14. Advanced Posterior Vaginal Prolapse in an Adolescent
We report a case of a 14 year-old postmenarchal female who presented with vaginal pain and sensation of bulge with examination consistent with Stage III posterior predominant pelvic organ prolapse (POP). On exam under anesthesia, the posterior prolapse was noted to arise from significant redundant posterior vaginal soft tissue with multiple invaginations creating blind-ending pouches. Symptoms resolved after posterior colporrhaphy and resection of redundancy of posterior vaginal wall epithelium. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Caitlin McCarthy, Andrea Zuckerman, Evelyn Hall Source Type: research

15. Adverse Obstetrical Outcomes are Increased in Adolescent Pregnancy
Adolescent pregnancy is defined as pregnancy before the age of 20 and is the leading cause of mortality in girls ages 15 to 19 worldwide. Adolescent pregnancies are associated with increased maternal, obstetric, and neonatal risks, however data is limited. Our objective was to compare the risk of adverse obstetrical outcomes in teenage pregnancies to adult pregnancies. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Anna Scipioni, Holly VanDeman, Jean Paul Tanner, Jason Salemi, Jose Duncan Source Type: research

16. Assessment of Inpatient Sexual and Reproductive Health Services for Adolescents Assigned Female at Birth: A Survey of Children's Hospitals
Adolescents assigned female at birth (AFAB) are at high risk for sexually transmitted infections (STI) and unintended pregnancy and face barriers to accessing sexual and reproductive health (SRH) services. Existing literature supports the need to provide SRH to hospitalized adolescents and their willingness to receive it. It is unknown, on a national scale, which adolescent SRH services are provided in children's hospitals and what resources are available to provide these services. The purpose of this study is to describe SRH services available to adolescents AFAB admitted to U.S. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Taraneh Shafii, Alissa Roberts, Colleen McCarty, Erin Sullivan, Sahar Rooholamini, Sarah Golub Source Type: research

17. Balancing Confidentiality and Access in Adolescent Gynecology Practices: Responding to the 21st Century Cures Act
The 21st Century Cures Act is a federal mandate which requires sharing clinical notes with patients. To be in compliance, there must be balance between parent/guardian access and adolescent privacy. Healthcare providers must ensure confidential sharing of medical information with adolescents while maintaining parent/guardian access to some health information. This is particularly important in the provision of reproductive health care, where patient privacy is paramount. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Julia Cron, Jonathan Elias, Beth Rackow Source Type: research

18. Case of an adolescent girl with familial vulvar leiomyoma
While uterine leiomyomas remain a common occurrence affecting nearly 30% of adult women above 35yo, leiomyomas can arise anywhere smooth muscle cells are located in the body. Vulvar leiomyomas are a particularly rare diagnosis, often misdiagnosed as Bartholin gland cyst, comprising 0.07% of vulvar tumors, and thought to arise from smooth muscle within the round ligament, erectile tissue, and dartos muscle. Even more rare is the presentation of vulvar leiomyoma in the adolescent population and family history of vulvar leiomyoma. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Madeline Ross, Charlene Dekonenko, Rebecca Rentea, Tazim Dowlut-McElroy Source Type: research

19. Case of complete androgen insensitivity syndrome with gonads containing rudimentary penile tissue and both Mullerian and Wolffian type structures
Complete androgen insensitivity (CAIS) is a disorder of sexual development (DSD). It is caused by a loss of function mutation in a person with a XY genotype, where testosterone has no effect on sexual development. It is inherited in an X-linked recessive pattern, and is typically discovered in amenorrhoeic women, or girls with cryptorchid gonads that come to medical attention. Generally, gonadectomy is recommended post-puberty on an individualized basis to prevent malignancy. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Courtney Schubert, Hailey Benoit, Camelia Stefanovici, Amanda Morris Source Type: research

20. Case report: Ovarian Capillary-Lymphatic-Venous Malformation with Uncommon Genetic Etiology
We present the case of a young child with a solid ovarian mass who underwent unilateral salpingoopherectomy. Final pathologic diagnosis revealed an uncommon, benign ovarian lesion with genetic etiology. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Valerie Bloomfield, Abigail Iseyemi, Lisa Allen Source Type: research

