reads

Health Care Provider Attitudes About the Safety of 'Quick Start' Initiation of Long-Acting Reversible Contraception for Adolescents.

J Pediatr Adolesc Gynecol 2019 Feb 4. Epub 2019 Feb 4.

Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA.

Study Objective: To identify characteristics associated with provider attitudes on the safety of 'Quick Start' initiation of long-acting reversible contraception (LARC) for adolescents.

Study Design, Setting, And Participants: We conducted a cross-sectional survey of providers in public-sector health centers and office-based physicians (n = 2,056) during 2013-2014.

Results: Overall, the prevalence of considering 'Quick Start' initiation of LARC for adolescents as safe was 70. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.01.007DOI Listing
February 2019
2 Reads

Two successful pregnancies following a previous cloacal repair.

Authors:
Colin A Walsh

J Pediatr Adolesc Gynecol 2019 Feb 4. Epub 2019 Feb 4.

Maternal-Fetal Medicine specialist, North Shore Private Hospital, Sydney, New South Wales, Australia. Electronic address:

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http://dx.doi.org/10.1016/j.jpag.2019.01.008DOI Listing
February 2019
1 Read

Metabolic syndrome in adolescents with polycystic ovary syndrome: prevalence based on different diagnostic criteria.

J Pediatr Adolesc Gynecol 2019 Jan 30. Epub 2019 Jan 30.

Nationwide Children's Hospital, Division of Adolescent Medicine, 700 Children's Drive, Suite LA3A, Columbus, Ohio, USA 43205.

Study Objective: Existing literature on the prevalence of metabolic syndrome (MBS) in adolescents with polycystic ovary syndrome (PCOS) is inconsistent, likely due to the application of differing diagnostic criteria. The objective was to assess the prevalence of MBS in adolescents with PCOS depending on the PCOS diagnostic criteria utilized.

Design, Setting, And Participants: A retrospective chart review of female patients (N=37), ages 11-22 years, diagnosed with PCOS between 01/2013-12/2017. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.01.006DOI Listing
January 2019
2 Reads

Knowledge of Reproductive Health and Perception of Violence among Rural Schoolgirls in Egypt.

J Pediatr Adolesc Gynecol 2019 Jan 29. Epub 2019 Jan 29.

Public Health Department, Faculty of Medicine, Cairo University, Egypt.

Study Objective: Although schools should play a crucial role in providing the right health information at the right age, little is known about the knowledge of school pupils in Egypt, especially girls living in rural areas, regarding reproductive health, and their perceptions of violence. This study aimed to assess reproductive health knowledge and perceptions around violence among rural school-attending girls.

Design, Setting And Participants: A descriptive cross-sectional study was conducted in 3 randomly selected public schools in a rural district in Fayoum Governorate. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188193000
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http://dx.doi.org/10.1016/j.jpag.2019.01.004DOI Listing
January 2019
4 Reads

Surgical Management of Superficial Peritoneal Adolescent Endometriosis.

J Pediatr Adolesc Gynecol 2019 Jan 29. Epub 2019 Jan 29.

Division of Gynecology, Department of Surgery, Boston Children's Hospital; Division of Minimally Invasive Surgery, Brigham & Women's Hospital; Boston Center for Endometriosis; Harvard Medical School, Boston, Massachusetts.

Background: Adolescent endometriosis typically presents as Stage I with superficial peritoneal disease [SPD] and less commonly as Stage III or IV with deeply infiltrative disease [DIE]. Endometriosis lesions can be destroyed (cautery or laser), cutting out the discrete lesion with excision and destroyed, or radically excised with removal of the lesion and surrounding tissue. It has been shown to be beneficial to excise DIE to improve pain. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.01.005DOI Listing
January 2019
6 Reads

Intrauterine Device Insertion Procedure Duration in Adolescent and Young Adult Women.

J Pediatr Adolesc Gynecol 2019 Jan 8. Epub 2019 Jan 8.

Department of Obstetrics and Gynecology, The Hospital of the University of Pennsylvania, Philadelphia, PA.

