Management and Prevention of Postoperative Complications in a Neonate with a Symptomatic Imperforate Hymen
Untreated symptomatic imperforate hymens at birth can result in renal complications and ascending infection. While guidelines recommend incision and drainage (I&D), little is discussed regarding postoperative management and surveillance. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 25, 2019 Category: OBGYN Authors: Frances Grimstad, Julie Strickland, Tazim Dowlut-McElroy Source Type: research

Frequency Of Depression And Risk Factors Among Adolescent Mothers In Turkey Within The First Year Of The Postnatal Period
Postpartum depression (PPD) emerges within the first four weeks of the postnatal period and may continue for as long as one year. The aims of this prospective study were to examine the prevalence, severity, and risk factors for PPD among adolescent mothers in Turkey. The study consisted of 84 adolescent mothers between the ages of 15 and 19. The participants were questioned about PPD at three postnatal periods: four weeks, six months and one-year. A 23-item question form, prepared in order to evaluate the risk of postpartum depression, and the Edinburgh Postnatal Depression Scale (EPDS) were used. (Source: Journal of Pedia...
Source: Journal of Pediatric and Adolescent Gynecology - April 23, 2019 Category: OBGYN Authors: Serap Topatan, Nurdan Demirci Source Type: research

Ovarian torsion in an adolescent with Beckwith-Wiedemann syndrome and unilateral tubo-ovarian hyperplasia
Beckwith-Wiedemann syndrome (BWS) is the most common pediatric overgrowth syndrome. BWS has a broad phenotypic presentation along with an increased propensity to develop various embryonal tumors. There are very few reported cases of gonadal hyperplasia in BWS patients in the existing literature. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 11, 2019 Category: OBGYN Authors: U. Mahat, J. Dermawan, R. Herman, I. Mamoun, A. Flagg Source Type: research

TEMPORARY REMOVAL: Hormonal contraceptives, IUDs, GnRH analogues and Testosterone: Menstrual Suppression in Special Adolescent Populations
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 10, 2019 Category: OBGYN Authors: Shashwati Pradhan, Veronica Gomez-lobo Source Type: research

Follow-Up Rates And Contraceptive Choices After Medical Abortion In Adolescents At Cook County Hospital
To determine follow-up rates for adolescent patients undergoing medical abortion in comparison to adult patients, identify patient factors associated with follow-up, and evaluate contraceptive choices at the time of follow-up. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 10, 2019 Category: OBGYN Authors: Jacqueline Lee, Jessica M. Madrigal, Ashlesha Patel Source Type: research

Hormonal contraceptives, IUDs, GnRH analogues and Testosterone: Menstrual Suppression in Special Adolescent Populations
Menstrual suppression (the use of hormonal contraceptive methods to eliminate or significantly decrease the frequency of menstrual cycles) is frequently used in the adolescent population for the management of menstrual symptoms such as heavy or painful periods, premenstrual syndrome, menstrual migraines or even for patient preference. However, in cases of menstrual suppression in special populations additional risks and benefits need to be considered. The purpose of this article is to review the options and medical considerations for menstrual suppression in patients undergoing chemotherapy who may be at risk of abnormal u...
Source: Journal of Pediatric and Adolescent Gynecology - April 10, 2019 Category: OBGYN Authors: Shashwati Pradhan, Veronica Gomez-lobo Source Type: research

Please Be Careful with Me: Discrepancies between Adolescent Expectations and Clinician Perspectives on the Management of Pelvic Inflammatory Disease
To compare clinician perspectives for the treatment of pelvic inflammatory disease (PID) with those of adolescent patients and parents. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 8, 2019 Category: OBGYN Authors: Maria Trent, Michelle Recto, Qiang Qian, Arlene Butz, Kevin D. Frick, Jonathan M. Ellen, Harold Lehmann Source Type: research

The Dangers of Hymenotomy for Imperforate Hymen: A Case of Iatrogenic Pelvic Inflammatory Disease with Pyosalpinx
Complications associated with imperforate hymen include cyclical abdominal pain, acute urinary retention, endometriosis, and even iatrogenic infections. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 8, 2019 Category: OBGYN Authors: Jennifer W.H. Wong, Sherry Siarezi Source Type: research

Adolescent Vulvar Angiokeratoma Associated with Lichen Sclerosus
We present an adolescent with multiple vulvar angiokeratomas within a background of lichen sclerosus. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 8, 2019 Category: OBGYN Authors: Alla Vash-Margita, Yolanda Smith, Raja Rabah, Elisabeth H. Quint Source Type: research

