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44. Eliciting a Targeted Patient History to Inform a Diagnosis of a M üllerian Anomaly
M üllerian anomalies occur when there is a duplication or failure to fuse of the müllerian ducts. These structural anomalies may be elucidated on imaging, but asking specific, directed questions to elicit a thorough patient history is important to identify the correct diagnosis and effective treatme nt of the patient's condition(s). (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Leandra Cole Source Type: research

45. Empowering Physicians to Address Reproductive Health Misinformation Among Adolescents: A Pilot Educational Series
This study aimed to equip pediatric and adolescent gynecology (PAG) providers to address misinformation about reproductive health in clinical settings through a pilot educational series delivered via the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Instagram account (@naspaginsta). (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Jennifer John, Nichole Tyson Source Type: research

46. Endometrial Intraepithelial Neoplasia in a 14-year-old Adolescent Presenting with Heavy Menstrual Bleeding
Endometrial Intraepithelial Neoplasia (EIN) is a precursor lesion of type 1 endometrioid adenocarcinoma that usually presents as abnormal uterine bleeding (AUB). EIN in adolescents is rare but may become more frequent due to the increasing prevalence of risk factors like obesity. Here we present the case of a 14-year-old female with EIN, the youngest patient reported to have this diagnosis based on a review of available literature. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Amitha Ganti, Michele Troutman, Jennifer Dietrich Source Type: research

47. Establishing Normative Findings of Ovarian Anatomy and Sex Hormones through Puberty
There are limited data on normal pelvic anatomy in pre-, peri-, and post-pubertal biological females, and current literature lacks correlative data on ovarian volume and sex hormones throughout puberty. Prior studies suggest complex models for increases in ovarian volume, as well as in most sex hormones, across puberty. A more thorough understanding of normal anatomical development and the correlation of hormonal changes is needed to better understand pathology that disproportionately affects adolescents with ovaries, such as torsion and polycystic ovarian syndrome. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Allison Kumnick, Jacqueline Maher, Karen Berman, Lynnette Nieman, Jack Yanovski, Evrim Turkbey, Shau-Ming Wei, Peter Schmidt, Veronica Gomez-Lobo Source Type: research

48. Establishing the Need for a Pediatric Gynecology Curriculum in a Rural Healthcare System
Training in pediatric gynecology varies across residency programs. It is crucial for physicians to feel comfortable providing comprehensive care to this patient population. The purpose of our study was to assess the need for a pediatric gynecology curriculum for physicians caring for pediatric patients in a rural healthcare system. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: KRISTIN HARE, Michael Paglia, Brytanie Marshall Source Type: research

49. Evaluating a Female Child Suspected of Sexual Abuse: A Summary for Gynecology Residents
Child sexual abuse is a global health problem. Up to 1 in 5 women report having been sexually abused as a child and 82% of all victims under the age of 18 are female. Despite this, Gynecology residents can lack the experience and knowledge to identify and manage child sexual abuse. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Noemi Hughes, Lisa Kirsch, Maria Aldana Sierra, Amy Williamson Source Type: research

50. Evaluation of an educational video assessing knowledge and attitudes of transgender youth on fertility preservation
This study assessed: (1)The understandability, actionability, and readability of the FP educational videos; (2)Patient perceptions, knowledge, barriers, and interest in FP; and (3) Overall satisfaction with patient education videos on FP (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Florence Gr égoire-Briard, Andie Chernoff, Ken Tang, Jenna Gale, Margaret L. Lawson, Maria Kielly Source Type: research

51. Evaluation of ChatGPT Responses to Common Puberty Questions
ChatGPT, a large language model based chatbot launched in 2022, is one of the fastest-growing artificial intelligence (AI) applications in history. It has shown tremendous potential across many industries, however its accuracy and reliability must be verified prior to endorsement, especially in academia and in education. A proposed use in clinical medicine is for patient education. Adolescents as a group may be reluctant to discuss puberty and menstruation with their caregivers or physicians and may rely on online sources such as ChatGPT. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Deborah Winograd, Carly Alterman, Heather Appelbaum, Jonathan Baum Source Type: research

