This book addresses the most common gynecological problems encountered in childhood medicine, including endocrinological and surgical aspects. It begins with a detailed description of infant and adolescent gynecological examination and then covers the advantages of imaging methods, with an emphasis on sonography. Several chapters are devoted to the various pathologies encountered in prepubertal and adolescent girls, including contemporary social issues (e.g., sexual abuse, sexually transmitted diseases, contraception for teenagers and teenage pregnancy). The gynecological problems encountered in children and adolescents are often both medically and psychologically complex and thus require a highly skilled and coherent approach. One of the practical advantages of this book is that it presents a clear plan for clinical management and treatment in this patient population. This work provides practical information for dealing with frequently encountered problems in prepubertal and adolescent girls.
Author(s): Charles Sultan
Series: Endocrine Development, V. 7
Edition: 1
Publisher: S. Karger AG (Switzerland)
Year: 2004
Language: English
Pages: 281
Contents......Page 1
Contents......Page 6
Foreword......Page 8
Preface......Page 10
Preparation for the Examination......Page 12
Gynecological Examination of a Prepubertal Child......Page 13
Gynecological Examination of a Newborn......Page 17
Gynecological Clinical Examination of the Adolescent......Page 18
References......Page 19
The Infant and Adolescent Uterus......Page 20
Ovarian Development during Puberty and Adolescence......Page 23
References......Page 33
Ambiguous Genitalia in the Newborn: Diagnosis, Etiology and Sex Assignment......Page 34
Diagnosis of Ambiguous Genitalia in the Newborn......Page 35
Etiology of Ambiguous Genitalia in the Newborn......Page 38
Sex Assignment of the Intersex Child at Birth......Page 47
References......Page 48
Diaper Dermatitis in Infancy......Page 50
Tumoral and Hamartomatous Diseases of the Vulva......Page 52
Infectious Diseases (Except Sexually Transmitted Diseases)......Page 56
Lichen Sclerosus......Page 59
Vulvo-Perineal Localization of Dermatologic Disorders......Page 61
References......Page 65
Investigations......Page 68
Precocious Puberty......Page 69
Adrenal Dysfunction......Page 70
Central Precocious Puberty......Page 71
Thelarche Variant......Page 73
Gonadotrophin-Independent Precocious Puberty......Page 74
References......Page 75
Clinical Presentations......Page 77
Diagnostic Arguments......Page 78
The Various Etiologies......Page 80
Management......Page 83
Conclusion......Page 84
References......Page 85
Sexual Abuse in Prepubertal Children and Adolescents......Page 88
General Considerations on CSA......Page 89
General Considerations on Medical Aspects of CSA......Page 92
Potentials and Limitations of the Medical Approach......Page 93
History......Page 94
Physical Examination......Page 95
Anogenital Findings......Page 98
Sexually Transmitted Diseases......Page 107
Differential Diagnosis......Page 108
Overall Assessment......Page 110
References......Page 111
Delayed Puberty......Page 117
Physiological Aspects......Page 118
Epidemiological Aspects......Page 120
Clinical Aspects......Page 121
Etiological Aspects......Page 122
Therapeutic Aspects......Page 134
References......Page 135
Development of the Menstrual Cycle......Page 140
Possible Causes of Disturbances......Page 142
Clinical Importance of Menstrual Irregularities......Page 143
Diagnosis – General Aspects......Page 144
Menstrual Irregularities in Adolescence – Definitions, Treatment and Special Considerations......Page 145
Conclusion......Page 149
References......Page 150
Clinical Signs......Page 151
Prevalence......Page 152
Etiology......Page 154
Treatment......Page 155
Conclusion......Page 156
References......Page 157
The Physiological Hyperandrogenism of Puberty......Page 159
Diagnosis of Hyperandrogenism in Female Adolescents......Page 160
Causes of Hyperandrogenism in Female Adolescents......Page 162
Treatment of Hyperandrogenism in Female Adolescents......Page 169
References......Page 171
Review of Ovarian Embryology......Page 174
Diagnostic Symptoms......Page 175
Means of Diagnosis......Page 176
Management......Page 179
The Various Ovarian Masses......Page 182
References......Page 190
Embryology......Page 194
Breast Physiology......Page 195
Classification of Breast Diseases:The ANDI Concept......Page 197
Aberrations or Diseases Linked with the Developmental Process......Page 198
Aberrations or Diseases of Ductal Development......Page 200
Aberrations or Diseases of Lobular Development......Page 201
Aberrations or Disease Associated with Cyclical Variations of Breast Tissue......Page 204
References......Page 205
Sexually Transmitted Diseases......Page 208
Risk Factors......Page 210
The Most Common Infections......Page 212
References......Page 221
Chronic Pelvic Pain and Recurrent Abdominal Pain in Female Adolescents......Page 224
Gynecologic Etiologies......Page 225
Dysmenorrhea......Page 226
Endometriosis......Page 227
Müllerian Abnormalities......Page 228
Pelvic Inflammatory Disease......Page 229
Abdominal Etiologies......Page 230
Management......Page 231
References......Page 234
Contraceptive Methods......Page 236
Contraception and Sexually Transmitted Diseases......Page 239
Making the Choice......Page 240
Adolescents 2003......Page 241
References......Page 242
Teenage Sexuality and Sex Education......Page 244
Teenage Fertility/Pregnancy by the Numbers......Page 246
Psychological Profiles of Pregnant Adolescents......Page 247
Outcome of the Pregnancy as a Function of the Adolescent’s Age......Page 249
Problems Associated with Underage Pregnancy......Page 250
Early Pregnancies and Aggressions......Page 251
Pregnancy and Congenital Malformations......Page 252
Pregnancy and Addictive Behavior......Page 253
Modifications of the French Abortion Law......Page 255
Course of the Pregnancy and Delivery......Page 256
Teenage Parenting......Page 259
References......Page 261
Adolescent Health Care......Page 263
Sexual Health for Adolescents Today......Page 264
Organization of Health Care......Page 267
Conclusions......Page 271
References......Page 272
Author Index......Page 273
Subject Index......Page 274
