119. Sclerosing Stromal Ovarian Tumors: A Rare Cause of Primary Amenorrhea and Hyperandrogenism in Adolescents
Sclerosing stromal tumors (SST) of the ovary are extremely rare sex cord-stromal tumors with about 200 cases reported in the literature. Most patients (70%) are between 14 and 29 years, and present with nonspecific symptoms of menstrual irregularity and pelvic pain. SSTs are usually benign, unilateral, well-circumscribed, non-hormone producing masses. This case describes a rare androgen-producing SST in an adolescent presenting with primary amenorrhea. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Rabab Isa, Lauren Taylor, Georgina Amaral, Olivia Winfrey Source Type: research

120. Sociodemographic and Psychosocial Factors Associated with Adolescent Pregnancy
The objective of this study was to identify sociodemographic and psychosocial risk factors (individual, interpersonal and contextual) common among adolescents undergoing a pregnancy of any gestacional age, who come to the Hospital “José Eleuterio González”. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Diana Garza Reyna, Mauro Cruz Villarreal, Alan Alan ís Cruz, Clara del Carmen Flores Acosta, Cristina Ramírez Colunga, Juan Soria López, Abel Guzman Lopez, Lilia Cano-Hinojosa, Gabriel Villagómez Martínez, Luis Guzmán Ochoa Source Type: research

121. Staged Vaginal Reconstruction for Distal Vaginal Atresia with Interval Buccal Graft Vaginoplasty followed by Anastomosis to Native Upper Vagina: A Novel Surgical Approach
Definitive management for distal vaginal atresia is surgical, most commonly with pull-through vaginoplasty. If the proximal vagina is> 3cm from the introitus, the risk of stenosis with this procedure is high. However, current alternatives to pull-through vaginoplasty are limited and have included the use of graft tissue with less desirable properties (including bowel neovagina) to overcome the challenges of an atretic native vagina. Here, we describe a staged vaginal reconstruction using buccal graft vaginoplasty followed by interval anastomosis to native upper vagina performed for a 12-year-old with distal vaginal atresia...
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Taryn Wassmer, Viktoriya Tulchinskaya, Aimee Morrison, Aaron Garrison, Lesley Breech Source Type: research

122. Surgical Management and Postoperative Complications in Adolescents with Pathology Proven Endometriosis
Adolescents with significant dysmenorrhea may have endometriosis. When medical management is unsuccessful or unsatisfactory, some choose laparoscopy alone or with other procedures to potentially diagnose and/or treat endometriosis. ACOG calls for a shared medical decision making regarding diagnostic laparoscopy. However, risks associated with laparoscopy specific to this patient population are not well described. This multi-institutional study sought to characterize intraoperative management and complications for adolescents with 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, Kathleen O'Brien, Shashwati Pradhan, Geri Hewitt, MWPAG Source Type: research

123. Suspected MRKH in the setting of primary amenorrhea and VACTERL
Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, affecting 1 in 5000 females, is a mullerian anomaly characterized by uterovaginal malformation with the diagnosis typically following investigation of primary amenorrhea (1). Vater Syndrome (VACTERL) is a broad term describing a constellation of congenital abnormalities with an estimated incidence of 1 in 10,000 to 40,000 births (2). Here we present a case of MRKH with co-existing VACTERL to highlight commonalities in presentation with the goal to improve knowledge, early identification, and opportunities for research. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Levon Agdere, Oksana Nulman, Marie Brunelli, Ashley Lekach, Angela Judd Source Type: research

124. The Birds and the Bees and COVID-19: Rates of Adolescent Contraceptives Prescribed in a Large Health System Pre- and Post-Pandemic
This study examined use of various contraceptive methods in the two years pre- versus post-COVID-19across a single large health system in northeastern Ohio. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Ellen Rome, Caroline Lieser, Nicole Mahoney, Sarah Worley, Tornia Wyllie, Veronica Issac Source Type: research

125. The Retention of Significant Vaginal Lengthening with a Novel Vaginal Expansion Device
This study aims to evaluate the impact of progressive serial expansion of the vaginal canal and vaginal length retention utilizing VES. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Joshua Colvin, Hannah Meyer, Collyn O'Quin, Valerie Welch, Giovanni Solitro, Mila Shah-Bruce, Jonathan Alexander, Donald Sorrells Source Type: research

