Journal of Pediatric and Adolescent Gynecology

Adolescent Obstetrics: Who Cares for Pregnant Adolescents, and does PAG Include Obstetrics?
Hillard PJA
Natural History of Menstrual Pain and Associated Risk Factors in Early Adolescence
Modarelli RE, Molsberry SA, Malave-Ortiz S, Calvert M, Lucien J, Denslow S, Zaccaro D, Kamoun C and Shaw ND
To determine the natural history of menstrual pain without pelvic pathology, the role of progesterone in its pathophysiology, and associated risk factors in a longitudinal study of early postmenarchal girls in North Carolina.
Co-occurrence of Unicornuate Uterus with Non-Communicating Functioning Rudimentary Horn and VACTERL Association - A Case Report
Ana J, Jenaro K, Elene A, Mariam K and Ia C
The co-occurrence of a unicornuate uterus with a non-communicating, functioning rudimentary horn (UUNCFRH) and VACTERL association represents an extremely rare condition, with only three similar cases reported in the literature.
Ovarian Tissue Cryopreservation in Pediatric Centers Across the United States: Practice Patterns and Barriers
Kebodeaux CA, Pruett M, Gomez-Lobo V, Nahata L, Saraf AJ and Hoefgen HR
Evaluate practice patterns in ovarian tissue cryopreservation (OTC) provision.
Menstrual Suppression in Gender Diverse Youth: What's Most Important to Patients?
Stewart HL, Manos BE, Chelvakumar G and Bonny AE
To explore reasons for menstrual suppression method choice among transgender and gender diverse (TGD) youth at time of method initiation.
Contraceptive Choice and Sexual Behaviors in Both-Sex Attracted Adolescents: A Retrospective Cohort Study
Matera LE, Bonny AE, Berlan ED, Watson IS and Chelvakumar G
Bisexual adolescents have higher rates of unintended pregnancy than their heterosexual peers and increased rates of high-risk sexual behaviors. They may be less likely to use effective contraception, though limited data is available. This study sought to compare contraceptive choice and sexual risk behaviors of both-sex attracted and opposite-sex attracted adolescents and young adults (AYA) presenting to a contraception clinic.
Gonadal Tumors in Individuals with Turner Syndrome and Y-Chromosome Mosaicism: A Retrospective Multisite Study
Dowlut-McElroy T, Long JR, Mayhew AC, Lawson A, Fei YF, Smith AK, Shankar RK and Gomez-Lobo V
To evaluate the prevalence of germ cell tumors and the clinical monitoring practices for those who deferred prophylactic gonadectomy in a large North American cohort of individuals with Turner syndrome with Y-chromosome mosaicism (TS+Y).
Effect of Lifestyle Modifications on Polycystic Ovary Syndrome in Predominantly Young Adults: A Systematic Review
Long JR, Parker M, Jumani S, Ahmed A, Huynh V and Gomez-Lobo V
To improve counseling and outcomes for the adolescent population (ages 10-24-years-old), with polycystic ovary syndrome we conducted a systematic review of randomized controlled trials with the primary objective to generate evidence-based recommendations for which lifestyle interventions with or without medications lead to the best outcomes.
Clinician Perspectives on Adolescent Contraceptive Counseling Following Dobbs v. Jackson: Implications for Young People's Contraceptive Autonomy
Bullington BW, Mann ES, Thornton M, Hartheimer J, Arora KS and Allison BA
The objective of this study is to understand whether clinicians who provide contraceptive counseling to adolescent patients perceive that the Dobbs decision has influenced their counseling.
PAG and Menstrual Equity
Hillard PJA
Application of hysteroscopy in the treatment of Mullerian adenosarcoma of the cervix in an adolescent girl with 7 years of follow-up
Du C, Xiang Y, Zhou H, Zeng Y, Liu R and Li Z
Mullerian adenosarcoma of the cervix is a rare biphasic tumor composed of a benign epithelial component and a malignant stromal component. Here, we report a rare case of Mullerian adenosarcoma of the cervix in an adolescent girl treated with hysteroscopic resection.
Bladder Health Knowledge, Attitudes, and Beliefs among US Adolescent Women
Camenga DR, Brady SS, Bilger A, Klusaritz H, Lipman TH, Levin EC, Brown O, Cunningham SD, LaCoursiere DY, James AS, Gahagan S, Hebert-Beirne J, Low LK and
Lower urinary tract symptoms (LUTS) can have a pronounced impact on adolescent women's overall health and quality of life, both during adolescence and across the life course. Little research has examined adolescent women's knowledge, attitudes, and beliefs (KAB) about bladder health and preventing LUTS.
