Introduction Pediatric and adolescent patients frequently present to the office with vulvar or vaginal concerns. The most common concerns include prepubertal and postpubertal vulvovaginitis, lichen sclerosus, labial adhesions, and vulvar…
Introduction Primary ovarian insufficiency (POI) refers to the decline of ovarian function before age 40 years. Also known as hypergonadotropic hypogonadism, POI has previously been referred to as premature ovarian…
Introduction Puberty is defined as the acquisition of adult height, bone strength, sexual characteristics, and reproductive capacity. Female puberty is divided between multiple stages, the first of which is thelarche…
The Centers for Disease Control and Prevention (CDC) reports that over 12 million children and adolescents have a diagnosed developmental disability. This number is on the rise, especially with the…
Introduction Prepubertal vaginal bleeding is the onset of vaginal bleeding that occurs before the normal age of puberty and may occur both with and without preceding pubertal milestones. Although many…
Introduction Dysmenorrhea, which is pain associated with menstrual cycles, has a significant impact on the day-to-day functioning of adolescents. This chapter aims to review dysmenorrhea and endometriosis (the most common…
Introduction The menstrual period is a key marker of health. In fact, many professional medical organizations recommend that the menstrual cycle be considered a vital sign, as timely identification of…
Introduction Puberty can be a source of much concern for adolescents. As children become more self-aware, they also become more aware of comparisons: Why don’t I have breasts yet? My…
Introduction The pediatric gynecologic examination (PGE) should only be performed when indicated. Unnecessary PGE in both the child and adolescent can lead to overmedicalization of their conditions, feelings of exploitation,…
Introduction The period of human growth and development that occurs during adolescence is commonly referred to as puberty. This chapter focuses on normal pubertal changes, including sexual maturity and physical…
