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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

59. Gender affirming ob/gyn care: A department-wide quality improvement (QI) project
A busy ob/gyn department will care for gender-expansive patients in multiple clinics and across subspecialty services. Our goal is to provide sensitive and competent care to gender expansive patients, who will report satisfaction rates>80% at clinic visits by 24 months from project start. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Tyler McKinnish, Dana Schull, Holly Hoefgen Source Type: research

60. Genital exam findings and Gender Dysphoria: Review of a DSD clinic
This study aims to assess the prevalence of gender dysphoria in pediatric DSD patients using objective genitalia measurements as recommended by the DSD Translational Research Network (TRN). (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Alexandra Herweck, Anisha Chada, Nancy Sokkary Source Type: research

61. Guidewires and Amnion Tissue Grafts: A Novel Approach for Surgical Management of Distal Vaginal Agenesis
Distal vaginal agenesis is a rare congenital anomaly that often requires surgical intervention and vaginoplasty. Depending on the individual, a graft may be necessary to augment the creation of the lower neo vagina. Amnion tissue grafts are being more widely used in surgical specialties, however, they are less commonly used in pediatric gynecological surgeries. This case documents the successful use of an amnion graft and guidewire during vaginal reconstructive surgery. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Noor Zwayne, Katherine Boos Source Type: research

62. Gynecologic Management Practices of Adolescent and Young Adult Cancer Survivors after Pelvic and/or Total Body Irradiation
The objective of this study is assess if current practice patterns are consistent with recommended guidelines of care for adolescent cancer survivors and to identify gaps in the management and treatment of radiation-induced uterine injury. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Adeola Akapo, Leslie Appiah, Alejandro Varela, Karen Hampanda, Fatima Mustaffa Source Type: research

63. Hormonal and Metabolic Profiles of Adolescents with Androgen Insensitivity Syndrome (AIS) and Intact Gonads
Historically, those with AIS were referred for gonadectomy due to a risk of gonadal tumors; however, newer data has emerged suggesting a lower incidence of malignancy[1], prompting many adolescents to defer gonadectomy[2,3]. There is little data about the hormonal and metabolic profile for adolescents who maintain their gonads in this population[4-6]. Here, we report retrospective lab and imaging findings of 9 individuals who presented for evaluation from 6/2021-9/2023. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Sanjay Jumani, Karmen Brooks, Harveen Kaur, Kirsten Das, Courtney Mascoe, Rama Kastury, Marissa Lightbourne, Jacqueline Maher, Veronica Gomez-Lobo Source Type: research

64. Immediate postpartum IUD use among adolescents in the United States: Update from National Inpatient Sample
Intrauterine devices (IUDs) are a highly effective method of contraception and are the recommended form of contraception in adolescents. Immediate postpartum IUD placement is associated with lower rates of unintended pregnancy and short interval pregnancy, both of which are prevalent in adolescents. Data regarding immediate postpartum IUD use is not widely available; at the same time, understanding utilization of immediate postpartum IUDs in adolescents is crucial for local, regional, and national resource allocation, safety monitoring, and public health efforts in surveillance of unintended adolescent pregnancy rates. (So...
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Margarita Berwick, Xuban Palau Villarreal, Laurel Deaton, Caitlin Rogers Source Type: research

65. Impact of COVID-19 pandemic on STIs in young adults
The COVID-19 pandemic adversely affected young adults' reproductive health services, resulting in fluctuating positivity rates prompting a need to better understand the prevalence and trends of sexually transmitted infections in this young adult 18-24 years cohort seen a large urban free community clinic system of nine school-based and family planning clinics. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Georgina Amaral, Meghana Nadella, Allyssa Abacan, Meghna Raphael Source Type: research

66. Implementing a Pediatric Gynecology Curriculum in a Rural Healthcare System
Our targeted needs assessment determined the need for and interest in a pediatric gynecology curriculum for physicians in a rural healthcare system. A curriculum focused on performing a pediatric pelvic exam was created to improve the confidence to do so across subspecialties caring for pediatric patients. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: KRISTIN HARE, Michael Paglia, Brian Patterson, Brytanie Marshall Source Type: research

67. Improving Cutaneous Manifestations of Autoimmune Progesterone Dermatitis with Janus Kinase-Inhibitors
Autoimmune Progesterone Dermatitis (APD) is rare and usually diagnosed in women in their 20s and 30s. The hallmark presentation of APD is monthly cutaneous eruptions (urticaria, eczema, ulcerated oral lesions, targetoid rash, angioedema) occurring 2-10 days before the onset of menstruation; improvement is seen on days 2-3 of menses. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Andrew Claffey, Jason Jarin, Melanie Evans Source Type: research