SELECTED ARTICLE
Author
Aesha Shah 
Article Title
Pediatric and Adolescent Gynecology 
Posted Date
7/14/2009 

Gynaecology or gynecology refers to the surgical specialty dealing with health of the female reproductive system. Gynaecology is typically considered a consultant specialty. The gynecological problems encountered in children and adolescents are often both medically and psychologically complex and thus require a highly skilled and coherent approach. The adolescent, who is no longer a child but not quite an adult, poses a particular management problem to the traditional specialties. Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology, as well as molecular biology research as applied to the field. The Journal draws in expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. In the field of adolescent gynecology more than anywhere else, the medical attitude is often striking by its extremes: from a seemingly indifferent 'wait-andsee' policy (true indifference or ignorance?) to an overzealous interventionism – and this at a developmental moment requiring great sensitivity and tact. Pediatric adolescent gynecologists:

  • Specially trained to provide sensitive, age-appropriate examinations and treatment.
  • Understand the variations of normal prepubertal anatomy and physiology, and know how to communicate with a child and with her parents.
  • Examinations are done in a way that is reassuring and without discomfort, using instruments and equipment especially designed to examine young children and teens.

Importance of adolescent gynecology:

  • Within a year after a girl has her first menstrual period, she should also have her first healthy-girl visit to a gynecologist. Most girls have their first period sometime between ages 9 and 15. Twelve is the average age for onset of menstruation.
  • Our physicians are trained to address the special needs of adolescents for education about the breast and pelvic examinations.
  • The gynecologic examination provides an opportunity to answer questions about development and to provide medical reassurances and information about issues of health and sexuality.
  • Adolescent gynecologists are also trained to address other health-related concerns of adolescents, such as acne and body image, eating disorders, and drug or alcohol abuse.

Adolescents: For adolescents, the first gynecologic examination provides a golden opportunity to educate young patients about the breast and pelvic exam, to answer questions about development, and to provide medical reassurances and information about issues of health and sexuality. The Division of Pediatric and Adolescent Gynecology provides abstinence counseling, as well as contraceptive counseling and pregnancy prevention strategies. Adolescents especially may benefit from counseling about the risks of sexual activity and the prevention of sexually transmitted diseases.

References
Division Director Dr Elizabeth Poynor, MD, PhD is considered a national expert in this field, and provides training in pediatric and adolescent gynecology for other physicians. She has received advanced training in the subspecialty practice of pediatric and adolescent gynecology. http://www.drelizabethpoynor.com
http://www.drelizabethpoynor.com/pre_invasive_disease.html 
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