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Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - October 29, 2009 Category: OBGYN Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - October 29, 2009 Category: OBGYN Tags: Frontmatter Source Type: journals

The Homeless Teen MomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sierra is an 18-year-old teen and the mother of a 1-year-old son. She has been in the foster care system for several years. Her parents were unable to maintain a functional family due to drugs and violence. Though she is in contact with her mother, her mother is not able to provide her with any emotional or financial support. This is not an unfamiliar scenario in an obstetrical and gynecological practice that provides care for teens. Medically, Sierra's care has been rather unremarkable. Her prenatal, childbirth, and postpartum experiences were without any untoward events. She has come consistently for gynecological care....
Source: Journal of Pediatric and Adolescent Gynecology - October 29, 2009 Category: OBGYN Authors: Angela Nicoletti Tags: Perspectives of the Allied Health Care Professional Source Type: journals

Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome: It's More Than the AnatomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
How do you counsel a patient with vaginal agenesis? The scenario is something like this. You complete your evaluation and the concerned parent says, “Does that mean my daughter will never have children?” Well, then we move to “she can have her own genetic child” through assisted reproduction-in vitro fertilization with a surrogate carrier. So what are the options at this point in time is the next query, and the story goes on from there. Well, we need to focus on MRKH syndrome and prepare you to address the various facets of the clinical challenge. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - October 29, 2009 Category: OBGYN Authors: Joseph S. Sanfilippo Tags: The Editor's Workshop Source Type: journals

Opinion Two: A Case For Early GonadectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Androgen insensitivity is the most common cause of the undervirilized male and results from testosterone receptor abnormalities. Phenotypic presentation ranges from complete external feminization (complete androgen insensitivity) to ambiguous genitalia (partial androgen insensitivity) and finally infertile males. The diagnosis of complete androgen insensitivity is generally made as a result of primary amenorrhea, or after finding a testicle at inguinal herniorrhaphy. Earlier diagnosis is becoming increasingly more common with amniocentesis. There is little debate regarding gender of rearing in patients with complete androg...
Source: Journal of Pediatric and Adolescent Gynecology - September 7, 2009 Category: OBGYN Authors: Darcy A. Kiddo Tags: Opinions in Pediatric and Adolescent Gynecology Source Type: journals

Opinion One: A Case for Delayed GonadectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Complete androgen insensitivity (CAIS) is an X-linked condition, involving mutations in the androgen receptor, specifically in a gene localized to the long arm of the X chromosome, Xq11-12. The estimated incidence is 1:13,000–1:20,000. As the karyotype is 46XY, under the direction of testis determining factor on the Y chromosome the gonads develop into testis. The Sertoli cells of the testis produce mullerian inhibiting substance (MIS) bilaterally, which results in inhibition of the mullerian ducts during embryo development. The lack of response via the androgen receptor to either testosterone or dihydrotestosterone fail...
Source: Journal of Pediatric and Adolescent Gynecology - September 7, 2009 Category: OBGYN Authors: Lisa Allen Tags: Opinions in Pediatric and Adolescent Gynecology Source Type: journals

Introduction: Timing of GonadectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Complete androgen insensitivity (CAIS) occurs in approximately 1 in 13,000 to 1 in 62,000 girls and results in a female phenotype but the presence of XY gonads. Fortunately there is very little controversy in regards to gender rearing these patients as females. Rather, the controversy centers primarily around the timing of the gonadectomy. All clinicians agree that XY gonads should be removed in patients with CAIS to avoid the potential risk of germ cell malignancies but when this should occur continues to be a source of debate. In this clinical opinion, I have asked Dr. Lisa Allen, a pediatric gynecologist, and Dr. Darci...
Source: Journal of Pediatric and Adolescent Gynecology - September 7, 2009 Category: OBGYN Authors: Sari Kives Tags: Opinions in Pediatric and Adolescent Gynecology Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - September 4, 2009 Category: OBGYN Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - September 4, 2009 Category: OBGYN Tags: Frontmatter Source Type: journals

