Showing papers in "Journal of Pediatric and Adolescent Gynecology in 2018"

TL;DR: In this review, new data and recommendations concerning documentation of medical examinations, testing for sexually transmitted infections, interpretation of lesions caused by human papillomavirus and herpes simplex virus in children, and interpretation of physical examination findings are summarized.

TL;DR: Parental and adolescent reports of menarche are highly correlated and earlier breast maturation was associated with slower tempo through puberty, and body mass index had a greater effect on age atMenarche than did race and ethnicity.

TL;DR: Despite side effects, participants rated GnRHa plus add-back as the most effective hormonal medication for treating endometriosis pain; two-thirds would recommend it to others, despite significant side effects.

TL;DR: Menstrual and ovulatory patterns in GY1 are diverse and differ from those of adults and a transitional phase of menstrual and Ovulatory immaturity is common, however, ovulation, irregular cycles, and dysmenorrhea are not uncommon.

TL;DR: It is suggested that obstructed hemivagina ipsilateral renal anomaly syndrome is the most common obstructive Müllerian anomaly diagnosed in adolescents after menarche and the differential diagnosis for unilateral kidney agenesis accompanied by dysmenorrhea in adolescent girls should include obstructive genital tract anomaly.

TL;DR: A high frequency of bleeding disorders was found in those tested and combined oral contraceptives were not found to be the most effective option for menstrual suppression.

TL;DR: D diagnostic findings are present in a small proportion of children and adolescents examined for suspected sexual abuse/assault, and it is essential that practitioners who interpret examination findings be adequately trained and familiar with the current consensus approach.

TL;DR: Hundreds of girls with heavy menstrual bleeding and anemia are hospitalized at US children's hospitals each year with variable inpatient hematologic evaluation and management, which should emphasize early identification of at-risk patients and promote effective implementation strategies to reduce the burden of this preventable complication.

TL;DR: A mobile application version of the PBAC score showed that a PBAC app compared with the paper diary was the preferred method of recording menstrual bleeding in adolescents and showed feasibility as a research data collection tool.

TL;DR: Independent predictors of torsion can reliably be combined into a composite score to identify children and adolescents at risk for adnexal torsions, and this score might aid in improving triage and management of these challenging patients.

TL;DR: The entire MDT could more explicitly question social norms and help the women to do the same by shifting the definition of success from anatomy to personal agency, the clinical focus is transformed from treatment to women.

TL;DR: Most athletes were at risk of the triad but few knew about it, and dancers were at higher risk compared with figure skaters and runners.

TL;DR: The Seventeen Days program shows promise to improve perceived self-efficacy to acquire condoms among sexually active female adolescents-an important precursor to behavior change.

TL;DR: Nearly two-thirds of the MRKH syndrome study group women with surgically created neovaginas were interested in UTx and motivated to undergo this method of absolute uterine factor infertility treatment.

TL;DR: Early maternal age at marriage substantially increases the risk of adverse pregnancy outcomes, which suggests strengthening of existing laws and policies to increase age atmarriage of girls, and effort should be made to improve health status of married adolescents.

TL;DR: Each method had unique predictors of low personal acceptability, however, for all method models, significant predictors included knowing someone who had become pregnant while using that method or having a friend who dislikes that method.

TL;DR: This study shows that the choice of guideline used does have a great effect on whether an adolescent received the PCOS diagnosis or not, and care should be taken to ensure the patient does not receive diagnosis because of the physiological changes seen during puberty, which might mimic PCOS.

TL;DR: The statement that ENGs are an effective and weight-neutral option is supported, as long-term ENG use did not lead to significant weight gain in this sample of adolescent and young adult women.

TL;DR: The findings show an increasing temporal trend for gastroschisis since 2000 in Mexico, which might follow in future instances a positive binomial or Poisson distribution, and improving surveillance of risk factors and supporting research is warranted among mothers younger than 25, particularly, younger than 20 years of age.

TL;DR: NMDA-R and GFAP autoimmune encephalitis should be considered in adolescent patients with neurologic or psychiatric symptoms and an ovarian teratoma and prompt diagnosis and surgical resection increase the likelihood of full neurologic recovery.

TL;DR: This study highlights the importance of C trachomatis screening among the Chilean affluent population younger than 25 years, but further studies are needed in a more diverse and representative sample to recommend universal screening.

TL;DR: Talking with patients about their daughters is one way to build a practice focused on caring for girls, adolescents, and young adults.

TL;DR: It is possible to generate an acellular porcine vaginal matrix capable of supporting cells to reconstruct the vagina for future preclinical testing, and holds promise for creating clinically relevant-sized tissue for human application.

TL;DR: Most pediatrician respondents provided reproductive health care for adolescents and counseled about LARCs, but few inserted the devices, and knowledge deficits about suitability of IUDs for adolescents were identified.

TL;DR: In nulliparous women, lidocaine treatment seems to be a reasonable choice, however, further studies are required to examine the different routes and modes of administration as well as optimal quantities.

TL;DR: In adolescent girls, the most common menstrual problem is dysmenorrhea and it affects school performance and attendance, and these problems affect their social life.

TL;DR: Acceptance of HPV vaccination for daughters was high among rural parents in Mysore, India, however, health education to reduce the belief that injection is painful and that daughters are at low risk to get cervical cancer is important to further improve parental HPV vaccine acceptability.

TL;DR: The data support previous findings of increased rates of ovulation in primary dysmenorrhea and suggest that regular menses do not necessarily indicate that a normal ovulatory cycle has occurred, and previous implications that ovulation is necessary for the development of substantial menstrual pain are incomplete.

TL;DR: Four key themes emerged reflecting the high priority mothers placed on abstinence, delaying their adolescent's sexual debut, and nurturing sexual decision-making skills, which did not vary according to mothers' age or according to adolescent age, gender, or race.

TL;DR: There is considerable variability across pediatric specialties in the evaluation of PCOS, with significant underassessment of comorbidities.