Pediatric Vaginal Leech Infestation with Severe Bleeding: A Case Report and Review Article
Vaginal leech infestation is a rare event with vaginal bleeding being its prominent sign. Few cases have been reported in young children. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 27, 2019 Category: OBGYN Authors: Saeedeh Majidi, Mehran Hiradfar, Reza Shojaian, Ahmad Mohammadipour, Mohammad M. Khazravi, Abdolmajid Fata Source Type: research

Assessing Weight Status in Adolescent and Young Adult Users of the Etonogestrel Contraceptive Implant
There is inconsistent data regarding hormonal contraception and weight. Weight concerns may deter teens from using highly effective contraception such as the etonogestrel subdermal implant (ENG). There is little literature about weight gain and adolescent ENG use, most studies involve adult women. The purpose of this study is to evaluate weight/BMI change in adolescent and young adult ENG users compared to non-users. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 27, 2019 Category: OBGYN Authors: Mary E. Romano, Debra K. Braun-Courville Source Type: research

TEMPORARY REMOVAL: Introduction: Intrauterine Devices for Adolescents
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 26, 2019 Category: OBGYN Authors: Eduardo Lara-Torre Source Type: research

Introduction: Intrauterine Devices for Adolescents
(Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 26, 2019 Category: OBGYN Authors: Eduardo Lara-Torre Source Type: research

Medical Child Abuse: An Unusual “Source” of Vaginal Bleeding
Medical child abuse (MCA) is challenging to diagnose. While young children are often affected, adolescents can be victims through caregiver coercion. Presentation is highly variable. Diagnosis is essential due to high associated morbidity and mortality. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 25, 2019 Category: OBGYN Authors: David M. Kelley, Kelly A. Curran Source Type: research

What every pediatric gynecologist should know about marijuana use in adolescents
Use of marijuana in adolescent girls is common and showing no sign of decreasing. With recent trends towards legalization of “recreational” and “medical” marijuana products, adolescents are increasingly faced with information and misinformation about the health effects of marijuana use. We review the current literature on the risks and potential benefits of marijuana use during adolescence with a specific focus on pediatric and adolescent gynecological conditions. Despite limited research on this topic, the many risks associated with marijuana use in adolescents, including negative effects on the de...
Source: Journal of Pediatric and Adolescent Gynecology - March 25, 2019 Category: OBGYN Authors: Nicholas Chadi, Sharon Levy Source Type: research

Vulval pain in paediatric and adolescent patients
To describe the experience of a tertiary paediatric and adolescent gynaecology service providing care to children and adolescents presenting with vulval pain. Their presentation, associated symptoms and management is described. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 25, 2019 Category: OBGYN Authors: Angela Dunford, Deepti Rampal, Maria Kielly, Sonia Grover Source Type: research

Oocyte Cryopreservation in Adolescent Women
To describe oocyte cryopreservation (OC) cycles in adolescent women ( (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 20, 2019 Category: OBGYN Authors: Heather S. Hipp, Lisa M. Shandley, D. Austin Schirmer, Laurie McKenzie, Jennifer F. Kawwass Source Type: research

Childhood-onset Eosinophilic Granulomatosis with Polyangiitis with a Vulvar Granuloma: A Case Report and Review of the Literature
We present an 8-year-old female diagnosed with EGPA with a vulvar granuloma in what is the first reported pediatric gynecologic manifestation of EGPA. Interestingly, the vulvar granuloma did not respond to initial immunosuppressant treatment with prednisone and methotrexate and required treatment regimen modification with mycophenolate mofetil resulting in granuloma resolution. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 20, 2019 Category: OBGYN Authors: Celeste A. Swain, Timothy R. Sherry, Nichole Tyson Source Type: research

1. Abusive Behavior Silently Increases Low Self-esteem and Depression in Teenage Pregnancy Patients: A Mexican Cohort
Adolescent pregnancy occurs among vulnerable youths, with lifelong social and health consequences for parents and children. The impact of low self-esteem and depression in adolescent pregnancy is on debate, but they have been associated with early coitarche, vulnerability and inability to negotiate condom use. Furthermore, adverse childhood events such as violence or abuse correlate with mental health disorders and adolescent pregnancy. These relationships have been scarcely studied in pregnant teenagers of Latin America. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Andrea Jim énez-Peña, Jezreel Pantaleón-García, Claudia E. Hernández-Escobar, Fidel Cisneros-Rivera, Alvaro Ramos-Reyes, Ivette De Alba-Marquez, Cynthia A. Ruiz-Carranza Source Type: research