52. Examination of Hymenal Variant Diagnoses Pre- and Post-Evaluation by Pediatric and Adolescent Gynecology
Imperforate hymen is a congenital anomaly of the female genitalia wherein the opening to the vagina is completely obstructed by hymenal tissue and affects 1/2000 patients. Several other hymenal variants, including septate and microperforate hymen, may mimic the presentation of imperforate hymen. This may lead to misdiagnosis of hymenal variants by providers who are less familiar with examination and diagnostic methods for proper diagnosis of congenital anomalies of the female reproductive tract. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Gianina Monestime, Kassandra Goytia, Mary Fang, Sarah Casey, Jennifer Dietrich Source Type: research

53. Examining Menstrual Suppression Method Choice and Continuation Rates in Adolescents with Disabilities
Menstrual manipulation in adolescents with disabilities is commonly used to assist with menstrual-related behavioral, emotional and hygiene concerns. While the medication options for menstrual suppression have continued to expand and provide satisfactory results, there is a paucity of studies that have evaluated whether there is a preferred method stratified by type of disability, and the continuance rates of the initial method selected in this particular population. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Callie Farnell, Lisa Moon Source Type: research

54. Exploring the Feasibility of an Integrated Outreach Medical Clinic Within a Community Based Center for Young Mothers and Their Children
Adolescent pregnancy is associated with an increased risk of negative maternal and child health outcomes, correlated with social inequities, especially low income. There is also evidence that adolescent mothers and their children experience barriers to accessing primary healthcare. An outreach clinic founded through a local pediatric hospital was integrated into a community service center for young mothers accessing alternative high school education in Ottawa, Canada. This review aimed to assess data from the pilot project's first year of service as part of a quality improvement initiative to address the healthcare needs o...
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Serena Topshee, Debbie Turner, Mark Norris, Megan Harrison Source Type: research

55. Feasibility of Rapid, Free-Breathing Non-Contrast MRI for Evaluation of Gynecologic Pathologies in the Pediatric Emergency Department (ED)
Although ultrasound (US) has been the gold standard for evaluation of pelvic organs in pediatric patients, transabdominal US relies on a full urinary bladder to be performed accurately. This can be challenging for children as it is time consuming, uncomfortable, and may require intravenous fluid administration for bladder distension. Recent studies have shown excellent diagnostic performance of rapid MRI when it comes to pathologies including acute appendicitis. As MRI becomes more prevalent in the evaluation of right lower quadrant pain, its usefulness for gynecologic indications should be reevaluated. (Source: Journal of...
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Taryn Wassmer, Rama Ayyala, Katherine Epstein, Lesley Breech Source Type: research

56. Fertile Ground for Collaboration
The clinical scope of Pediatric Adolescent Gynecology (PAG) is extensive and overlaps with other providers who participate in female reproductive health including Pediatric General Surgery and Pediatric Urology. PAG took decades to differentiate from their adult counterparts into a now organized subspecialty. We sought to understand the perception of PAG provider availability as well as case coverage given the field's expansion. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Michele Troutman, Avanthi Ajarrapu, Gow Kenneth, Jennifer Dietrich Source Type: research

57. Fistula Formation from Chronic Presence of a Vaginal Foreign Body
Small vaginal foreign bodies (FB) in adolescent girls are common, resulting in simple outpatient removal without major sequelae. However, persisting FBs can result in serious complications, such as becoming deeply embedded, perforations, fistula formation involving multiple organs, and needing complex surgeries. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Hareena Sangha, Sireesha Reddy, Jordan Brown, Erin Pickard Source Type: research

58. Full Bladder IUD Insertion Without Tenacle
The objective is to describe a novel IUD insertion technique that avoids the use of the tenacle and thus, can reduce the pain at insertion, the triggering of vasovagal response and a shorter procedure duration. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Maria Canessa, Andrea Huneeus, Rocio Villegas, A Schilling, C Gonzalez-Roca, S Partarrieu Source Type: research