Elevated Testosterone and Hypergonadotropism in Active Adolescents of Normal Weight with OligomenorrheaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Study Objective: Oligomenorrhea in active adolescent females of normal weight is presumed to be related to hypoestrogenism secondary to physical activity and decreased fat mass. We hypothesized that active adolescents with oligomenorrhea would have lower estrogen levels than normal controls with similar levels of cardiovascular fitness.Design/Participants: Twenty healthy participants between the ages of 16 and 20 years were recruited at least 2 years postmenarche. Adolescents reporting fewer than 9 cycles a year (n = 6) were compared to 14 controls with monthly menstrual cycles. Histories of eating disorder, hirs...
Source: Journal of Pediatric and Adolescent Gynecology - September 4, 2009 Category: OBGYN Authors: K. Singer, A. Rosenthal, J. Kasa-Vubu Tags: Original Studies Source Type: journals

Microbicides in Adolescent Gynecology - Pregnancy ProblemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
“Abstinence-Only Best” was the headlines for a recent local newspaper “Opinion Editorial.” The author went on to rave about “Three Cheers for Pennsylvania: in achieving a 3.1% teen pregnancy rate for 2006 and to parents across the USA for being an integral part of a one-third reduction in pregnancy rate overall.” I want to provide “Three Cheers” for the funding of sex education programs beginning in 1997; indeed, colleagues—IT MADE A DIFFERENCE! (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - September 4, 2009 Category: OBGYN Authors: Joseph S. Sanfilippo Tags: The Editor's Workshop Source Type: journals

Contraceptive Counseling and TeensEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Jill, a 15-year-old, was excited, believing she was pregnant with twins. Further work-up revealed she had a molar pregnancy. Her plan for birth control was abstinence. Bonnie, a 16-year-old, presented requesting her intra-uterine device IUD to be removed. She had recently had a first trimester abortion and an IUD was inserted at the time of the abortion. She felt the IUD was not her decision but her mother's. She wanted the IUD removed because she wanted to be pregnant. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - August 17, 2009 Category: OBGYN Authors: Margaret Tonelli Tags: Perspectives of the Allied Health Care Professional Source Type: journals

Questionnaire Study on Menstrual Disorders in Adolescent Girls in SingaporeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Menstrual problems among adolescent females are common and a significant source of morbidity in this population. However, adolescent girls are reluctant to seek medical treatment, leading to delay in diagnosis and treatment. Appropriate health education measures need to be put into place to prevent this trend. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - August 3, 2009 Category: OBGYN Authors: Anupriya Agarwal, Annapoorna Venkat Tags: Original Studies Source Type: journals

Oral Health and PregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Eighteen-year-old Denise presents for her first prenatal visit. Her medical history and physical exam are unremarkable, with the exception of poor oral health. She has extensive dental decay, missing teeth, and swollen gums. She reports she has not had dental care in many years, does not know where to go for dental care, and will seek care at an emergency room with tooth pain. Denise's oral health needs are not atypical for our service. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - August 2, 2009 Category: OBGYN Authors: Margaret Tonelli Tags: Perspectives of the Allied Health Profession Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Tags: Frontmatter Source Type: journals

Clinical Obstetrics: The Fetus & Mother HandbookEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
provides an all-inclusive resource for practitioners of obstetrics and the evolving field of maternal-fetal medicine. The experienced obstetrician will appreciate the detailed content, whereas the new obstetrician, resident, or family physician will benefit from the clarity and well-organized manner in which the book has been written. Bolstered with numerous images and diagrams, the text is cleverly detailed and referenced. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Donald A. Dyer, Charles Clair Tags: Book Reviews Source Type: journals

When to Screen in Obstetrics and GynecologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
, which contains contributions by many experts from around the world, provides practitioners with a quick, focused, and objective resource when confronted with issues regarding the need, quality, and importance of screening tests or exams. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Donald A. Dyer, Charles Clair Tags: Book Reviews Source Type: journals