2. A Research Agenda for Mayer-Rokitansky-K üster-Hauser Syndrome
Mayer-Rokitansky-K üster-Hauser (MRKH) Syndrome is a congenital birth defect characterized by absence or incomplete development of the Müllerian-derived tissues of the female reproductive tract that is associated with renal, skeletal, cardiac, spine and ear anomalies. Affected Individuals often experience isolation, loneliness, shock and depression and MRKH can affect self-esteem and increase the risk of eating disorders and phobic anxieties. In 2017, we conducted an online anonymous survey of 1337 patients, parents, partners and providers on their experiences with MRKH through diagnosis and treatment, to bett er...
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Amy C. Lossie, Alison Hensley, Kristiiana Siiankoski, Kristy Zieman, Susan Carroll, Anne-Marie Amies Oelschlager, Elisabeth H. Quint, Veronica Gomez-Lobo, Marc Laufer, Diane F. Merritt Source Type: research

3. Are We Trauma-informed? Evaluating the Healthcare Experience of Pregnant and Parenting Adolescents in the Context of Childhood Trauma
Childhood trauma is associated with an increased risk of adolescent pregnancy. Pregnant adolescents with a trauma history experience worse maternal and neonatal outcomes. Trauma-informed care (TIC) actively avoids re-traumatization, increases patient engagement in healthcare and improves health outcomes. Our objective was to understand the pregnancy care experiences and preferences of pregnant and parenting adolescents who are trauma survivors, including how to ask and talk about trauma. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Heather C. Millar, Ashley Vandermorris, Sharon Lorber, Gillian H. Thompson, Gillian Liberman, Lisa M. Allen, Anjali Aggarwal, Rachel Spitzer Source Type: research

4. Embryonal Rhabdomyosarcoma of Uterine Corpus in a Prepubertal Girl as a Manifestation of the DICER1 Syndrome
Patients with germline DICER1 mutations are at increased risk of developing a wide range of relatively rare tumors. In the female genital tract, DICER1 mutations are associated with embryonal rhabdomyosarcoma of the uterine cervix and ovarian sex cordstromal tumors. Primary embryonal rhabdomyosarcoma of the uterine corpus is exceedingly rare, and there is limited information about its clinicopathological features in the literature. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Ozlem Dural, Gamze Kirpinar, Savci Bekir Telek, Cenk Yasa, Funda Gungor Ugurlucan, Ekrem Yavuz, Suleyman Engin Akhan Source Type: research

5. Treatment and Outcomes in Girls with Rhabdomyosarcoma of the Genitourinary Tract in the Fellows Research Consortium
Rhabdomyosarcoma (RMS) is the most common soft tissue tumor of childhood. Genitourinary (GU) RMS was initially treated with radical removal of reproductive organs, but there has been a shift toward organ-sparing surgeries with chemotherapy (chemo) and radiation (RT) as per the Intergroup Rhabdomyosarcoma Study Group (IRSG). Due to the rarity of GU RMS, treatment is still variable. The goal of our multicenter study is to describe treatment and outcomes in GU RMS and to discern if there is an association between patient or disease characteristics and proposed treatment. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Maggie Dwiggins, Krista Childress, Jacqueline Kruglyakova, Monica Venn, Veronica Gomez-Lobo Source Type: research

6. Ovarian Mass With Negative Biomarkers in a Young Patient
Borderline tumors resemble cancerous ovarian tumors  in morphology and composition yet lack the invasive potential. Ovarian tumors are rare in adolescents, and borderline tumors even less. Without histology, they are difficult to distinguish from their malignant counterparts and display inconsistent biomarker results. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Mariah Humphrey, Lauren A. Castleberry Source Type: research

7. Complications of Ovarian Tissue Cryopreservation in Adolescent Patients Undergoing Bone Marrow Transplant
Myeloablative therapy prior to bone marrow transplant (BMT) can cause irreversible primordial follicle damage and premature ovarian insufficiency (POI). One option for fertility preservation in young patients is ovarian tissue cryopreservation (OTC). There is limited literature on the possible impact on ovarian reserve, death, and complications following OTC. We hypothesize that patients undergoing OTC and BMT will have no difference in complications compared to those who have undergone BMT alone. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Lan Anh Galloway, Maggie Dwiggins, Vrunda Patel, Veronica Gomez-Lobo Source Type: research

