Journal of Pediatric and Adolescent Gynecology

BACKGROUND: There are many hypotheses regarding the pathogenesis of endometriosis. Most theories, including retrograde menstruation, require the existence of a uterine structure and endometrial tissue. We report endometriosis with the absen…

STUDY OBJECTIVE: The prevalence of interstitial cystitis (IC) in young women, especially in those 18 years old or younger, is not well defined. This case series was performed to investigate IC as a cause of chronic pelvic pain (CPP) in youn…

SYNOPSIS: After surgical correction of unilateral distal vaginal agenesis, the obstructed didelphic uterus was able to harbor 2 subsequent pregnancies. BACKGROUND: There was a congenital anomaly syndrome of uterus didelphys, unilateral dis…

STUDY OBJECTIVE: To evaluate the effect of combined surgical-medical treatment on endometriosis progression in adolescents as measured by disease stage. DESIGN: Retrospective chart review. SETTING: Two academic medical centers. PARTICIPA…

STUDY OBJECTIVE: To assess feasibility, and collect preliminary data for a subsequent randomized, sham-controlled trial to evaluate Japanese-style acupuncture for reducing chronic pelvic pain and improving health-related quality of life (HR…

STUDY OBJECTIVE: To evaluate the bone density of adolescents with endometriosis treated with a GnRH-agonist and "add-back" therapy with norethindrone acetate. DESIGN: Retrospective chart review. SETTING: Pediatric gynecology clinic at a t…

Dysmenorrhea is the most common gynecologic complaint among adolescent and young adult females. Dysmenorrhea in adolescents and young adults is usually primary (functional), and is associated with normal ovulatory cycles and with no pelvic …

The presentation of chronic pelvic pain in the adolescent can at times be quite daunting. A careful and insightful approach to obtaining the history and physical examination must be implemented while maintaining an appreciation of the vario…

BACKGROUND: Advances in radiation therapy have led to long term survival in young patients with Hodgkin's disease. Oophoropexy may reduce ovarian damage and preserve hormonal production and future fertility. When ovarian ligaments are short…

OBJECTIVES: To review the etiologies, diagnosis, and treatment options of adolescent endometriosis. METHODS: Review of publications relating to adolescent endometriosis. RESULTS: Endometriosis occurs in adolescents as young as 8 years of …

John Huffman, a founder of the subspecialty of pediatric and adolescent gynecology in North America, first related the diagnosis of endometriosis to thelarche. Subsequently, endometriosis was diagnosed in early puberty between thelarche and…

OBJECTIVES: To review the options for the treatment of chronic pelvic pain in adolescents with endometriosis. METHODS: Review of publications and description of author's experience relating to adolescent endometriosis and pain treatment. …

OBJECTIVES: To evaluate if myometrial hyperplasia is a congenital variation in myometrial differentiation, or an acquired structural disorder of the myometrium, this study evaluated whether myometrial hyperplasia was present in uteri of chi…

OBJECTIVE: To evaluate presenting and long-term clinical consequences in females with obstructing vaginal anomalies. DESIGN: A retrospective study. SETTING: A university hospital in southern Finland. PARTICIPANTS: Twenty-six females with…