Eating Disorders in Adolescence
Anorexia nervosa (AN) Persistent restriction of energy intake leading to significantly low body weight. Intense fear of gaining weight or of becoming fat or persistent behaviour that interferes with weight…
Recommendations for the First Prescription of Hormonal Contraception in Adolescence
Young age at first sexual intercourse Poor personal planning Short relationships Alcohol abuse Lack of family cohesion and child monitoring Psychotropic drug abuse Older male partner Binge eating Poor school…
Ovarian Cysts in Adolescence
Epithelial Serous 15–20% Mucinous Endometrioid Clear cell Transitional cell Epithelial-stromal (adenosarcoma, carcinosarcoma) Nonepithelial Germ cell Dysgerminoma 60–80% Yolk sac Monodermal Mixed Teratoma Sex cord stromal Granulosa cell 10–20% Sertoli-Leydig Mixed…
Menstrual Disorders in Post-menarcheal Girls
Functional immaturity Central (hypothalamic) Physical/emotional stress Low energetic intake Chronic diseases CNS organic pathology Prolactin excess Ovary PCOS Hormone secreting ovarian cysts POI Endocrinopathies Hypo/hyperthyroidism Adrenogenital syndrome Cushing syndrome Internal…
Delayed Puberty
Hypogonadotropic hypogonadism (HH) Kallmann syndrome Isolated gonadotropin deficiency Charge syndrome Leptin deficiency Organic CNS pathologies Congenital hypopituitarism (complete or partial) Congenital hypogonadotropic hypogonadism Midline cerebral and cranial malformations Empty sella…
Dysfunctional Uterine Bleeding
• Menorrhagia: regular menstrual loss per rhythm but prolonged (>7 days) or in excessive quantities (>80 mL per cycle) • Metrorrhagia: non-cyclic menstrual flow • Menometrorrhagia: irregular non-cyclic, heavy and prolonged menstrual flow….
Tubo-Ovarian Cancer
62Tubo-Ovarian Cancers: Ovarian, Fallopian Tube, and Primary Peritoneal CHARACTERISTICS • Upon review of pathogenesis for high-grade serous adnexal cancers and reflecting standard clinical practice, ovarian, fallopian tube, and primary peritoneal…
Cancers: Ovarian, Fallopian Tube, and Primary Peritoneal
62Tubo-Ovarian Cancers: Ovarian, Fallopian Tube, and Primary Peritoneal CHARACTERISTICS • Upon review of pathogenesis for high-grade serous adnexal cancers and reflecting standard clinical practice, ovarian, fallopian tube, and primary peritoneal…
Management of Medical Comorbidities
258Perioperative Management of Medical Comorbidities ENHANCED RECOVERY PATHWAYS IN GYNECOLOGIC ONCOLOGY Accelerated recovery with multimodal postoperative clinical pathways has been shown to improve outcomes. It starts in the preoperative…
