Adolescent Gynaecological Problems

Common Medical Issues in Adolescent Gynaecology

• Dysfunctional Uterine Bleeding
• Dysmenorrhoea
• Polycystic Ovarian Syndrome
  • Symptoms
  • Criteria for diagnosis
  • Diagnosis of polycystic ovaries in adolescence
  • Management of PCOS
• Oligomenorrhoea and Secondary Amenorrhoea
• Vulval and Vaginal Issues
  • Vulvovaginitis
  • Vulvodynia
  • Swelling of the vulva and labia
  • Labial inequality

Oligomenorrhoea and Secondary Amenorrhoea

Vulval and Vaginal Issues

• Vulvovaginitis
• Vulvodynia
• Swelling of the vulva and labia
• Labial inequality

Common Surgical Issues in Adolescent Gynaecology

• Endometriosis and Pelvic Pain, including Chronic Pelvic Pain
  • Endometriosis
• Ovarian Cysts including Ovarian Torsion
• Congenital Anomalies of the Reproductive Tract
  • Imperforate hymen (or low vaginal atresia)
  • Müllerian agenesis
  • Solid Tumours of the Reproductive Tract in Adolescents
  • Laparoscopy in the Adolescent

Menstrual Management in the Developmentally Delayed Patient

• Oral Therapy
• The Levonorgestrel IUS
• Endometrial Ablation or Hysterectomy

Fertility Preservation in Patients with Significant Childhood Illness

Transition to Adult Care