Practical Pediatric and Adolescent Gynecology

Edited byPaula J Adams Hillard, MD, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA

• Preface, xiContributors, xiiiSECTION 1 PREPUBERTAL GIRLS, 1Part 1 Introduction1 Initial assessment, 3Maureen LynchPart 2 Prepubertal Girls: Symptoms and Signs2 Ambiguous genitalia in the neonate and infant, 6Sejal Shah and Avni C. Shah3 Vaginal discharge and odor, 14Corinne Bazella and Majorie Greenfield4 Vaginal bleeding, 18Valerie S. Ratts5 Ovarian masses, 22Julie L. Strickland and Anne-Marie PriebePart 3 Prepubertal Girls: Gynecologic Conditions6 Labial adhesions, 29Jane E. D. Broecker7 Pediatric vulvovaginitis, 33Sari Kives8 Sexual abuse, 38Nancy D. Kellogg and James L. LukefahrSECTION 2 CONCERNS IN PREPUBERTAL GIRLS AND IN ADOLESCENTS, 43Part 1 External Genitalia9 Normal hymen and hymenal variations, 45Amy D. DiVasta and Estherann Grace10 Vulvar signs and symptoms, 4910.1 Overview of vulvar signs and symptoms, 49Paula J. Adams Hillard10.2 Vulvar ulcers and aphthosis, 57Helen R. Deitch10.3 Vulvar tumors, cysts, and masses, 60Meredith Loveless10.4 Vulvar abscesses, 64Jennie Yoost and S. Paige Hertweck11 Vulvar lichen sclerosus, 69Paula J. Adams Hillard12 Accidental trauma, 72Mariel A. Focseneanu and Diane F. Merritt13 Female genital mutilation, 76Katherine A. Zakhour and Comfort MomohPart 2 Puberty14 Normal puberty, 80Jennifer C. Kelley and Frank M. Biro15 Precocious puberty, 87Paul B. Kaplowitz16 Delayed puberty, 91Sara E. Watson, Peter A. Lee and Christopher P. HoukSECTION 3 ADOLESCENT GIRLS, 97Part 1 Adolescent Health17 Initial assessment: consultation with an adolescent girl, 99Paula J. Adams Hillard18 Confidentiality, 103Janice Bacon and Jennifer A. Greene19 Legal issues, 108Rebecca Gudeman and Abigail English20 Adolescent sexuality, 114Linda M. Kollar21 Adolescent preventive care for healthy teens, 119Kristin L. Kaltenstadler and Corinne Lehmann22 Weight, 12522.1 Overweight and obesity and gynecologic conditions, 125Stephanie Crewe and Maria Trent22.2 Eating disorders, 131Anne Hsii and Neville H. Golden23 The female athlete, 138James R. Ebert24 Immunizations, 142Amy B. Middleman25 Substance abuse: screening and brief intervention, 146Patricia Schram and Sharon Levy26 Suicidal ideation and self-harm: screening, 151Matthew B. Wintersteen and Christopher V. Chambers27 Healthcare for lesbian, bisexual, and transgender adolescents, 154Elizabeth B. Erbaugh and Margaret J. Blythe28 Developmental delay, 158Lisa Allen and Melanie Ornstein29 Menstrual health, 16329.1 Tampons and menstrual hygiene products, 163Stephanie Stockburger and Hatim A. Omar29.2 Normal menses, 166Paula J. Adams Hillard29.3 Menstrual suppression, 169Kelly Kantartzis and Gina Sucato30 The gynecologic exam, 17430.1 When and how to perform a gynecologic exam, 174Paula J. Adams Hillard30.2 Cervical cytology screening, 180Paula J. Adams Hillard31 Sexually-transmitted disease screening, 183Michael G. SpigarelliPart 2 Pregnancy Prevention and Options32 Unintended pregnancy: options and counseling, 187Kaiyti Duffy and Rachael Phelps33 Contraceptive counseling, 19233.1 Contraceptive counseling for healthy teens, 192Stephanie B. Teal33.2 Contraceptive counseling for teens with medical illness, 197Melissa Gilliam and Amy Whitaker34 Contraception, 20534.1 Barrier methods, 205Uri Belkind and Susan M. Coupey34.2 Oral contraception, 210Emily M. Godfrey and Melissa Kottke34.3 Transdermal and vaginal combination methods, 217Sherine Patterson-Rose and Paula Braverman34.4 Intrauterine devices, 222Sophia Yen34.5 Progestin-only contraception, 226Michelle M. Isley and Andrew M. Kaunitz34.6 Emergency contraception, 230Kaiyti Duffy and Melanie A. GoldPart 3 Adolescent Girls: Symptoms and Signs35 Hirsutism, 234Dianne Deplewski and Robert L. Rosenfield36 The breast, 24136.1 Breast concerns, 241Kaylene J. Logan and Eduardo Lara-Torre36.2 Breast discharge, 246Donald E. Greydanus and Colleen Bryzik Dodich37 Vaginal discharge, 249Seema Menon, Mandakini Sadhir, and Susan Jay38 Pelvic masses, 254Noam Smorgick-Rosenbaum and Elisabeth H. Quint39 Gynecologic pain, 26039.1 Pelvic and abdominal pain, 260Geri D. Hewitt39.2 Myofascial (musculoskeletal) pain, 266John Jarrell40 Amenorrhea, 269Melanie Nathan and Andrea L. Zuckerman41 Abnormal uterine bleeding, 275Jennifer E. Dietrich and Jennifer L. Bercaw-Pratt42 Premenstrual syndrome/premenstrual dysphoric disorder and mood disorders, 281Michael Dobbs and Paula BravermanPart 4 Adolescent Girls: Gynecologic Conditions43 Vulvovaginal conditions, 28543.1 Yeast/candida, 285Sofya Maslyanskaya and Elizabeth Alderman43.2 Bacterial vaginosis, 289Jennifer Louis-Jacques and Rebecca Flynn O’Brien44 Sexually-transmitted diseases, 29344.1 Genital herpes, 293Terri Warren44.2 Human papillomavirus and condyloma, 297Lea E. Widdice and Jessica A. Kahn44.3 Chlamydia, 302Taraneh Shafii and Gale R. Burstein44.4 Gonorrhea, 307Bree Weaver and J. Dennis Fortenberry44.5 Trichomonas, 312Samantha E. Montgomery and Jill S. Huppert44.6 HIV, 315Anita Radix and Donna Futterman44.7 Other sexually-transmitted diseases, 318Ellen S. Rome45 Dysmenorrhea, 325Michelle Forcier and Zeev Harel46 Congenital anomalies, 330Amy M. Vallerie and Lesley L. Breech47 Ectopic pregnancy, 339Michelle Vichnin48 The ovaries, 34248.1 Ovarian cysts, 342Paula J. Adams Hillard48.2 Ovarian germ cell tumors, 348Claire Templeman49 Endometriosis, 351Mary Anne Jamieson50 Polycystic ovary syndrome, 355Samantha M. Pfeifer51 Pelvic infl ammatory disease, 361Colleen McNicholas and Jeffrey F. Peipert52 Gonadal dysgenesis, 366Courtney A. Marsh and Yolanda R. Smith53 Sexual assault and date rape, 371Beth L. Emerson and Kirsten BechtelAppendix 1 Essential information, 375Appendix 2 Useful web resources for adolescents, their parents/caregivers, and clinicians, 389Index, 391

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