NASPAG Essentials of Pediatric and Adolescent Gynecology
- 1st Edition - June 7, 2024
- Authors: Nirupama De Silva, Nichole A. Tyson
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 0 5 1 2 - 8
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 0 5 4 3 - 2
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 0 5 4 4 - 9
The North American Society for Pediatric and Adolescent Gynecology (NASPAG), a leader in the field of Pediatric and Adolescent Gynecology (PAG) education, outlines specific… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quoteThe North American Society for Pediatric and Adolescent Gynecology (NASPAG), a leader in the field of Pediatric and Adolescent Gynecology (PAG) education, outlines specific learning objectives in its “Short and Long Curriculum” that are central to PAG education in all specialties. Written and edited by experienced leaders in the field, NASPAG's Principles & Practice of Pediatric and Adolescent Gynecology is based on this curricula and provides core knowledge essential for clinicians treating pediatric and adolescent patients with gynecologic disorders or concerns. An ideal resource for residents and non-OB/GYN clinicians, as well as those specializing in PAG, this modern resource provides authoritative, up-to-date information you can trust from the experts who know it best.
- Covers key topics such as polycystic ovary syndrome and hyperandrogenism, chronic pelvic pain and endometriosis, sexual health and education, menstrual dysfunction, sexual and gender norms, and ethical considerations in PAG.
- Contains clinical pearls throughout, as well as numerous tables and algorithms to help with diagnosis and treatment of common gynecologic conditions in children and adolescents.
- Features ultrasound images and anatomical figures to help explain and clarify related content.
- Mirrors the NASPAG Short Curriculum, making it an excellent resource for PAG specialists or pediatric and family medicine clinicians who need guidance in treating patients with gynecologic concerns.
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Gynecologists specializing in pediatric and adolescent gyn (PAG)
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Preface
- List of Tables
- List of Illustrations
- 1. Pediatric and adolescent well-child examination/preventive care
- Introduction
- Guidelines for preventive care
- Relating to the adolescent patient
- Confidentiality
- The patient interview
- Obtaining a psychosocial history
- Obtaining a menstrual history
- Obtaining a sexual history
- Immunizations
- Physical examination
- Conclusion
- Review questions
- References
- 2. The confidential interview
- Introduction
- Part 1: Setting the stage
- Part 2: How to ask the questions
- Part 3: When and how to break confidentiality
- Conclusion
- Review questions
- References
- 3. Care of the transgender and gender diverse adolescent
- Introduction
- Barriers to care
- Puberty suppression
- Follow-up and monitoring
- Special considerations
- Gender-affirming hormones
- Gender-affirming surgeries
- Health concerns
- Reviewew questions
- References
- 4. Pediatric gynecologic examination
- Introduction
- Approach to the examination
- Examination in the operating room
- Summary
- Review questions
- References
- 5. Normal puberty
- Introduction
- HPG axis
- AFAB pubertal changes
- HPA axis
- HPS axis
- Timing of pubertal onset
- Pubertal examinations
- Pubertal health concerns
- Conclusion
- Puberty information for patients and families
- Review questions
- References
- 6. Abnormal puberty
- Introduction
- Timing versus tempo of puberty
- Central versus peripheral causes of abnormal puberty
- Precocious puberty
- Delayed puberty
- Review questions
- References
- 7. Prepubertal vaginal bleeding
- Introduction
- Straddle injury/genital trauma
- Infectious causes of prepubertal vaginal bleeding
- Urethral prolapse
- Vaginal foreign body
- Sarcoma botryoides (or botryoid rhabdomyosarcoma)
- Hemangioma
- Precocious puberty
- Review questions
- References
- 8. The normal menstrual cycle
- Introduction
- Physiology
- What’s “normal” for adolescents?