Long-Term Outcomes of Ovary Preserving Procedure for Neonatal Ovarian Cysts
Chen X, Cai D, Chen Y, Yang B, Zhang Y, Chen Q and Gao Z
We aim to evaluate the long-term outcomes of ovarian preserving surgery for neonatal ovarian cysts.
Oophorectomy Rates in Pediatric and Adolescent Patients with Adnexal Torsion in US Emergency Departments
Das KJH, Huynh V, Wang S, Trujillo Rivera EA and Gomez Lobo V
To evaluate oophorectomy rates in pediatric and adolescent patients who presented to a US emergency department with adnexal torsion METHODS: This study was a retrospective, cross-sectional analysis utilizing the National Emergency Department Sample data from 2016 to 2018. It included patients younger than 20 years old and of the female sex. International Classification of Diseases Version 10 and ICD 10 Procedure Coding System codes were utilized to define patients with adnexal torsion who underwent adnexal surgery. Descriptive statistics and multivariate logistic regression were utilized to compare oophorectomy rates according to patient demographic characteristics.
Continuation of the Levonorgestrel-Releasing Intrauterine Device Among Adolescents With Endometriosis
Shim JY, Milliren CE and DiVasta AD
To estimate the 1-year continuation rate of the levonorgestrel-releasing intrauterine device (LNG-IUD) in adolescents with endometriosis, and the frequency at which additional systemic hormonal treatment (HT) is utilized.
Acute adnexa with preserved flow to the ovary: Could isolated tubal torsion be the cause?
McElhinney KL, Carter M, Zeineddin S, Pitt JB, Ahle SL, Raval MV, Goldstein SD, Lautz TB, Grabowski JE and Rowell EE
Isolated tubal torsion (ITT) is a surgical emergency that is less well characterized than ovarian torsion and presents with its own diagnostic challenges. We retrospectively examined patients with ITT and compared them to patients with ovarian torsion to better understand the unique features of this pathophysiologic process.
Development and Evaluation of "Period Kits" for Adolescents with Intellectual and Developmental Disabilities: An Embedded Mixed Methods Study
Boxerman S, Flores B, Yang X, Masters EM, Crehan ET and French AV
Patients with intellectual and developmental disabilities (IDD) experience greater unmet medical service needs and decreased care satisfaction compared to those without these diagnoses. There are no evidence-based resources widely available to prepare children with IDD for menarche.
Sexual and Reproductive Health Goals and the 2030 Global Agenda for Sustainable Development: Progress, Prospects, and Challenges
Hassan A and Golub S
Today, it is globally recognized that sexual and reproductive health is a human rights issue critical to economic growth and stability, ending poverty, and fostering sustainable development. Calls for improving sexual and reproductive health, including a spotlight on adolescents and young women, are highlighted in the Sustainable Development Goals (SDG) adopted by the United Nations in 2015. In this commentary, we aim to (1) briefly review the history and objectives of global development goals, (2) review the adolescent health-related Sustainable Development Goal targets and indicators with a focus on sexual and reproductive health, (3) discuss global progress and challenges in achieving target measures, and (4) examine action steps that clinicians can take to accelerate progress.
Mother-Daughter Dyads' Perceptions of Contraception
Katzman CL, Sims JC, Harris JN, Rosenthal SL and Francis JK
In an increasing number of states, parents must provide permission for their daughters under 18-years-old to start contraception. We sought to understand perceptions among mother-daughter dyads about sources of information, and to describe dyadic interactions when discussing contraception.
Adult Obstetricians and Gynecologists Lack Knowledge of Anorectal Malformations-A Call for Action
Srinivas S, Wilson J, Bergus KC, Kebodeaux C, McCracken K, Wood RJ and Hewitt G
Patients with anorectal malformations (ARMs) may have concurrent gynecologic abnormalities. As patients grow, they typically transition from pediatric subspeciality care and seek adult obstetrics and gynecology (OB/GYN)-related services. We aimed to assess adult OB/GYN physicians' knowledge, competency, and comfort regarding meeting the sexual and reproductive health care needs of patients with ARMs.
Menstrual Health Education: School Health Curriculum Topics by Grade Level Recommended by Specialized Medical Professionals in Menstrual Health Clinics
Jones SC and Baldwin MK
Evidence-based menstrual health education is not mandated in any US state or territory. Aspects of normal and abnormal menstruation impact quality of life and educational engagement, but many youths are not prepared to know when to seek medical help. We sought to determine which topics should be included in a third- through eighth-grade school-based menstrual health curriculum.