126. The Sexual and Reproductive Health Concerns of Youth Experiencing Homelessness Presenting to an Urban Pediatric Emergency Department: a descriptive study
Youth experiencing homelessness (YEH) have high rates of both mental and physical health concerns, including a higher rate of sexual assault, pregnancy and STIs as compared to youth in the general population. YEH face multiple barriers in accessing care, resulting in reliance on Emergency Departments (ED). The use of the pediatric ED by YEH in Canada, including for sexual and reproductive (SRH) concerns, is not well described; additionally, there is no Canadian data exploring the effects of the COVID-19 pandemic/lockdown on ED presentations by this population. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Serena Topshee, Amelie Lachance-Soulard, Sarah Reid, Mark Norris, Megan Harrison Source Type: research

127. The Twisted Tail of a Hair Tourniquet
Hair-thread tourniquet syndrome (HTTS) is a rare, potentially dangerous disorder typically involving hair or synthetic fibers wrapped around fingers or toes of infants and children, but can also involve the genitals It is a medical emergency that can result in appendage amputation, it is imperative for PAG, ER physicians, and pediatricians to rapidly identify and consider this as a differential diagnosis. The goal of this case study is to bring awareness to the clinical presentation of HTTS of the labia, treatment, and review current literature for best management practices. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Jacquelyn Evans, Jacqueline Maher, Courtney Mascoe, Veronica Gomez-Lobo Source Type: research

128. Understanding TikTok as a Source of Medical Information about Endometriosis
This study aims to systematically assess the content on TikTok pertaining to endometriosis. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Eugenie Lehembre-Shiah, Harrison Kronfeld, Jordan Eisenberg, Swetha Naroji, Amos Grunebaum Source Type: research

129. Urethro-vaginal Fistula in the Setting of a Vaginal Foreign Body - Diagnosis and Treatment
Vaginal foreign bodies are a rare but important cause of persistent genitourinary complaints in the pediatric and adolescent population. Most foreign bodies are easily removed with vaginoscopy or lavage. There are few reported cases of fistula formation due to vaginal foreign body, with even fewer being in the pediatric population. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Vidhya Krishnan, Kate McCracken Source Type: research

130. Use of Digital Flashcards for Reproductive Health Counseling among Adolescents
Adolescents may view reproductive health topics as difficult to understand, and there is limited research about adolescent health literacy. Visual aids can be utilized to illustrate concepts that are difficult to comprehend. In the clinic setting, large models or posters may not be readily available, but cell phone use is ubiquitous. The purpose of this study is to determine whether digital flashcards on a provider's cell phone are helpful in educating adolescents about reproductive health. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Jennie Yoost, Meghan Anderson, Tori Miller, Rachel Price Source Type: research

131. VACTERL-Gynecologic: time for a change to standardize screening for patients with an anorectal malformation
For the patient with an anorectal malformation (ARM), it is an immediate trigger to perform a VACTERL workup because of the well-known association of other organ anomalies. However, sometimes forgotten in the female patient, is to assess for gynecologic abnormalities. It is well established that 2.2-52.6% of patients with ARMs may have a Mullerian anomaly and VACTERL does increase this risk. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Kristina Arion, Christine Osborne, Philippa Brain, Sarah McQuillan Source Type: research

132. Video-Assisted Strategy for Reducing Adolescent Anxiety in Gynecologic Care: A Quality Improvement Initiative
Many pediatric and adolescent patients have anxiety about their experience and privacy prior to visiting the gynecologist for the first time, with previous studies identifying that these concerns may even prevent or delay care in adolescent patients. In recent years social media has also been shown to have significant negative influences on this population. The aim of this study is to develop an informational video to reduce patient anxiety, improve patient education, and improve outcomes for patients. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Jordan Cone, Lauren Blackmon, Kristl Tomlin, Deborah Hurley, Hannah Gafford Source Type: research

133. Vulvar Psoriasis in a Young Renal Transplant Recipient
Vulvar psoriasis is more common in the pediatric population than in adults. Isolated genital psoriasis occurs in 2-5% of all patients. Psoriasis has been noted as a skin manifestation in renal transplant recipients. It is important to consider psoriasis in the differential diagnosis in children with renal transplant and signs of vulvitis. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Joanne Chan, Olga Kciuk, Nichole Tyson Source Type: research