Protocols for High-Risk PregnanciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
is a comprehensive textbook on the workup and management of high-risk pregnancies. It provides evidence-based information to guide obstetrical providers in the classification of pregnancies as being normal or high risk. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Donald A. Dyer, Charles Clair Tags: Book Reviews Source Type: journals

The Johns Hopkins Review of Gynecology and Obstetrics, 2nd editionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is a companion piece to The Johns Hopkins Manual of Gynecology and Obstetrics, and each chapter in the book corresponds with its respective chapter in the manual. This text provides selected questions and multiple-choice answers concerning various topics in the fields of obstetrics and gynecology. Between three and six questions are posed for each topic, and multiple-choice answers are given after the questions. They are followed by a short discussion of the correct and incorrect responses. Topics include primary care, critical care, breast disease, gynecological pathologies and concerns, and a wide variety of common ...
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Donald A. Dyer, Charles Clair Tags: Book Reviews Source Type: journals

Body DramaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Drama—it is a major part of adolescence. During this complex period of development, adolescents routinely deal with many types of drama, none of which is more dramatic than the physical changes occurring within the body of the female adolescent. But these physical variations in “normal” female adolescent development are tremendous, as are the timeframes in which they occur. The best that we, as adult advisors to female adolescents, can do is to make gross approximations about the physical changes that can be expected along with the approximate period in which these changes may occur. Yet how many female adolescents r...
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Marlene B. Huff Tags: Book Reviews Source Type: journals

Pediatric Neurology: Essentials For General PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This book on pediatric neurology is geared toward educating the primary care providers on how to approach a child with neurological signs and symptoms in their general practice. It emphasizes the importance of being able to recognize these situations and manage them appropriately, as it is not uncommon to have a large time gap between the primary visit and specialty clinic visit. The book gives a great synopsis of the more commonly seen disorders in an out-patient setting and teaches the reader the clinical skills, and gives a comprehensive review on diagnosis and management of such clinical situations. In the initial few...
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Amit M. Deokar Tags: Book Reviews Source Type: journals

Adolescent Behavior Research: International PerspectivesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This book is intended to help health care providers and researchers who work with adolescents by offering timely and much needed research into and discussions about adolescent behaviors, and it includes studies of adolescents from a variety of countries and cultures. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Christina S. Wise Tags: Book Reviews Source Type: journals

Female Adolescent Hair DisordersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Hair abnormalities can have tremendous psychosocial impacts on adolescents and young adults, and may cause a great amount of anxiety regarding physical appearance, associated illnesses, and potential clinical course. The pathophysiology of such disorders may vary, with potential congenital, infectious, autoimmune, nutritional, or environmental causes. Hair abnormalities may present as changes in hair appearance or quality, becoming weathered or fractured. An abnormal increase in hair is present in hypertrichosis and hirsutism, whereas a thinning or shedding of hair is evident in patients with telogen effluvium an...
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Elena Balestreire Hawryluk, Joseph C. English Tags: Pedi-Gyn Derm Source Type: journals

Discordance in Mayer-von Rokitansky-Küster-Hauser Syndrome Noted in Monozygotic TwinsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This case is presented as proof of MRKH discordance in monozygotic twins. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Ugonna A. Duru, Marc R. Laufer Tags: Case Reports Source Type: journals

Congenital Anomalies of the Female Reproductive Tract in a Patient with Goltz SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The development of the female reproductive tract is a complex process involving all three embryonic cell layers. Female patients with multiple abnormalities of ectodermal and mesodermal origin warrant complete evaluations of their reproductive tracts. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Jhansi Reddy, Marc R. Laufer Tags: Case Reports Source Type: journals

A Novel Approach for Resection of a Vaginal SeptumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The use of the Harmonic Scalpel appears to be a safe and effective method for resection of vaginal septa. Patient healing time may vary and may take longer than with traditional techniques. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Susan M. Rose, C. Matthew Peterson Tags: Case Reports Source Type: journals