Study Objective: Intrauterine device (IUD) utilization in the United States is low among adolescent and young adult women. Longer procedure duration has been proposed as one potential barrier to IUD insertion in this population. We hypothesized that procedure duration would be longer in adolescents compared to young adult women. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.01.002DOI Listing
January 2019
1 Read

Comparison of the clinical and anthropometric features of treated and untreated girls with borderline early puberty.

J Pediatr Adolesc Gynecol 2019 Jan 8. Epub 2019 Jan 8.

Istanbul Faculty of Medicine, Department of Pediatrics, Pediatric Endocrinology Unit, Istanbul, Turkey. Electronic address:

Study Objective: Risks associated with precocious puberty may be observed in the rapidly progressive form of borderline early puberty (BEP). Differentiating the rate of progression is important for deciding treatment with gonadotropin-releasing hormone analog (GnRHa). Aim was to examine the treatment characteristics and effect of treatment on predicted adult height (PAH). Read More

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http://dx.doi.org/10.1016/j.jpag.2019.01.003DOI Listing
January 2019
1 Read

Virilization in a Girl Caused by an Ovarian Yolk Sac Tumor: A Case Report.

Authors:
Min Yang Ying Xin

J Pediatr Adolesc Gynecol 2019 Jan 7. Epub 2019 Jan 7.

Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, China. Electronic address:

Introduction: Yolk sac tumors (YSTs) are rare malignancies that originate from germ cells and rarely present with endocrine symptoms. We report a case of a 13-year-old girl with a YST manifesting as virilization.

Case Report: A 13-year-old girl was diagnosed as a YST with endocrine symptoms because of Leydig cells in the stroma, which were identified by HE staining and immunohistochemistry. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.01.001DOI Listing
January 2019
10 Reads

Screening for At-Risk Alcohol and Drug Use in the Antenatal Period: How Do Young Women Compare to Older Adult Women?

J Pediatr Adolesc Gynecol 2018 Dec 22. Epub 2018 Dec 22.

Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States; Institute for Women's Health, Virginia Commonwealth University, Richmond, VA, United States.

Study Objective: The present study compared results of standardized screening tools for problem alcohol and other drug use in younger (ages 18-24) and older (ages 25+) females attending the same clinic. We looked separately at pregnant and non-pregnant women. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: This is a cross-sectional study of women attending an urban, university-affiliated obstetrics and gynecology clinic. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.12.003DOI Listing
December 2018
1 Read

A Clinical Conundrum: Chronic Cervicitis.

J Pediatr Adolesc Gynecol 2018 Dec 21. Epub 2018 Dec 21.

Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma. Electronic address:

Background: Cervicitis is most commonly caused by sexually transmitted infections. "Normal vaginal flora" are rarely responsible for inflammation of the cervix.

Case: We describe a 22-year-old female patient with chronic cervicitis who had negative test results for bacterial and viral pathogens most commonly responsible for cervicitis. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.12.004DOI Listing
December 2018
3 Reads

Sexual experience before treatment for vaginal agenesis: a retrospective review of 137 women.

J Pediatr Adolesc Gynecol 2018 Dec 21. Epub 2018 Dec 21.

Women's Health Division, University College London Hospitals NHS Foundation Trust, Second Floor North, 250 Euston Road, London NW1 2PG, UK. Electronic address:

Study Objective: To summarise the self-reported sexual experiences of women with vaginal agenesis before treatment and interpret the clinical implications.

Design: A retrospective review of pre-treatment baseline sexuality data and medical records of women with vaginal agenesis seeking vaginal construction.

Setting: A specialist multidisciplinary centre for women with complex congenital genital anomalies. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.12.005DOI Listing
December 2018
3 Reads

Role of the Androgen Receptor Gene CAG Repeat Polymorphism on the Sequence of Pubertal Events and Adiposity in Girls with High Dehydroepiandrosterone Sulfate Level.

J Pediatr Adolesc Gynecol 2018 Dec 11. Epub 2018 Dec 11.

Institute of Maternal and Child Research, School of Medicine, University of Chile, Santiago, Chile. Electronic address:

Study Objective: The androgen receptor (AR) harbors a variable repeat number of glutamine residues codified by (CAG)n, which seems to inversely affect AR transcriptional activity. We assessed whether (CAG)n affects the sequence of the androgen-sensitive pubertal events and body composition in prepubertal girls.