21. Characteristics and Preoperative Management of Pediatric and Adolescent Patients with Pathology Proven Endometriosis
Endometriosis is a significant cause of dysmenorrhea and chronic pelvic pain in adolescents. Treatment includes both medical and surgical interventions. Patients with pathology proven endometriosis have primarily been examined through single-institution case series and preoperative management has been sparsely characterized. This multi-institutional study sought to characterize demographics and preoperative management of patients who underwent laparoscopy and had pathology confirmed endometriosis. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Katherine Bergus, Paige Hertweck, Holly Hoefgen, Anne Horne, Ashli Lawson, Seema Menon, Shashwati Pradhan, Yolanda Smith, Geri Hewitt, on behalf of MWPAG Source Type: research

22. Characteristics of Pediatric Ovarian Malignancies
We describe the clinical and pathologic characteristics of a population of pediatric patients with ovarian cancer or borderline masses from a large tertiary children's hospital. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Sara Brenner, Zoe Roecker, Taylore King, Kamaria Dansby, Molly Lavaud, Nancy Sokkary Source Type: research

23. Characterization of Intimate Partner Violence (IPV) Among Adolescents
CDC data shows that 25% of adolescents experience verbal, physical, emotional or sexual abuse from a dating partner. We aimed to determine the incidence of IPV among adolescents, and to characterize the types of IPV experienced in order to allow for early identification, intervention, and prevention of IPV among adolescents. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Vidhya Krishnan, Natalie Alexander, Kristen Powers, Stephanie Yohe, Lizzie Chordas, Geri Hewitt, Chelsea Kebodeaux, Yueyang Fei, Dana Lenobel, Kate McCracken Source Type: research

24. Characterization of Pediatric Female Genital Trauma Using a Novel Grading System and Recommendations for Management
There is no standardized grading system or protocol for management of pediatric female genital trauma (PFGT). Rates of operative intervention among large multi-center database studies vary considerably. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Katherine Bergus, Abigail Frooman, Sydney Castellanos, Rajan Thakkar, Kate McCracken, Chelsea Kebodeaux, Geri Hewitt, Dana Schwartz, Yueyang Fei Source Type: research

25. Chimeric Monochorionic Diamniotic 3 -Year-Old Female with Male Brother
While traditionally monochorionic twins are understood to be monozygotic, researchers have identified atypical forms of twinning resulting in monochorionic dizygotic (MCDZ) twins. As a result, intrauterine twin-twin transfusion pathways can result in blood chimerism with one neonate subsequently having two blood cell lines. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Jennifer Silk, Amy Boone, Anna Hurst, Pongtawat Lertwilaiwittaya Source Type: research

26. Clinician Perspectives on the Feasibility and Acceptability of Contraceptive Counseling for Adolescents in the Pediatric Emergency Department
In this study, we explore the feasibility and acceptability of contraceptive counseling and initiation of contraceptive methods in the pediatric ED through in-depth interviews with a variety of stakeholders at the University of North Carolina Medical Center in Chapel Hill, North Carolina. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Madeline Thornton, Bianca Allison Source Type: research

27. Combinatory effects of unilateral oophorectomy plus cyclophosphamide treatment on ovarian reserve and fertility in a mouse model
Ovarian tissue cryopreservation via unilateral oophorectomy (ooph) prior to receiving gonadotoxic treatment is the gold standard for fertility preservation in pre-pubertal girls. The deleterious effects of cyclophosphamide (Cy) on ovarian follicles have been well studied, but it is not known how unilateral ooph in combination with Cy may influence ovarian function and risk of premature ovarian insufficiency. The aim of this study was to investigate the combined effects of unilateral ooph  + Cy on AMH and ovarian follicles using a mouse model. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Elizabeth Varghese, Taylor Badger, Raghuveer Kavarthapu, Alexander Grinberg, Ramya Balasubramanian, Hong Lou, Maria De La Luz Sierra, Karl Pfeifer, Jacqueline Maher, Veronica Gomez-Lobo Source Type: research

28. Comparing Efficacy and Side Effects of Norethindrone Acetate versus Combined Oral Contraceptives in Patients with Acute Abnormal Uterine Bleeding
Abnormal uterine bleeding (AUB) is common among preteens and adolescents, but its management is varied in clinical practice. There are currently no studies that compare the efficacy of norethindrone acetate (NA) with combined oral contraceptives (COC) in managing adolescents with acute AUB. Our pilot study hypothesizes that NA would have less side effects compared to COC and be just as efficacious. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Tiffany Han, Monique Regard, Gabriel Cardenas, Shaketha Gray, Metee Comkornruecha Source Type: research