Hymen Sparing Surgery for Imperforate Hymen: Case Reports and Review of LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The importance of the integrity of hymen changes in different cultures and religious groups. Option of a hymen sparing procedure is readily preferred by most of these patients and families. Also preservation of hymenal tissue, hence the perception of 'integrity' of female genitalia, might be an alternative treatment option. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Mustafa Basaran, Deniz Usal, Cumhur Aydemir Tags: Case Reports Source Type: journals

Early Polycystic Ovary Syndrome as a Possible Etiology of Unexplained Premenarcheal Ovarian TorsionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We propose that premenarcheal girls presenting with ovarian torsion, without obvious ovarian pathology, be screened for ultrasound and biochemical evidence of PCOS. In those with evidence of PCOS, treatment with oral contraceptives should be considered taking into account the age and pubertal development, to decrease ovarian volume. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Anish A. Shah, Creighton E. Likes, Thomas M. Price Tags: Original Studies Source Type: journals

The Effect of Combined Surgical-Medical Intervention on the Progression of Endometriosis in an Adolescent and Young Adult PopulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Based on the concept that endometriosis can be progressive, these data suggest that combined surgical-medical management retards disease progression in adolescents and young adults. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: J.O. Doyle, S.A. Missmer, M.R. Laufer Tags: Original Studies Source Type: journals

Pap Smear Knowledge Among Young Women Following the Introduction of the HPV VaccineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Study Objective: Investigate sexually active young women's knowledge of the term Pap smear since development of the HPV vaccine.Design: Cross-sectional study conducted January–May 2007.Setting: University health services clinic at a university in southern United States.Participants: Sexually active women, age 18–24, presenting for a Pap smear or STD testing (N=145).Main Outcome Measures: Pap smear knowledge was assessed by participants' written definition of the term Pap smear and by multiple choice responses indicating Pap smear as a test for cervical cancer/ HPV and not a pelvic exam, STD test, or pregnancy...
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Sara K. Head, Richard A. Crosby, Gregory R. Moore Tags: Original Studies Source Type: journals

Success of Treatment Modalities for Labial Fusion: A Retrospective Evaluation of Topical and Surgical TreatmentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Initial comparison of topical estrogen and betamethasone treatment of labial fusion suggests that betamethasone may separate fusion quicker with less recurrence and fewer side effects than topical estrogen therapy. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Lazarus Mayoglou, Lori Dulabon, Nieves Martin-Alguacil, Donald Pfaff, Justine Schober Tags: Original Studies Source Type: journals

Obstetrician-gynecologists and the HPV Vaccine: Practice Patterns, Beliefs, and KnowledgeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Obstetrician-gynecologists are knowledgeable of the HPV vaccine and are incorporating it into practice. Financial concerns may limit widespread immunization. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Meaghan A. Leddy, Britta L. Anderson, Stanley Gall, Jay Schulkin Tags: Original Studies Source Type: journals

Contraceptive Withdrawal in Adolescents: A Complex Picture of UsageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Contraceptive withdrawal in adolescents should not be considered ‘rare.’ Careful clinical consideration of usage within the context of other contraceptive behaviors, sexual behaviors/attitudes, and relationship issues could better inform effective contraceptive counseling efforts. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Jennifer L. Woods, Devon J. Hensel, J. Dennis Fortenberry Tags: Original Studies Source Type: journals

Galactose-1-Phosphate Uridyl Transferase Deficiency Is Not Associated with Müllerian Aplasia in Dutch PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: GALT deficiency is not an explanation for Müllerian aplasia, at least in the Dutch population. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Roel Nijland, Francis E. Hartog, Ron A. Wevers, Ronald J.A. Wanders, Wim N.P. Willemsen Tags: Original Studies Source Type: journals