Design, Setting, Participants, And Interventions: Nested case-control study within the Growth and Obesity Cohort Study of 1196 low-middle income children (approximately 50% girls) from a university clinic in Santiago, Chile. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183036
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http://dx.doi.org/10.1016/j.jpag.2018.11.012DOI Listing
December 2018
12 Reads

Case Report of the Successful Use of Mirena Levonorgestrel Intrauterine System in a Patient with Didelphys Uterus and Obstructed Hemivagina.

J Pediatr Adolesc Gynecol 2019 Apr 8;32(2):182-185. Epub 2018 Dec 8.

Section of Paediatric Gynaecology, Division of Endocrinology, Hospital for Sick Children, and the Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.

Background: The Mirena levonorgestrel intrauterine system (IUS; Bayer HealthCare Pharmaceuticals) is frequently used for menstrual suppression in adolescents with special needs. However, the presence of a uterine anomaly is generally considered a contraindication to IUS insertion, thereby excluding a potentially highly effective option for this patient population.

Case: A Mirena IUS was used in a medically and surgically complex special needs 14-year-old adolescent with a didelphys uterus and obstructed hemivagina. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183036
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http://dx.doi.org/10.1016/j.jpag.2018.11.014DOI Listing
April 2019
12 Reads
1.812 Impact Factor

High-Fidelity Hybrid Simulation: A Novel Approach to Teaching Pediatric and Adolescent Gynecology.

J Pediatr Adolesc Gynecol 2019 Apr 7;32(2):110-116. Epub 2018 Dec 7.

Department of Didactics and Medical Simulation, Medical University of Lublin, Lublin, Poland.

Study Objective: To describe a hybrid simulation model for pediatric and adolescent gynecology (PAG) examination teaching, to evaluate if it would be feasible to be conducted as a part of the PAG training, and to find out how it would be perceived by the trainees.

Design: The development process and a 2-day workshop is presented.

Setting: An academic 2-day PAG simulation training at the Medical University of Lublin Centre of Medical Simulation. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.12.001DOI Listing
April 2019
2 Reads

Young Deaf Adults' Knowledge of Human Papillomavirus (HPV) and Perceived Risk of Vaccine in Preventing Cervical, Anal, Penile, and Oral Cancer.

J Pediatr Adolesc Gynecol 2018 Dec 7. Epub 2018 Dec 7.

Department of Psychology, Gallaudet University, Washington, DC. Electronic address:

Study Objective: Describe knowledge and risk perception of Human Papillomavirus (HPV) among deaf adults who use American Sign Language (ASL) in comparison to hearing adults in the United States.

Design: Secondary HPV knowledge data for the deaf subset sample were drawn from the Health Information National Trends survey in ASL that was administered between 2015 and 2018. HPV knowledge data for the hearing subset sample were drawn from Cycle 5 of the Health Information National Trends survey in English that was administered in 2017. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.013DOI Listing
December 2018
2 Reads

Understanding Commercially Sexually Exploited Youths' Facilitators and Barriers toward Contraceptive Use: I Didn't Really Have a Choice.

J Pediatr Adolesc Gynecol 2018 Dec 7. Epub 2018 Dec 7.

Department of Pediatrics, David Geffen School of Medicine at UCLA and Mattel Children's Hospital, Los Angeles, California.

Study Objective: Because of the high reproductive health risks that commercially sexually exploited youth (CSEY) face, we sought to understand facilitators and barriers related to their use of condoms and hormonal contraception. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: We conducted semistructured interviews with 21 female CSEY. Interviews were audio-recorded, transcribed, and coded for emergent themes. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.011DOI Listing
December 2018
6 Reads

Challenges and Opportunities in Adolescent Gynecology Patients with Surgically-Treated Congenital and Acquired Anomalies: Transition of Care from Pediatric to Adult Surgery.

J Pediatr Adolesc Gynecol 2019 Apr 5;32(2):103-109. Epub 2018 Dec 5.

John R Oishei Hospital, University of Buffalo, Buffalo, NY.

