Normal puberty
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…
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…
Introduction Abnormal uterine bleeding (AUB) is the most common complaint among adolescents reporting to a gynecologist. They may present with bleeding that lasts for several weeks at a time or…
Introduction Transgender and gender diverse (TGD) adolescents are those whose gender identity differs from their sex assigned at birth ( Table 3.1 ). Although the prevalence of gender diversity in…
Introduction Adolescence is a complex developmental phase with cognitive, physical, and psychosocial milestones ( Table 2.1 ). As a young person navigates this journey, they may engage in risk-taking behaviors…
Introduction The American Academy of Pediatrics (AAP) developed the primary care medical home as a model of delivering primary care with the goal of addressing and integrating high-quality health promotion,…
Summary Laparoscopic surgery is open surgery carried out through small incisions with enhanced magnification of the operative field. The advantages of a laparoscopic (or key hole) approach to the abdomen…
Summary As a specialty, paediatric and adolescent gynaecology (PAG) is relatively young. However, the legal and ethical principles underpinning its practice are ancient, dating back to Hippocratic times. This chapter…
Summary Many young people seen in paediatric and adolescent gynaecology (PAG) clinics will be distressed and will be accompanied by distressed parents, carers or partners. Good multi-professional care can understand…
Summary Differences in Sex Development (DSD) is an umbrella term which covers conditions arising from a difference in observed and expected sex development. This could include karyotype, gonadal tissue, or…
Summary Premature Ovarian Insufficiency (POI) is defined by follicular depletion that occurs under the age of 40 and is characterised by a gradual fall of hormone production by the ovary,…