Early, Staged Reconstruction in Young Women with Severe Breast AsymmetryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Our study shows promising results for the use of tissue expanders in young women with significant breast asymmetry or unilateral/bilateral micromastia. The very important issues of short-term and long-term satisfaction and outcomes needs further study before advocating an early approach to teens with breast deformities. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Meghan B. Oakes, Elisabeth H. Quint, Yolanda R. Smith, Paul S. Cederna Tags: Original Studies Source Type: journals

HPV Vaccine Acceptability by Latino Parents: A Comparison of U.S. and Salvadoran PopulationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Parental acceptance of HPV vaccination was higher in a sample of Salvadoran subjects than in a sample of U.S. Latinas (P (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Rebecca Podolsky, Miriam Cremer, Jessica Atrio, Tsivia Hochman, Alan A. Arslan Tags: Original Studies Source Type: journals

Pediatric and Adolescent Gynecology: What's the Issue? What's the Answer? What's the Big Picture? What's the National Perspective?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Our 23rd Annual Clinical Meeting in San Antonio, Texas is a most logical forum for adolescent gynecological care being delivered to the next level. From a national perspective, let's take a look at the very recent edition of the American College of Obstetricians and Gynecologists (ACOG) Compendium section reflective of the “Committee on Adolescent Health Care” and identify a distinct parallel with our annual meeting. Specifically, let's take into mind, use of intrauterine contraceptive systems in adolescents. Did you know that the levonorgestrel-releasing intrauterine system (IUS) lowers the risk of pelvic inflammatory...
Source: Journal of Pediatric and Adolescent Gynecology - July 31, 2009 Category: OBGYN Authors: Joseph S. Sanfilippo Tags: The Editor's Workshop Source Type: journals

Squamous Papilloma With Hyperpigmentation in the Skin Graft of the Neovagina in Rokitansky Syndrome: Literature Review of Benign and Malignant Lesions of the NeovaginaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: As a routine, all cases of vaginal construction regardless of the reason for the surgery or the lining of the neovagina should have a continuous annual examination and careful inspection of the entire vagina. Biopsy of any unusual finding should be done. Despite the dark color of the vaginal lesion, bleeding and rapid appearance our patient had a benign tumor. Radiation therapy to the neovagina and prolonged treatment with podophyllin and cauterization should be avoided. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 20, 2009 Category: OBGYN Authors: Muhammad T. Idrees, Liane Deligdisch, Albert Altchek Tags: Case Reports Source Type: journals

Vaginal Müllerian Papilloma: An Unusual Cause of Vaginal Bleeding in a ToddlerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a rare case of vaginal bleeding in a 2-year-old child caused by a vaginal müllerian duct papilloma. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 20, 2009 Category: OBGYN Authors: Carlos A. Reck-Burneo, Jocelyn Villanueva, Francisca T. Velcek Tags: Case Reports Source Type: journals

Research on Adolescents and Microbicides: A ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Adolescents are an important target for microbicide research, as they are disproportionately affected by sexually transmitted infections and currently are underrepresented in the microbicide research literature. Furthermore, adolescents are psychosocially and biologically different from adults, and findings from adult research cannot be assumed to apply universally to adolescents. Adolescents, to date have rarely been included in clinical trials and acceptability research for microbicides, in part because their participation requires attention to unique developmental issues, including parental consent and confide...
Source: Journal of Pediatric and Adolescent Gynecology - July 20, 2009 Category: OBGYN Authors: Amanda E. Tanner, Mary B. Short, Gregory D. Zimet, Susan L. Rosenthal Tags: Mini-Review Source Type: journals