8. Specialties Involved in the Management of Girls with Genitourinary Rhabdomyosarcoma (RMS) through the NASPAG Fellows Research Consortium (FRC)
Medical decision-making in the management of genitourinary RMS is a lengthy process, involving various specialties. Because the disease is rare and treatment is multifactorial, medical teams are selected based on each individual patient case, and no one subspecialty routinely cares for these patients. Our objective was to understand which specialties dominate in the management of RMS and determine any correlations with treatment. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Jacqueline Kruglyakova, Maggie L. Dwiggins, Krista Childress, Monica Venn, Veronica Gomez-Lobo Source Type: research

9. Cervical Cancer in an Adolescent with HIV: A Case Report
Human papillomavirus is the leading sexually transmitted infection with more than 80% of the worlds population exposed to at least one strain during their lifetime. Humans utilize both their innate and adaptive immune system to contain or clear the virus. However, immunosuppressed patients have defects in this process that can result in condylomas, less common HPV related cancers, or cervical dysplasia and cancer at a younger age. Thus, ACOG and the ASCCP recommend more frequent screening Pap smears at an earlier age for those with HIV and those with similar immunosuppression. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Ashli A. Lawson, Ellen Wilson Source Type: research

10. Vaginal Yolk Sac Tumor: A Case Series and Review of the Literature
We report two cases of vaginal YST and review vaginal YST cases reported in the literature to outline advancements in diagnosis, treatment, and survival. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Allison C. Mayhew, Heather Rytting, Edwin A. Smith, Thomas A. Olson, Krista Childress Source Type: research

11. Addressing Fertility Preservation in Female Pediatric Oncology Patients: A Quality Improvement Study in Calgary AB Canada
This study aims to improve our counseling of health professionals and patients on oncofertilty based on gaps in health education. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Christine Osborne, Sarah McQuillan, Shu Ching Foong, Kathleen Reynolds, Mandy Litt Source Type: research

12. Comparison of Retrieved Ovarian Tissue and Oocytes from Pre-pubertal and Post-pubertal Patients Undergoing Ovarian Tissue Cryopreservation
Loss of fertility from gonadotoxic treatments is a long-term affect in a growing cohort of patients. While post-pubertal patients have the option of oocyte/embryo cryopreservation, pre-pubertal patients only option is ovarian tissue cryopreservation (OTC). While several studies have established the feasibility of pre-pubertal OTC, we seek to examine any differences in tissue or oocytes collection between pre and post-pubertal patients. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Shashwati Pradhan, Maggie L. Dwiggins, Erin Robinson, Eric Widra, Veronica Gomez-Lobo Source Type: research

13. Prevention of Recurrent Mucinous Borderline Ovarian Tumor with Aromatase Inhibitor
We present a case of progression from mucinous cystadenoma to mucinous BOT after two prior cystectomies in whom an AI was used and the patient is now 2 years without recurrent disease. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Kathryn Stambough, Jodi Muscal, Creighton Edwards, Jennifer Dietrich Source Type: research

14. Ovarian Mass in a Patient with Li Fraumeni Syndrome: A Case Report
We present a case of a new adnexal mass on surveillance MRI in a patient with Li Fraumeni syndrome. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Kathryn Stambough, Jennifer Bercaw - Pratt Source Type: research

15. Adolescents vs Adults; The Choice in Postpartum Contraception
The objective of this study is to describe the characteristics and determinant variables in the choice and use of postpartum contraceptive methods in adolescent women compared with the adult population. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Irasema Apodaca-Ramos, Claudia E. Hern ández-Escobar, Sergio A. del Valle-Davila, Efrain Campos-Barba, Gilberto A. Apodaca-Ramos, Mariana Moncada-Madrazo, David E. Hinojosa-Gonzalez, Marissa Puerto-Ruiz Source Type: research

16. Improving Adolescent Access to Contraception via Physician Training
Adolescents are at greater risk of not using the most effective contraception, despite evidence showing intrauterine devices (IUDs) are safe and efficacious in this population. The literature identifies that providers attitudes and prescription patterns are barriers to provision of IUDs to adolescents. Our primary null hypothesis is that a brief provider educational intervention will result in improved knowledge on safety of long acting reversible contraception (LARC) and a change in behavior related to a willingness to counsel on LARCs. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Leticia Diaz, Christina Bracamontes, Sireesha Reddy Source Type: research