- Period tracking
- Period products
- Taking a complete, holistic menstrual history
- Wrap-up
- Review questions
- References
- 9. Common menstrual concerns in the adolescent
- Introduction
- Abnormal uterine bleeding
- Treatment
- Heavy menstrual bleeding
- Special considerations
- Review questions
- References
- 10. Dysmenorrhea and endometriosis in the adolescent female
- Introduction
- Definitions
- Prevalence and epidemiology
- Etiology and pathophysiology
- Clinical presentation and evaluation for endometriosis
- Classic signs
- Management/treatment options
- Special considerations for populations with pelvic pain and/or endometriosis
- Acknowledgments
- Review questions
- References
- 11. Amenorrhea
- Introduction
- Primary amennorhea
- Anatomic causes of primary amenorrhea
- Secondary amenorrhea
- Review questions
- References
- 12. Menstrual and reproductive concerns in adolescents with disabilities
- Disease/definition
- Prevalence and epidemiology
- Barriers to care and communication challenges
- Clinical presentation/evaluation
- Sexual health education
- Physical examination
- Menstrual management/treatment options
- Review questions
- References
- 13. Relative energy deficiency in sports
- Introduction
- Management/treatment
- Prevalence and epidemiology
- Etiology and pathophysiology
- Screening
- Manifestations and clinical presentation
- Evaluation
- Differential diagnosis
- Management/treatment options
- Special considerations for this population
- Research gaps
- Supplemental materials for chapter
- Review questions
- References
- 14. Breast concerns
- Introduction
- Breast abscess
- Breast variations
- Breast mass
- Mastalgia
- Nipple discharge
- Review questions
- References
- 15. Pediatric vulvovaginal conditions
- Introduction
- Prepubertal vulvovaginitis
- Postpubertal vulvovaginitis
- Vulvar lichen sclerosus
- Vulvar aphthous ulcers
- Labial adhesions
- Research gaps
- Review questions
- References
- 16. Adolescent labial concerns: Labial hypertrophy, asymmetry, and genital dissatisfaction
- Introduction
- Disease definition
- Evaluation
- Physical examination
- Special considerations for this population
- Research gaps
- Review questions
- Linked resources
- References
- 17. Traumatic genital injury
- Prevalence
- Etiology and pathophysiology
- Clinical presentation/evaluation
- Physical examination
- Imaging techniques
- Differential diagnosis
- Management and treatment
- Special considerations
- Review questions
- References
- 18. Primary ovarian insufficiency and Turner syndrome
- Introduction
- Prevalence and epidemiology
- Etiology and pathophysiology
- Manifestations of disease
- Clinical presentation and evaluation
- Testing relevant to the condition
- Management/treatment options
- Special considerations for this population
- Research gaps
- Supplemental material for chapter
- Review questions
- References
- 19. PCOS and common androgen abnormalities in adolescents
- Introduction
- Clinical features of androgen excess
- PCOS
- Congenital adrenal hyperplasia
- Syndromes of insulin resistance
- Review questions
- References
- 20. Sexually transmitted infections, HIV pre-exposure prophylaxis, and expedited partner therapy
- Introduction
- Consent and confidentiality
- Screening guidelines
- Sexually transmitted infections
- Treatment of STIs
- Preexposure prophylaxis for HIV
- Partner treatment
- Review questions
- References
- 21. Contraception
- Introduction and background
- Special considerations in teens: Contraceptive counseling
- Review questions
- References
- 22. Contraception for adolescents with medical complexities
- Introduction
- Unique considerations for adolescents
- Long-acting reversible contraceptives in adolescents
- Medical complexities
- Rheumatologic conditions
- Neurologic conditions
- Hematologic conditions
- Contraception in overweight teens
- Eating disorders and hormonal contraception
- Solid organ transplant
- Gastrointestinal disorders
- Hypertension
- Bone health
- Review questions
- References
- 23. Ovarian fertility preservation for children and adolescents
- Introduction
- Treatments that affect fertility
- Clinical care pathway for fertility preservation
- Shared decision making
- Monitoring after gonadotoxic treatment
- Barriers to fertility preservation care
- Research and knowledge gaps
- Review questions
- References
- 24. Differences of sex development: Overview and clinical guide
- Introduction
- Background and embryology
- Epidemiology
- Terminology
- Sex vs. gender
- Evaluation
- Sex chromosome DSD
- 46,XY DSD
- 46,XX DSD
- Acknowledgments
- Review questions
- References
- 25. Complex genitourinary anomalies
- Introduction
- Anorectal malformations and cloacal malformations
- Urogenital sinus
- Review questions
- References
- 26. Nonobstructive reproductive tract anomalies
- Introduction, prevalence, and epidemiology
- Pathophysiology of disease and embryology
- General clinical presentation/evaluation
- Relevant testing for nonobstructive reproductive tract anomalies
- Definitions and clinical presentation
- Special considerations for women and girls with nonobstructive reproductive tract anomalies
- Supplemental material for chapter
- Review questions
- References
- 27. Obstructive reproductive tract anomalies
- Introduction, prevalence, and epidemiology
- Pathophysiology of disease and embryology
- Relevant testing for obstructive reproductive tract anomalies
- Definition and clinical presentation
- Special considerations for women and girls with obstructive reproductive tract anomalies
- Obstructive reproductive tract anomaly research gaps
- Supplemental material for chapter
- Review questions
- References
- 28. Neonatal ovarian cysts
- Introduction
- Disease definition
- Prevalence and epidemiology
- Etiology and pathophysiology
- Testing
- Manifestations of disease
- Clinical presentation and evaluation
- Imaging technique and findings
- Physical examination
- Differential diagnosis
- Management and treatment options
- Special considerations for this population
- Research gaps
- Review questions
- References
- 29. Adnexal masses in infants, children, and adolescents
- Introduction
- The fetus and neonate
- Adnexal lesions in children and adolescents
- Clinical presentation
- Investigation of a suspicious adnexal mass
- Management
- Future directions
- Review questions
- References
- 30. Laparoscopic considerations in the pediatric and teen patient
- Preoperative considerations
- Intraoperative considerations
- Postoperative considerations
- Conclusions
- Review questions
- References
- Answers
- Menstrual suppression
- Index
- No. of pages: 352
- Language: English
- Edition: 1
- Published: June 7, 2024
- Imprint: Elsevier
- Paperback ISBN: 9780443105128
- eBook ISBN: 9780443105432
- eBook ISBN: 9780443105449
ND
Nirupama De Silva
Affiliations and expertise
Pediatric Gynecologist, Professor at UT Southwestern Medical CenterRead NASPAG Essentials of Pediatric and Adolescent Gynecology on ScienceDirect