The anorectic and obese adolescent
In view of the menstrual disturbances involved, gynaecologists frequently come into contact with girls suffering from eating disorders that can rapidly evolve into anorexia nervosa. The ability to make a…
Reproduction and Cancer Answers to Multiple Choice Questions for Vol. 24, No. 1
1. (a) T (b) F (c) T (d) F (e) T Streptococcus pyogenes typically lives in the throat or on the skin. The possibility of asymptomatic pharyngeal colonization has been…
Family planning and adolescent pregnancy
High adolescent fecundity principally affects developing countries. In spite of a decrease in the incidence of pregnancies in the developing countries over the past 13 years, the differences that exist…
Congenital uterine anomalies affecting reproduction
The following review seeks to summarise the current data regarding reproductive outcomes associated with congenital uterine anomalies. Such malformations originate from adverse embryologic events ranging from agenesis to lateral and…
Vaginal aplasia and reconstruction
Congenital vaginal agenesis, with a prevalence of 1 in 4000 females, occurs mainly as a feature of the Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome. Management of patients with MRKH syndrome includes, along with…
PCOS in adolescents
Polycystic ovary syndrome (PCOS), a heterogeneous syndrome of unknown aetiology, is the leading cause of anovulation, hirsutism and infertility in women. This multifactorial syndrome emerges at puberty and has cardiovascular…
Menstrual disturbances in puberty
The most significant corporal change observed in adolescent girls is the onset of menstruation, which occurs between 12 and 13 years of age. In several cases, described with the term…
Hormonal development therapy (HDT) in hypogonadism in long-term view
Since the 1960s, oestrogen deficiency in hypogonadism in girls has been successfully treated by a sort of analogous application of the menopausal hormone replacement therapy (HRT) scheme, here however, to induce…
Vulvovaginitis in childhood
Symptoms related to vulvitis and vulvovaginitis are a frequent complaint in the paediatric age. Knowledge of the risk factors and the pathogenetic mechanisms, combined with thorough clinical examination, helps to…
The XY female
Sexual differentiation depends upon a series of complex events that leads to the differentiation of gonads into testicular tissue and the production and action of androgens on genital tissue. Variations…
