The medical, surgical, and psychological problems associated with the female reproductive
system in infancy and
adolescence demand the highest standards of clinical intervention. Clinical Pediatric and
Adolescent Gynecology
provides a comprehensive review of all PAG problems encountered in daily practice, in the
ambulatory as well as the
surgical setting.
A unique feature is the inclusion of a CD-ROM containing video clips provided from the
NASPAG collection and a series
of text materials that users can download and adapt for local use. Materials exclusive to
the CD-ROM include
Table of Contents
Table of Contents
Foreword Paul G McDonough ix
Preface Joseph S Sanfilippo x
List of contributors xi
Section I Growth and Development 1
1 Embryology and prepubertal anatomy Kunwar P Bhatnagar 3
2 Adolescent pubertal development Shawn Smith Kimberly McClanahan Hatim Omar 20
3 Precocious puberty Paul Kaplowitz 32
4 Delayed puberty Loreta M Matheo Pamela J Murray 40
5 Disorders of sexual differentiation Joe Leigh Simpson 62
6 Adolescent nutrition Kimberly McClanahan Marlene Huff Hatim Omar 97
Section II Medical Problems 111
7 The physical exam in the pediatric and adolescent patient Eduardo Lara-Torre 113
8 Human papillomavirus and abnormal cervical cytology in adolescents Lea E Widdice Anna-
Barbara Moscicki 124
9 Vaginal discharge and genital bleeding in childhood Mary Anne Jamieson 140
10 Basic dermatology in children and adolescents Angela S Casey Gulnar Pothiawala Robin P
Gehris 154
11 Menstrual disorders in adolescents Claire Templeman 177
12 Polycystic ovary syndrome (PCOS) and hirsutism in adolescents J Ricardo Loret de Mola
186
13 Breast disorders in children and adolescents Nirupama K De Silva Mary L Brandt 195
14 Adolescent sexuality Jennifer E Dietrich S Paige Hertweck 212
15 Adolescent contraception Sari Kives Rachel F Spitzer 229
16 Adolescent pregnancy Tia Melton 254
17 Adolescents and sexually transmitted infections Jill S Huppert Frank M Biro 263
18 Child sexual abuse Astrid Heppenstall Heger 277
19 Psychiatric disorders and reproductive health Rollyn M Ornstein 287
20 Sports-related problems in reproductive care Joseph S Sanfilippo Eduardo Lara-Torre
Claire Templeman 301
21 Reproductive health care for developmentally disabled adolescentsElizabeth H Quint
Susan D Ernst 309
22 Contraceptive dilemmas for adolescents with chronic medical conditions Janice L Bacon
321
23 Obesity in adolescence Nichole Zidenberg 329
24 Legal and confidentiality issues in pediatric and adolescent gynecology Steven R Smith
335
Section III The Surgical Patient 345
25 Perioperative care of the pediatric and adolescent gynecology patient Mary E Fallat 347
26 Genital injuries and other gynecological emergencies in children and adolescents Diane
F Merritt 354
27 Chronic pelvic pain and endometriosis Joseph S Sanfilippo M Jonathon Solnik 365
28 Treatment of anomalies of the reproductive tract D Keith Edmonds 381
29 Pediatric urogynecologic abnormalities Justine M Schober Christopher RJ Woodhouse 397
30 Adnexal masses in the neonate, child, and adolescent Lisa M Allen Nathalie A Fleming
Julie L Strickland 417
Index 431