17. Factors Associated with Early Removal of the Etonogestrel Implant for Bothersome Bleeding in Adolescents
The etonogestrel implant is the most effective method of birth control with a 0.5% failure rate in the first year. Despite this, almost half of women discontinue the implant because of method dissatisfaction, often due to bothersome vaginal bleeding. Prior studies have been small and not focused on adolescents and young adults. Our objective was to identify medical and demographic factors that are predictive of early ( (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Sarah Green, Molly Richards, Jeanelle Sheeder Source Type: research

18. Reproductive Health Counseling and Contraceptive Use in Adolescent Females With Cystic Fibrosis
Cystic Fibrosis (CF) is a progressive, genetic disease of secretory glands affecting approximately 30,000 people in the United States. The life expectancy of CF patients has risen due to treatment advances, making preconception and contraceptive counseling essential. Pregnancy is high risk in this population and dramatically impacts overall health. Additionally, some CF medications are teratogenic or reduce the efficacy of hormonal contraception. Barriers preventing adequate sexual and reproductive health counseling include lack of time, knowledge, and discomfort with the subject. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Angela Hernandez, Oluyemisi Adeyemi-Fowode Source Type: research

19. A Comparative Analysis of Long-Acting Reversible Contraception Use Among HIV Positive and HIV Negative Adolescents and Women
This study aimed to compare contraceptive choice in HIV positive AYA/W in an academic setting in the Deep South with HIV negative AYA/W. It also explored factors predictive of long acting reversible contraception (LARC) use among HIV positive AYAs. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Samantha V. Hill, Hui-Chien Kuo, Inmaculada Aban, Shirlacia Gray, Tina Simpson, Jodie Dionne-Odom Source Type: research

21. Sexual Health and Contraceptive Awareness in Pregnant Mexican Teenagers: The Patient ’s Perspective
Most recommendations to prevent early pregnancies suggest sexual health and contraceptive education to teenagers, because of their lack of knowledge in how to avoid unwanted pregnancies and STDs. Also, multiple characteristics influence contraceptive selection and appropriate counseling and supplemental support to help women clarify their preferences is needed. Therefore, we report the overall sexual health and contraceptive awareness in pregnant Mexican teenagers. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Andrea Jim énez-Peña, Jezreel Pantaleón-García, Claudia E. Hernández-Escobar, Eduardo Noe Nava-Guerrero, Jessica Geovanna Mendoza-Calderon, Daniela Alejandra Gonzalez-Moran, German Alfonso Garza-Garcia Source Type: research

22. Why Do Doctors Object? Conscientious Objection in Reproductive Medicine
Conscientious objection has been used to describe refusal by physicians to provide care/procedures or prescribe therapies based on personal beliefs. These objections are often associated with reproductive health, but it remains unclear how many physicians object, and if their objection is based on religious beliefs. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Kacie Kidd, Laura Davisson, Kelley Jones, Pamela Murray Source Type: research

23. Safety and Outcomes of Intrauterine Device Utilization in Adolescents With Cognitive Delays
Adolescent females with cognitive delays (CD) experience unique physical and emotional challenges related to menstruation. Providers often recommend hormonal medication for menstrual management which can treat heavy periods, dysmenorrhea, and provide contraception. It also helps address hygiene concerns and behavioral changes related to menstrual blood. The safety of intrauterine devices (IUDs) in adolescents has been well described; however, data on IUD utilization and safety in patients with CD is more limited. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Amy E. Lawrence, Amanda Onwuka, Holden Richards, Katherine J. Deans, Kate McCracken Source Type: research

24. Contraceptive Use Among Adolescent Female Metabolic and Bariatric Surgery Patients
Severe obesity among adolescents (BMI>=120% of the 95the percentile or BMI>= 35kg/m2) continues to increase. Metabolic and bariatric surgery (MBS) is a safe and effective treatment for adolescents; resulting in durable weight loss and resolution of related comorbidities. Avoiding pregnancy for 18-24 months after MBS is recommended; but teens face challenges concerning pregnancy prevention. Rapid weight loss after MBS improves polycystic ovarian syndrome and anovulation; leading to increases in fertility. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Marc Michalsky, Ihuoma Eneli, April labuda, Kate McCracken Source Type: research

25. Effect of Prior Adverse Reproductive Health outcome on Adolescent Women's Engagement in a Health Coaching Intervention to Improve Contraceptive Continuation
Health coaching interventions are effective at improving a range of health outcomes. Optimizing outcomes requires engaging the highest risk individuals in these interventions. Using data from the Health Coaching for Contraceptive Continuation (HC3) intervention, we examined whether having a prior history of an adverse reproductive event was associated with the number of health coaching visits participants attended. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Danielle T. Petsis, Danielle Weldon, Aletha Y. Akers Source Type: research

