Common problems in pediatric and adolescent gynecology

Paige Hertweck, Jennie Yoost
In: Expert Review of Obstetrics & Gynecology · 2010 · vol. 5(3) , pp. 311–328 · doi:10.1586/eog.10.9 · W1964033964
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This review covers common vulvovaginal problems in pediatric patients, including vulvovaginitis and trauma, and common adolescent gynecologic complaints of abdominopelvic pain and abnormal menstrual bleeding, such as menorrhagia and endometriosis.

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Abstract

Pediatric and adolescent gynecology focuses on a unique subset of gynecologic disorders among younger females. In the pediatric patient, gynecologic issues often present as vulvar and vaginal problems, while in the adolescent patient, complaints of abdominopelvic pain and abnormal menstrual bleeding commonly result in a gynecologic evaluation. This article focuses on two common vulvovaginal problems in the pediatric patient: vulvovaginitis and accidental genital trauma. Common infectious pathogens and treatments are reviewed along with other dermatologic and chemical causes of vulvovaginitis. The review of genital trauma focuses on various types of injury: straddle, penetrating and lacerations, and includes indications for surgical intervention. Pain and bleeding are the most common reasons for adolescents to frequent the gynecologist office, and this review focuses on these two topics, specifically menorrhagia and endometriosis. Etiologies of menorrhagia are reviewed with specific attention to anovulation and coagulation disorders. Hormonal therapy for these patients is addressed. The review of endometriosis provides insight into both medical and surgical management for optimum treatment of this disease.

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endometriosis

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