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Showing papers in "Journal of Pediatric and Adolescent Gynecology in 2009"


Journal ArticleDOI
TL;DR: The compositional and structural similarity of the vaginal microbiota of menarcheal adolescents and adults suggests that the vaginal bacteria does not change significantly after the onset of menarsche, compared with previous studies.

145 citations


Journal ArticleDOI
TL;DR: A review of the extant literature published from 1955 to 2007 supports that surgical or non-surgical creation of a neovagina alone does not ensure a successful psychological outcome, and how professionals use language to discuss the condition may positively or negatively influence a female's experience of MRKH.

134 citations


Journal ArticleDOI
TL;DR: Menstrual problems among adolescent females are common and a significant source of morbidity in this population, however, adolescent girls are reluctant to seek medical treatment, leading to delay in diagnosis and treatment.

98 citations


Journal ArticleDOI
TL;DR: Initial comparison of topical estrogen and betamethasone treatment of labial fusion suggests that betamETHasone may separate fusion quicker with less recurrence and fewer side effects than topical estrogen therapy.

77 citations


Journal ArticleDOI
TL;DR: The importance of the integrity of hymen changes in different cultures and religious groups, hence the perception of 'integrity' of female genitalia, might be an alternative treatment option.

60 citations


Journal ArticleDOI
TL;DR: Laroscopic cystectomy is a safe and effective method of managing ovarian dermoid cysts in the pediatric and adolescent patient population and there were no operative or postoperative complications related to cyst content spillage, regardless of the surgical approach.

60 citations


Journal ArticleDOI
TL;DR: Findings support other literature demonstrating an association between depression and SRBs, particularly in a largely African-American population and suggest that perceived control does not fully explain the relationship between depressionand SRBs.

58 citations


Journal ArticleDOI
TL;DR: Based on the concept that endometriosis can be progressive, these data suggest that combined surgical-medical management retards disease progression in adolescents and young adults.

57 citations


Journal ArticleDOI
TL;DR: Concerns about perceived side effects and long-term health risks associated HC and privacy in obtaining contraception and reproductive health care, as well as concerns about ability to comply with daily and weekly HC regimens are common among African American female adolescents and may deter consistent HC use.

54 citations



Journal ArticleDOI
TL;DR: In this article, a 37-item questionnaire was sent out by the American College of Obstetricians and Gynecologists (ACOG) to its fellows and junior fellows between May and November of 2007.

Journal ArticleDOI
TL;DR: Findings suggest that teen females (attending teen clinics) may experience a protective benefit based on communication with parents, but this protective effect was not observed for education delivered in formal settings.

Journal ArticleDOI
TL;DR: Tubo-ovarian abscesses (TOA) are acute complications of pelvic inflammatory disease (PID) and PID is an infection of the upper genital tract that is usually caused by an ascending sexually transmitted infection as discussed by the authors.

Journal ArticleDOI
TL;DR: There does not appear to be improvement in women's knowledge after development of the HPV vaccine, and poor Pap smear knowledge may affect young women's understanding of their overall sexual health.

Journal ArticleDOI
TL;DR: The cyst in this case was removed by local excision, and the patient's pain has resolved, and there have only been four reported cases of epidermoid cysts of the clitoris not associated with female genital mutilation.

Journal ArticleDOI
TL;DR: Salvadorans are more accepting of HPV vaccination, and parental acceptance is unlikely to be a barrier to widespread vaccination in El Salvador.

Journal ArticleDOI
TL;DR: In this article, the attitudes of adolescent girls on Human Papillomavirus (HPV) vaccination and the impact of an information pamphlet on their attitude were assessed. But their intention was positively correlated with their knowledge, health belief, and belief in who should receive the vaccine, but negatively correlated with normative belief.

Journal ArticleDOI
TL;DR: A case of a 10-year-old girl who was diagnosed with müllerian adenosarcoma arising from the endocervix, the youngest female ever reported, and a high recurrence rate following conservative surgical management is revealed.

Journal ArticleDOI
TL;DR: To find the primary referral reasons for labial reduction in adolescent girls, it is important to carefully choose the patients in the later group, because it can otherwise lead to dissatisfaction and regret later on in life.

Journal ArticleDOI
TL;DR: This case is presented as proof of MRKH discordance in monozygotic twins and imaging studies demonstrate MRkH in one twin and normal female genitalia in the other.

Journal ArticleDOI
TL;DR: Tumor surveillance is warranted for patients with even a Stage IA JGCT and involves monitoring serial inhibin B levels along with intermittent imaging.

Journal ArticleDOI
TL;DR: In this paper, the authors describe the different modalities of congenital obstructing vaginal malformations and the evaluation of techniques to solve the problem, and evaluate the push-through method for the patients in whom problems of constriction after surgery are expected and for patients with difficulties during surgery.

Journal ArticleDOI
TL;DR: Cystic adenomyosis is a rare cause of abdominopelvic pain and dysmenorrhea in adolescents and imaging is key in distinguishing this disease from other congenital and acquired gynecological disorders.

Journal ArticleDOI
TL;DR: Racial/ethnic differences in prevalence and patterns of oral and anal sex were analyzed among girls participating in a microbicide acceptability study and found African-American girls had a greater difference between ages of vaginal and oral sex initiation than whites and Hispanics.

Journal ArticleDOI
TL;DR: Pediatricians, gynecologists, and family physicians must be aware of labial tourniquet syndrome, which may cause necrosis and the resulting amputation of the vital body part if the diagnosis is missed or remains without immediate attention.

Journal ArticleDOI
TL;DR: The clear recommendation from the high satisfaction of the program participants was to expand simulated patient-based programs for gynecologists and to include it as an integrated part of the training curriculum in pediatric and adolescent gynecology.

Journal ArticleDOI
TL;DR: Pediatric surgeons and gynecologists should be aware of this atypical obstructive Müllerian malformation and its management in order to avoid inappropriate management of these young patients.

Journal ArticleDOI
TL;DR: Pregnancy occurred in the obstructed uterus despite a large hematometra, extensive right pelvic peritoneal endometriosis, and hematocolpos.

Journal ArticleDOI
TL;DR: In pediatric subjects with HCLC that required surgical intervention, no complications or disorder recurrence were reported, and conservative surgery has to be performed whenever feasible in order to preserve ovarian function.

Journal ArticleDOI
TL;DR: Liver dysfunction consistent with nonalcoholic steatohepatitis and metabolic syndrome are prevalent in obese adolescent females with polycystic ovary syndrome, and early screening and further work-up for both disease states are warranted.