The transition from adolescence to young adulthood in patients with reproductive health care needs such as disorders of sexual development and congenital anomalies is a complex process that occurs over several years. The transition process for these patients is still poorly understood. The patients with disorders of sexual development and reproductive issues have specific and unique issues regarding timing of disclosure of diagnosis, genital examinations, gonadectomy, vaginal treatments, surgical procedures, hormone replacement therapy, use of long-term medication, and potential cancer screening. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.007DOI Listing
April 2019
5 Reads

Prevalence and Awareness of Pelvic Floor Disorders in Adolescent Females Seeking Gynecologic Care.

J Pediatr Adolesc Gynecol 2018 Dec 5. Epub 2018 Dec 5.

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

Objective: To determine the prevalence and awareness of pelvic floor disorder (PFD) symptoms among adolescent females.

Design: Cross-sectional study via a written, anonymous survey of adolescents. The survey was composed of validated measures for determination of symptom prevalence. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.010DOI Listing
December 2018
11 Reads

Ovarian Function in Adolescents Conceived Using Assisted Reproductive Technologies.

J Pediatr Adolesc Gynecol 2019 Apr 28;32(2):117-121. Epub 2018 Nov 28.

Institute of Maternal and Child Research, School of Medicine, University of Chile, Santiago, Chile.

Study Objective: To compare ovarian function between adolescents conceived using assisted reproductive technology (AcART) and adolescents who were conceived spontaneously (AcSP).

Design: Multicenter study of ovarian function in AcART because of male or tubal infertility.

Setting: University Hospital. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.008DOI Listing
April 2019
2 Reads

Case Report: Persistent Genital Arousal Disorder in an Adolescent Woman.

Authors:
Kelly A Curran

J Pediatr Adolesc Gynecol 2019 Apr 1;32(2):186-188. Epub 2018 Dec 1.

Section of Adolescent Medicine, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma. Electronic address:

Background: After several visits with unrelated complaints, a 16-year-old female patient disclosed symptoms of unwanted genital arousal and was diagnosed with persistent genital arousal disorder (PGAD).

Case: A 16-year-old female patient with history of depression, sexual abuse, and dysmenorrhea insistently requested etonogestrel rod removal. At 2 visits after implant removal, the patient disclosed the reason for her insistence: PGAD symptoms developed after implant insertion, although they worsened with removal. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.009DOI Listing
April 2019
27 Reads

Bleeding Disorders in Adolescents with Heavy Menstrual Bleeding: The Queensland Statewide Paediatric and Adolescent Gynaecology Service.

J Pediatr Adolesc Gynecol 2019 Apr 22;32(2):122-127. Epub 2018 Nov 22.

Statewide Paediatric and Adolescent Gynaecology Service, Royal Brisbane and Women's Hospital and Lady Cilento Children's Hospital, Brisbane, Queensland, Australia; University of Queensland, Faculty of Medicine, Brisbane, Queensland, Australia.

Study Objective: Heavy menstrual bleeding (HMB) is a common gynecological complaint among young women with up to 40% having experienced HMB. Bleeding disorders are increasingly being recognized in adolescents and young adults with HMB. The aim of this study was to determine the prevalence of bleeding disorders in adolescents with HMB, among patients who presented to the Queensland Statewide Paediatric and Adolescent Gynaecology Service between July 2007 and July 2017. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.005DOI Listing
April 2019
3 Reads

Müllerian Aplasia with Severe Hematometra: A Case Report of Diagnosis and Management in a Low Resource Setting.

J Pediatr Adolesc Gynecol 2019 Apr 22;32(2):189-192. Epub 2018 Nov 22.

Department of Obstetrics and Gynecology, University of Iowa, Carver College of Medicine, Iowa City, Iowa.

Background: Müllerian aplasia or Mayer-Rokitansky-Küster-Hauser syndrome is described as congenital absence of the proximal vagina with or without absence of the cervix and uterus, most often recognized after the onset of primary amenorrhea.

Case: An 18-year-old woman presented to a free medical clinic in Arcahaie, Haiti with primary amenorrhea, abdominal distention, and cyclic monthly abdominal pain. Physical exam was significant for uterus palpable superior to the umbilicus, absence of vagina, and rectal exam without palpable vagina or cervix. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183035
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http://dx.doi.org/10.1016/j.jpag.2018.11.006DOI Listing
April 2019
10 Reads

Adverse Neonatal Outcomes in Overweight and Obese Adolescents Compared with Normal Weight Adolescents and Low Risk Adults.