Diagnostic Quandary: Premature Ovarian Failure and Galactosemia Variants in Adolescent Girls with Delayed PubertyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Galactosemia is a metabolic disease wherein galactose, a sugar found in milk products, cannot be properly metabolized, causing an elevated blood galactose concentration. This disease has several variants, including a “classic” form. The “classic” form has long been associated with premature ovarian failure, although the mechanism by which this occurs is unclear. However, in our experience, variant forms of galactosemia can also be associated with premature ovarian failure, and the goal of this study is to present a series of cases wherein this association was found to occur, especially in circumstances where premat...
Source: Journal of Pediatric and Adolescent Gynecology - July 12, 2009 Category: OBGYN Authors: Amanda C. Flint, Nancy J. Hopwood, Josephine Z. Kasa-Vubu Tags: Management Quandary Source Type: journals

Cervical Dysplasia and Associated Risk Factors in a Juvenile Detainee PopulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Female juvenile detainees in Kingston, Ontario, have higher rates of STIs, associated risk factors, and abnormal Pap tests than the general female adolescent population. This new information confirms that this population is at risk for HPV infection and subsequent cervical cancer. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 10, 2009 Category: OBGYN Authors: S. Gander, V. Scholten, I. Osswald, M. Sutton, R. van Wylick Tags: Original Studies Source Type: journals

Obstetrics in Family Medicine: A Practical GuideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In Obstetrics in Family Medicine: A Practical Guide, Paul Lyons, of the Department of Family and Community Medicine at Temple University School of Medicine in Philadelphia, has written a concise reference for medical providers involved with the care of women during preconception, the prenatal period, labor, and delivery. Providers routinely involved in this type of care may find this book basic at best, but those who are just starting out in or are returning from a lengthy absence from obstetrical care will discover that it is a quick review and a solid platform from which to dive further into the field of obstetrics. (Sou...
Source: Journal of Pediatric and Adolescent Gynecology - July 9, 2009 Category: OBGYN Authors: Donald A. Dyer, Charles Clair Tags: Book Reviews Source Type: journals

A Clinical Guide to Pediatric Weight Management and ObesityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
is a practical guide for clinicians working with overweight children and adolescents. Written by the director of a pediatric weight management program that incorporates a hospital-based, multi-disciplinary approach, the book is filled with important information for any professional dealing with pediatric obesity. While it is written from a medical perspective, non-medical providers, e.g., mental and behavioral health providers, will also find it useful and readable because many of the medical terms used are defined in the text. It is sophisticated enough for the medical provider yet informs the non-medical provider with c...
Source: Journal of Pediatric and Adolescent Gynecology - July 9, 2009 Category: OBGYN Authors: Kimberly K. McClanahan Tags: Book Reviews Source Type: journals

Isolated Transient Neonatal Clitoromegaly with Hyperandrogenism of Unknown EtiologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In this case of a premature female infant, hyperandrogenism and clitoromegaly resolved spontaneously. Only 1 other case of hyperandrogenism and clitoromegaly that resolved spontaneously in a preterm infant has been reported. In that case, the clitoromegaly and high testosterone levels were attributed to repeated blood transfusions from an adult male. The etiology of the hyperandrogenism and resultant clitoromegaly in our case is not known. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 9, 2009 Category: OBGYN Authors: T. Dumont, A.Y. Black, A. Ahmet, N.A. Fleming Tags: Case Reports Source Type: journals

Relationship Context Associated with Microbicide-like Product UseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Topical microbicides will be used within the context of a relationship, and characteristics of the relationship most likely will influence use. These findings suggest that special attention may have to be given to supporting use in high-risk relationships and that all interventions to enhance uptake should consider the relationship context. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 9, 2009 Category: OBGYN Authors: Mary B. Short, Susan L. Rosenthal, Beth A. Auslander, Paul A. Succop Tags: Original Studies Source Type: journals

Associations Between Depressive Symptoms and Sexual Risk Behavior in a Diverse Sample of Female AdolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: These findings support other literature demonstrating an association between depression and SRBs, particularly in a largely African-American population. They further suggest that perceived control does not fully explain the relationship between depression and SRBs. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - July 9, 2009 Category: OBGYN Authors: A.G. Rubin, M.A. Gold, B.A. Primack Tags: Original Studies Source Type: journals