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Pediatric, Adolescent and Young Adult Gynecology

ISBN: 978-1-4051-5347-8
516 pages
April 2009, Wiley-Blackwell
Pediatric, Adolescent and Young Adult Gynecology (1405153474) cover image


The young ob/gyn patient presents unique problems different from the mature woman but which training often neglects. This user-friendly, practical book provides generous coverage of all aspects of pre-womanhood gynecology. Ranging from the commonest problems to the less common but urgent, it emphasizes diagnosis, special care and management throughout.
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Table of Contents

Contributors vii

Preface xi

Foreword xiii

Dedication xiv

1 Introduction 1
Albert Altchek

2 Evaluation of the Newborn 12
Albert Altchek

3 Early Diagnosis and Management of Atypical-Appearing Genitalia 14
Genna W. Klein & Robert Rapaport

4 Diagnosis and Management of Congenital Adrenal Hyperplasia 25
Karen Lin-Su, Saroj Nimkarn, & Maria I. New

5 Androgen Insensitivity and Gonadal Dysgenesis 36
Claude Migeon & Kara Pappas

6 The Gynecologic Approach to the Child Adolescent and Young Adult 53
Albert Altchek

7 Vulvovaginitis in the Child 60
Albert Altchek

8 Vaginal Bleeding in the Child 81
Albert Altchek

9 Ovarian Cysts in the Fetus Infant and Child 87
Robert A. Cusick & Marc S. Arkovitz

10 Genital Trauma 97
Diane F. Merritt

11 Sexual Abuse 111
Nancy D. Kellogg

12 Adolescent Sexuality 124
Don Sloan

13 Psychologic Aspects of Gynecologic Problems 131
Albert Altchek

14 Approach to and Evaluation of the Adolescent Female 134
Anne Nucci-Sack, Mary Rojas, Ivanya L Alpert, Elizabeth Lorde-Rollins, Mara Minguez, & Angela Diaz

15 Puberty in Girls 141
Frank M. Biro

16 Delayed Puberty 145
Janice L. Bacon

17 Primary and Secondary Amenorrhea 150
Rachel J. Miller & Paula J. Adams Hillard

18 Precocious Puberty 159
Peter A. Lee & Christopher P. Houk

19 Dysmenorrhea 171
Albert Altchek

20 Pelvic Pain Endometriosis and the Role of the Gynecologist 174
Farr R. Nezhat, Alireza A. Shamshirsaz, Gazi Yildirim, Ceana Nezhat, & Camran Nezhat

21 Management of Chronic Pelvic Pain in the Adolescent 194
Kenneth A. Levey

22 Adolescent Anovulatory Dysfunctional Uterine Bleeding and Menorrhagia 204
Albert Altchek

23 Bleeding Disorders in the Adolescent Female 210
Aaron R. Rausen

24 Congenital Gynecologic Anomalies I – Rokitansky Syndrome (MRKH Syndrome) 215
Albert Altchek

25 Congenital Anomalies II – “No Eponym Syndrome” and Diagnostic Problems 231
Albert Altchek

26 Laparoscopy in the Pediatric and Adolescent Female 246
Robert K. Zurawin

27 Disorders of the Young Breast 256
Yasmin Jayasinghe & Patricia Simmons

28 Contraceptive Choices in Pediatric Adolescent and Young Adult Gynecology 265
Albert George Thomas Jr

29 Contraception in Adolescence 299
George Creatsas & Efthimios Deligeoroglou

30 Labor in the Adolescent 308
Emanuel A. Friedman

31 The Polycystic Ovary Syndrome – Challenges and Opportunities in Adolescent Medicine 316
Nathan Kase

32 Acute Abdominal and Pelvic Pain 340
Jeremy T. Aidlen & Stephen E. Dolgin

33 Acute Gynecologic Pain 347
Charles J. Ascher-Walsh & Michael Brodman

34 Vulva Disorders in Children 358
Raymond H. Kaufman

35 Dermatology – The Dermatologist’s View of Diagnosis and Treatment of Vulvar Conditions 369
Jennifer Aranda & K. Robin Carder

36 Management of Ovarian Cysts in the Adolescent and Young Adult 380
Leslie R. Boyd, Khush Mittal, & John P. Curtin

37 Pediatric Gynecologic Cancer 390
William Bradley III & Jamal Rahaman

38 Cervix Cytology Dysplasia and Human Papillomavirus 397
Ali Mahdavi & Bradley J. Monk

39 Herpes Simplex Viruses Types 1 and 2 408
David A. Baker

40 Sexually Transmitted Infections 415
Rhoda Sperling

41 Imaging 427
Sabah Servaes & Monica Epelman

42 Preservation of Fertility 445
Michelle Tham & Alan B. Copperman

43 Where Law and Medicine Meet 449
Rhea G. Friedman

44 Minors’ Rights to Reproductive Healthcare and Privacy 453
Rhea G. Friedman

45 Human Papillomavirus Infection and Cervical Neoplasm Pathology in Adolescents 457
Liane Deligdisch

46 Endometrial Pathology in Young Patients 462
Liane Deligdisch

47 Ovarian Tumor Pathology in Children Adolescents and Young Women 467
Liane Deligdisch

48 Gestational Trophoblastic Diseases Pathology in Adolescents and Young Adults 474
Liane Deligdisch

49 Rhabdomyosarcoma of the Vagina and Cervix 480
Frédérique Penault-Llorca, Hinde El Fatemi, & Florence Mishellany

50 Benign Ovarian Disorders 482
Frédérique Penault-Llorca, Erika Rivera-Serrano, & Wassim Essamet

51 The History of Pediatric and Adolescent Gynecology in the United States 484
Alvin F. Goldfarb

52 A History of the International Federation of Infantile and Juvenile Gynecology (FIGIJ) 487
Irmi Rey-Stocker

Index 493

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Author Information

Albert Altcheck, MD, Clinical Professor of Obstetrics, Gynecology and Reproductive Science; Chief of Pediatric and Adolescent Gynecology; Attending Obstetrician/Gynecologist, Mount Sinai School of Medicine, New York City, USA.
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The Wiley Advantage

A practical and concise clinical guide to patient care

  • Emphasizes the unique gynecological problems with which young patients present

  • Ranges across illnesses, development, approach, management, and effect on later life and fertility
  • Stresses diagnosis and mangement of the most common through to the less common but urgent problems
  • 'Quick-Takes' outline instant diagnostic possibilities
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"Serves an important purpose ... .Conditions are well described with numerous explanatory diagrams and pictures and they include some illnesses that most trainees or even specialists may never have seen." (The Obstetrician & Gynaecologist, 2010)

"A complete resource on the subject. ... It adds the perspective of young adult issues, which has not been addressed previously. I highly recommend this text to those in training and those in practice who see any pediatric, adolescent, or young adult women." (Fertility and Sterility, October 2009)

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