J Pediatr Adolesc Gynecol 2019 Apr 16;32(2):139-145. Epub 2018 Nov 16.

Department of Obstetrics and Gynecology, and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden. Electronic address:

Study Objective: To evaluate the association between maternal body mass index and neonatal outcomes in adolescents and to compare neonatal outcomes between overweight and obese adolescents and obstetric low-risk adult women.

Design: Retrospective cohort study using data from the Swedish Medical Birth Register.

Setting: Sweden. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.003DOI Listing
April 2019
13 Reads

Improving the Evaluation and Management of Abnormal Uterine Bleeding in Female Adolescents Presenting for Emergency Care.

J Pediatr Adolesc Gynecol 2019 Apr 17;32(2):128-134. Epub 2018 Nov 17.

Emergency Medicine Division, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Study Objective: We sought to improve emergency care for adolescents with abnormal uterine bleeding (AUB) by developing a clinical effectiveness guideline (CEG) and assessing its effect on quality of care.

Design, Setting, Participants, And Interventions: A stakeholder engagement group designed a CEG algorithm for emergency AUB management. Pediatric residents received CEG training and their knowledge and attitudes were assessed using pre- and post intervention surveys. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183035
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http://dx.doi.org/10.1016/j.jpag.2018.11.002DOI Listing
April 2019
9 Reads

Prevalence and Location of Obstetric Lacerations in Adolescent Mothers.

J Pediatr Adolesc Gynecol 2019 Apr 14;32(2):135-138. Epub 2018 Nov 14.

Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC.

Study Objective: The objective of this study was to describe prevalence and location of obstetric lacerations in adolescents.

Design: Retrospective cohort study.

Setting: We performed an analysis of the Consortium on Safe Labor database including tertiary care university-affiliated urban hospitals. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183035
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http://dx.doi.org/10.1016/j.jpag.2018.11.004DOI Listing
April 2019
15 Reads

Content and Commentary: HPV Vaccine and YouTube.

J Pediatr Adolesc Gynecol 2019 Apr 14;32(2):153-157. Epub 2018 Nov 14.

Seattle Children's Research Institute, Seattle, Washington.

Study Objective: Human papillomavirus (HPV) vaccination has shown efficacy, however, many vaccine-eligible persons remain unvaccinated. YouTube is a popular video-sharing platform with several topics, including the HPV vaccine. Our purpose was to examine the tone of YouTube videos toward the HPV vaccine, accuracy of the information displayed, and content of commentary. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183035
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http://dx.doi.org/10.1016/j.jpag.2018.11.001DOI Listing
April 2019
26 Reads

"Complementary Medicine": Complementary and Alternative Health Approaches in Pediatric and Adolescent Gynecology.

J Pediatr Adolesc Gynecol 2019 Feb 3;32(1):3-6. Epub 2018 Nov 3.

Child Life and Integrative Care, Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Complementary and alternative health care approaches are prevalent in the patients and families served by practitioners in pediatric and adolescent gynecology. This article addresses gaps in knowledge, including new terminology, prevalence of use, rates of and reasons behind nondisclosure, and potential interactions of herbal products with prescribed medication. It closes with practical complementary health approaches to the adolescent with dysmenorrhea. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.10.011DOI Listing
February 2019
22 Reads

A Nationwide Study Comparing Knowledge and Beliefs about HPV among Female Students before and after HPV Vaccination.

J Pediatr Adolesc Gynecol 2019 Apr 3;32(2):158-164. Epub 2018 Nov 3.

Department of Pediatrics, School of Medicine, Indiana University, Indianapolis, Indiana.

Study Objective: To assess the knowledge and beliefs regarding human papillomavirus (HPV) and the HPV vaccine among girls before and after vaccination in the Malaysian HPV Immunisation Programme.

Design: A nationwide longitudinal survey.

Setting: Thirty-two randomly selected schools from 13 states and 3 federal territories in Malaysia from February to March 2013, and October to November 2013. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183034
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http://dx.doi.org/10.1016/j.jpag.2018.10.010DOI Listing
April 2019
10 Reads
1.812 Impact Factor

Risky Health Behaviors of Teenage Mothers and Infant Outcomes in the Japan Environment and Children's Study: A Nationwide Cohort Study.

