Chapter
Psychosocial Aspects of Physiological Variations in Pubertal Timing
Endocrine Evaluation of Reproductive Function in Girls during Infancy, Childhood and Adolescence
Hypothalamic-Pituitary-Ovarian Axis
Hypothalamic-Pituitary-Adrenal Axis
Reproductive Disorders in Girls and Adolescents which Require Biochemical Evaluation
Evaluation of Basal Serum Hormone Levels
Diagnostic Methods in Pediatric and Adolescent Gynecology
Normal Ultrasonographic Anatomy of Genital Organs in Children and Adolescents
Ultrasonographic Imaging of Pathologic Conditions
Computed Tomography and Magnetic Resonance Imaging
Disorders of Sex Development: Neonatal Diagnosis and Management
Diagnosis of the Disorders of Sex Differentiation
Causes of DSD in Newborns
Elements for Gender Declaration
Vulvovaginitis and Other Common Vulvar Disorders in Children
Approach to the Vaginal Exam
‘The Rules’ of the Gynecologic Exam
The Prepubertal Genital Examination
Causes of Vulvovaginitis in the Child
Specific Genital Findings in Prepubertal Children
Clinical Expression of Precocious Puberty in Girls
Evaluation of the Pubertal Stage
Clinical Expression of Precocious Puberty
Ovarian Cysts in Prepubertal Girls
Sexual Abuse in Prepubertal Children and Adolescents
General Considerations on Child Sexual Abuse
General Considerations on Medical Aspects of Child Sexual Abuse
Potentials and Limitations of the Medical Approach
Forensic Evidence Collection and Interpretation
Findings in Abused Children
Extragenital Signs of Sexual Abuse
Classification of Findings
Sexually Transmitted Diseases
Hypergonadotropic Hypogonadism
Hypogonadotropic Hypogonadism
Primary Amenorrhea with Developed Secondary Sex Characteristics
The Menstrual Cycle in Adolescence
Dysfunctional Uterine Bleeding – Abnormal Uterine Bleeding
Hyperandrogenism in Adolescent Girls
Physiological Hyperandrogenism of Puberty
Diagnosis of Hyperandrogenism in Female Adolescents
Causes of Hyperandrogenism in Female Adolescents
Treatment of Hyperandrogenism in Female Adolescents
Ovarian Masses in Adolescent Girls
Breast Diseases in Adolescents
Classification of Breast Diseases: ANDI Concept
Aberrations or Diseases Linked with Development Process
Aberrations or Diseases Linked with Stromal Tissue Development
Aberrations or Diseases of Ductal Development
Cervical Cancer Prevention – Current Perspectives
Human Papillomavirus Vaccine Efficacy and Safety Profile
Cervical Cancer Screening after HPV Vaccine Introduction
Screening of Vaccinated Women
Chronic Pelvic Pain in the Adolescent
Special Challenges in the Adolescent Population: Stages of Adolescence and Confidentiality
Other Aspects of the History and Physical Examination
Causes of Chronic Pelvic Pain in the Adolescent
Specific Etiologies, Diagnosis and Treatment
Causes of Acute and Chronic Pelvic Pain
Congenital Developmental Defects of Derivates of Müllerian Ducts
Defects in the Development of Paramesonephric (Müllerian) Ducts and Their Derivatives
Defects of Canalisation – Gynatresias
Defects in the Fusing of Paramesonephric (Müllerian) Ducts (‘Vertical Defects’)
Combined Defects in the Development of Müllerian Ducts
Aplasia of the Uterus and Vagina
Eating Disorders throughout Female Adolescence
Definition and Diagnostic Criteria: Eating Disorders versus Disordered Eating
Pathogenesis, Homeostatic Disturbances
Variations in ED Characteristics Depending on Age at Occurrence
Out-Patient vs. In-Patient Management of the Adolescent Patient with ED
The Lean Exercising Adolescent
Use of Contraception among Adolescents
What Is Needed before Prescribing?
Various Contraceptive Methods
Adolescent Sexuality and Fecundity
Focusing on Pregnant Adolescent Risk
Social Factors Associated with Adolescent Pregnancy
Bibliography of Social Factors Related to Adolescent Pregnancies
Sexuality Education: Finnish and Chilean Experiences
Impact of Sexuality Education Programs on Adolescent Sexual and Reproductive Health
Chilean Approach: Sexuality Education and the Prevention of First and Repeated of Adolescent Pregnancy
High-Risk Sexual Behaviors
Nosology and Changes in Terminology
Epidemiology and Indicators
Psychological Aspects of Adolescence
The Bases for Prevention in Interviews Conducted by Health Professionals
Clinical Management by Medical and Psychosocial Professionals of Adolescent Health
Culturally Sensitive Gynecologic Care in Adolescence