26. Impact of Sociocultural Norms on Sexual Behavior and Contraceptive Practices Among Adolescents and Young People
The objective of this study is to describe the sociocultural norms surrounding sexual behavior and contraceptive use for adolescents and young people and assess how they influence sexual behavior and contraceptive decisions. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Shandhini Raidoo, Mary Tschann, Jennifer Elia, Bliss Kaneshiro, Reni Soon Source Type: research

28. Acceptance of Expedited Partner Therapy Among Adolescents in an Urban Reproductive Health Clinic
Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) are among the most common sexually transmitted infections in the United States and have the potential for serious sequelae. Expedited partner therapy (EPT) is an intervention supported by the Centers for Disease Control and proven to decrease recurrent or persistent sexually transmitted infections, however there is limited evidence of its acceptance and compliance in the adolescent population. Our study aimed to measure acceptance and uptake rates of EPT among women infected with GC and/or CT at an urban health clinic, and identify patient factors that may influence...
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Jessica Shim, Jessica Madrigal, Audra Williams, Ashlesha Patel Source Type: research

30. The Impact of an Adolescent Gynecology Provider on Intrauterine Device and Implant Use Among Adolescent Patients
This study assessed how a PAG provider effects the use of LARCs among girls ages 13-24. LARC use among adolescents was compared for a period of time before PAG availability to a period of time after PAG availability. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Courtney Crain, Anne DeFruscio, Preeya Shah, Jennie L. Yoost Source Type: research

31. T Shaped Vaginal Septum: An Unusual Case
Obstructive or non obstructive transverse vaginal septum is an infrequent m üllerian anomaly. The most common diagnosis is in the context of hematocolpos and primary amenorrhea because of an obstructive type. A rare case in which a T shaped septum was diagnosed is presented. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Maria Jose Canessa, Claudia Zajer, Rodrigo Pineda, Florencia De Barbieri Source Type: research

32. An Underdeveloped Structure With Fully-matured Learning Points: A Case of a Rudimentary Horn Pregnancy
We describe the diagnosis and management of RHP in a medically complex patient. This case highlights three challenging aspects of RHP, which we review in detail: 1)  Accurate classification and risk-stratification of rudimentary horn pregnancy, 2) Radiologic assessment for intrapartum diagnosis, and 3) Prenatal identification and management of patients with rudimentary uterine horn. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Stephanie Cizek, Jennifer Wolf, Deborah Levy, Lesley Breech Source Type: research

33. Management of Gonadal Cysts in Patients Without Gonadectomy in Complete Androgen Insensitivity Syndrome
Complete Androgen Insensitivity Syndrome (CAIS), is an X-linked genetic disease, where female-appearing 46XY patients have testes located in the internal inguinal ring or in the labia majora. In the past, prophylactic gonadectomy has been performed, given risks of germ cell tumor development. However, gonadal surveillance algorithms have been proposed as an alternative, due to challenges with replacement therapy (HRT) and ethical concerns. In this case study, we review ultrasonographic changes in gonads of 3 patients with CAIS, and pathology results with one patient who elected for laparoscopic cystectomy as part of her su...
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Ariel M. Cohen, Shashwati Pradhan, Maggie Dwiggins, Veronica Gomez-Lobo Source Type: research

34. Concurrent Evaluation For Congenital Reproductive & Urinary Tract Anomalies in Girls
The genitourinary systems share a common embryologic primordium and malformations commonly co-occur. Urinary tract anomalies (UTA) can be life-threatening prompting early diagnosis, but reproductive tract anomalies (RTA) are not often diagnosed until workup for amenorrhea or infertility. Untreated obstructive pathologies particularly can lead to lasting, detrimental consequences. We investigated girls seen at our institution primarily for UTA or RTA who were evaluated for co-existing anomalies. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Amitha K. Ganti, Paula J. Hillard Source Type: research

35. Case Series of Hormone Abnormalities in Term and Preterm Infants With Ambiguous Genitalia not Diagnosed With a Disorder of Sexual Differentiation
We present two cases of infants thought to have a DSD based on genital ambiguity and abnormal laboratory evaluation with subsequent resolution of both. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - March 4, 2019 Category: OBGYN Authors: Angie Hamouie, Maggie Dwiggins, Veronica Gomez-Lobo Source Type: research