Pediatric and adolescent gynecology (PAG) is recognized as a specialist area and clinicians working in PAG need specific expertise. A wide spectrum of conditions needs to be addressed, ranging from simple disorders which respond to basic treatment to complex congenital anomalies with a genetic origin and life-long health consequences. Investigations must be appropriate and treatment should reduce symptoms and distress whilst optimizing gynecological and reproductive potential. Centered upon a series of common clinical presentations, this book includes stepwise guidance on the initial investigations, management, and treatment options. Guidance is supported by the most up-to-date evidence-base, written by clinicians with dedicated clinical and research experience in PAG. New techniques - such as laparoscopic surgery - are included and the importance of the psychological assessment of children with specific PAG disorders is highlighted. The book also includes an authoritative chapter on safeguarding - recognizing the unique opportunity for gynecologists in child protection.
1. An Introduction to pediatric and adolescent gynecology practice Adam Balen, Lesley Breech, Sarah Creighton and Lih-Mei Liao; 2. Embryology and normal development of female reproductive function Cara Williams and Rebecca Deans; 3. Holistic assessment in pediatric and adolescent Gynecology Practice Paul L Wood, Jennie Yoost, Margaret Hall-Craggs, Davor Jurkovic, Sveta Alladi and Deborah Hodes; 4. Safeguarding for pediatric and adolescent gynecology Sveta Alladi and Deborah Hodes; 5. Informed consent in pediatric and adolescent gynecology practice: from ethical principles to ethical behaviors Lih-Mei Liao, Paul M. Chadwick and Anne Tamar-Mattis; 6. Common gynecological symptoms before puberty Stefanie Cardamone and Sarah Creighton; 7. Menstrual dysfunction in pediatric and adolescent gynecology practice Michal Yaron, Diane Merritt, Anne-Marie Amies Oelschlager, Lina Michala and Jennifer E. Dietrich; 8. Primary amenorrhea in pediatric and adolescent gynecology practice Naomi S. Crouch, Lisa Allen, Adam Balen, Gerard S Conway, Ephia Yasmin and Gail Busby; 9. Urinary problems in pediatric and adolescent gynecology practice Alun Williams, Anette Jacobsen, Lesley Breech and Dan Wood; 10. Late effects of childhood cancer in pediatric and adolescent gynecology practice Leslie A. Appiah and Melanie C. Davies; 11. Laparoscopic surgery in pediatric and adolescent gynecology practice Alfred Cutner, Tom Aust and Sari Kives; 12. Psychological care in pediatric and adolescent gynecology practice: addressing the effects of sexual and gender norms Julie Alderson, Katrina Roen and Miriam Muscarella.