J Pediatr Adolesc Gynecol 2019 Apr 3;32(2):146-152. Epub 2018 Nov 3.

Medical Support Center for the Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, Japan.

Study Objective: Few studies have investigated the risky health behaviors and psychosocial characteristics of teenage mothers in countries with a low teenage birth rate, like Japan. We examined the differences in maternal prenatal risky health behaviors and psychosocial characteristics, and birth weight of infants between teenage and adult mothers. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: We identified 1159 teenage (age younger than 20 years) and 73,547 adult mothers (20-34 years) who participated a nationwide birth cohort study between 2011 and 2014. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.10.009DOI Listing
April 2019
26 Reads

Factors Influencing Adolescent and Young Adults' First Pelvic Examination Experiences: A Qualitative Study.

J Pediatr Adolesc Gynecol 2018 Nov 3. Epub 2018 Nov 3.

Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois. Electronic address:

Study Objective: To understand the factors that influence individuals' experiences during their first pelvic examination. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: We conducted semistructured interviews with adolescents and young adults, aged 18-24, who had received at least 1 pelvic examination. Interviews explored contextual factors of the first pelvic examination, including visit acuity and clinical setting and individuals' experiences with the pelvic examination itself and elicited recommendations on how to improve the examination experience. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.10.008DOI Listing
November 2018
9 Reads

The Female Athlete Triad: A Comparison of Knowledge and Risk in Adolescent and Young Adult Figure Skaters, Dancers, and Runners.

J Pediatr Adolesc Gynecol 2019 Apr 2;32(2):165-169. Epub 2018 Nov 2.

Division of Adolescent Medicine, Department of Pediatrics, Children's Hospital at Montefiore, Bronx, New York. Electronic address:

Study Objective: The female athlete triad is often found in sports that value leanness and aesthetics and can lead to adverse health effects. We aimed to compare knowledge and risk of the triad among adolescent figure skaters, dancers, and runners.

Design, Setting, Participants, And Main Outcome Measures: We advertised our survey on social media platforms: sports-specific forums; Facebook; and Instagram. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183034
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http://dx.doi.org/10.1016/j.jpag.2018.10.007DOI Listing
April 2019
14 Reads

Effectiveness of a Quality Improvement Intervention to Improve Rates of Routine Chlamydia Trachomatis Screening in Female Adolescents Seeking Primary Preventive Care.

J Pediatr Adolesc Gynecol 2019 Feb 28;32(1):32-38. Epub 2018 Oct 28.

Craig A Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Study Objective: To determine the impact of a multicomponent quality improvement (QI) intervention on Chlamydia trachomatis screening for young women in primary care.

Design: Observational cohort analysis.

Setting: Urban primary care site providing adolescent primary and confidential sexual health care. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183033
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http://dx.doi.org/10.1016/j.jpag.2018.10.004DOI Listing
February 2019
6 Reads

Treatment of Prepubertal Labial Adhesions: A Randomized Controlled Trial.

J Pediatr Adolesc Gynecol 2018 Oct 29. Epub 2018 Oct 29.

Department of Surgery, Children's Mercy Hospitals, Kansas City, Missouri; Department of Obstetrics and Gynecology, University of Missouri-Kansas City, Kansas City, Missouri.

Study Objective: Although various treatment options have been proposed for the treatment of labial adhesions, there are currently no clearly outlined limits on the duration of topical therapy, amount of lateral traction to apply, and methods to decrease the recurrence. This clinical trial was undertaken to assess the need for estrogen for treatment of prepubertal labial adhesions.

Design: Randomized, double-blinded, controlled trial. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183034
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http://dx.doi.org/10.1016/j.jpag.2018.10.006DOI Listing
October 2018
3 Reads

Obstetrical Outcomes in Adult Patients Born with Complex Anorectal Malformations and Cloacal Anomalies: A Literature Review.

J Pediatr Adolesc Gynecol 2019 Feb 24;32(1):7-14. Epub 2018 Oct 24.

Nationwide Children's Hospital, Columbus, Ohio.

Patients born with complex anorectal malformations often have associated Müllerian anomalies, which might affect fertility and obstetrical outcomes. Other vertebral-anorectal-tracheoesophageal-renal-limb associations, such as renal or cardiac anomalies, could also affect pregnancy intention, fertility rates, and recommendations about mode of delivery or obstetrical outcomes. Associated conditions present at birth, like hydrocolpos, could also potentially affect fertility. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.10.002DOI Listing
February 2019
20 Reads

Ovarian Torsion in Premenarchal Girls.

J Pediatr Adolesc Gynecol 2018 Oct 24. Epub 2018 Oct 24.

University of Michigan Department of Obstetrics and Gynecology.

Study Objective: To investigate characteristics that differentiate premenarchal girls with ovarian torsion (OT) from those without OT at the time of surgery.

Design: Retrospective chart review of 36 premenarchal girls who underwent 42 surgeries for either OT (n=33) or a non-torsed ovarian mass (n=9) from 2006-2017.

Setting: Large, tertiary care academic institution. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.10.003DOI Listing
October 2018
4 Reads

Emergency Department Directors Are Willing to Expand Reproductive Health Services for Adolescents.

J Pediatr Adolesc Gynecol 2019 Apr 17;32(2):170-174. Epub 2018 Oct 17.

Department of Internal Medicine, Washington University School of Medicine, St Louis, Missouri.

Study Objective: Nearly 20 million adolescents receive emergency department (ED) care each year, many of whom have untreated reproductive health issues. ED visits represent an opportunity to provide appropriate care, however, ED physician reproductive health care practices and capabilities in the United States have not been described. We sought to characterize pediatric ED director's individual practice and ED system resources for providing adolescent reproductive health care. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10833188183031
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http://dx.doi.org/10.1016/j.jpag.2018.09.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6401284PMC
April 2019
12 Reads

Reproductive Health Considerations in Sexual and/or Gender Minority Adolescents.

J Pediatr Adolesc Gynecol 2019 Feb 11;32(1):15-20. Epub 2018 Oct 11.

Department of Obstetrics and Gynaecology, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

Disparities exist in the area of reproductive health for lesbian, gay, bisexual (LGB), and transgender and gender nonconforming (TGNC) adolescents compared with cisgender, heterosexual adolescents, particularly related to pregnancy and pregnancy risk factors. Review of the literature indicates an estimated increased risk of adolescent pregnancy involvement between 2 and 10 times higher for LGB youth compared with heterosexual youth. This might be explained by a broad spectrum of sexual health risks experienced, including an earlier age of sexual debut, exposure to sexual abuse, and a higher number of sexual partners. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.09.010DOI Listing
February 2019
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Menstrual Cycles: Who Cares? We All Should.

J Pediatr Adolesc Gynecol 2018 Dec 10;31(6):547-548. Epub 2018 Oct 10.

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http://dx.doi.org/10.1016/j.jpag.2018.10.001DOI Listing
December 2018
2 Reads

Burkitt Lymphoma Presenting as Menorrhagia and a Vaginal Mass in an Adolescent.

J Pediatr Adolesc Gynecol 2019 Feb 29;32(1):90-92. Epub 2018 Sep 29.

Division of Gynecology, Department of Surgery, Boston Children's Hospital, Boston, Massachusetts. Electronic address:

Background: Menorrhagia is a common gynecologic complaint among adolescents, which rarely is secondary to malignancy. Burkitt lymphoma can mimic gynecologic malignancy, however it is rarely seen in adolescents. Burkitt lymphoma of the gynecologic tract requires early diagnosis and intervention for optimal outcomes. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.09.009DOI Listing
February 2019
13 Reads

Can Pediatricians Provide Long-Acting Reversible Contraception?

J Pediatr Adolesc Gynecol 2019 Feb 29;32(1):39-43. Epub 2018 Sep 29.

Division of Adolescent Medicine, Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics, College of Medicine, Ohio State University, Columbus, Ohio.

Study Objective: In the United States, 40% of high-school students have sex; few use highly effective and safe long-acting reversible contraceptives (LARCs): intrauterine devices and implants. Pediatricians are key health providers for many adolescents, yet few provide LARCs. Our objective was to understand the pragmatics of provision of LARCs (rather than beliefs or attitudes) and identify barriers to and opportunities for LARC provision by community-practicing pediatricians. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.09.008DOI Listing
February 2019
6 Reads