Pediatric and Adolescent Gynecology ( Endocrine Development )

Publication series : Endocrine Development

Author: Sultan C.  

Publisher: S. Karger AG‎

Publication year: 2012

E-ISBN: 9783805593373

P-ISBN(Paperback): 9783805593366

Subject: R711 Gynecology

Keyword: 基础医学,儿科学,妇产科学,预防医学、卫生学,内分泌腺疾病及代谢病

Language: ENG

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Description

The extended contents of this second edition reflect the growing spectrum of topics in pediatric and adolescent gynecology. Like its predecessor, this book addresses the most common gynecological problems encountered in childhood medicine, including endocrinological and surgical aspects. New chapters place particular emphasis on an update of technological aspects such as ultrasound, molecular genetics, surgery in sex disorders and new problems encountered in reproductive medicine.The book opens with a comprehensive description of the background of infant and adolescent gynecology and diagnostic tools. Several chapters are devoted to the various pathologies encountered in prepubertal and adolescent girls. Contemporary social issues such as sexual abuse, sexually transmitted diseases, contraception for teenagers and teenage pregnancy are also discussed in detail.Presenting a clear plan for clinical management and treatment of frequently encountered problems in prepubertal and adolescent girls, this book should be read by pediatricians, endocrinologists, gynecologists and family practitioners.

Chapter

Clinical Aspects

Mechanistic Aspects

Psychosocial Aspects of Physiological Variations in Pubertal Timing

Conclusion

References

Endocrine Evaluation of Reproductive Function in Girls during Infancy, Childhood and Adolescence

Abstract

Hypothalamic-Pituitary-Ovarian Axis

Hypothalamic-Pituitary-Adrenal Axis

Reproductive Disorders in Girls and Adolescents which Require Biochemical Evaluation

Evaluation of Basal Serum Hormone Levels

GnRH Testing

ACTH Testing

Conclusions

References

Diagnostic Methods in Pediatric and Adolescent Gynecology

Abstract

Ultrasonography

Normal Ultrasonographic Anatomy of Genital Organs in Children and Adolescents

Ultrasonographic Imaging of Pathologic Conditions

Computed Tomography and Magnetic Resonance Imaging

Vaginoscopy

Laparoscopy

References

The Prepubertal Girl

Disorders of Sex Development: Neonatal Diagnosis and Management

Abstract

Diagnosis of the Disorders of Sex Differentiation

Causes of DSD in Newborns

Elements for Gender Declaration

Conclusions

References

Vulvovaginitis and Other Common Vulvar Disorders in Children

Abstract

Approach to the Vaginal Exam

Obtaining a History

‘The Rules’ of the Gynecologic Exam

The Prepubertal Genital Examination

Causes of Vulvovaginitis in the Child

Specific Genital Findings in Prepubertal Children

Conclusions

References

Clinical Expression of Precocious Puberty in Girls

Abstract

Evaluation of the Pubertal Stage

Puberty Onset

Clinical Expression of Precocious Puberty

Conclusions

References

Ovarian Cysts in Prepubertal Girls

Abstract

Clinical Presentations

Diagnostic Tools

The Various Etiologies

Management

Conclusion

References

Sexual Abuse in Prepubertal Children and Adolescents

Abstract

General Considerations on Child Sexual Abuse

General Considerations on Medical Aspects of Child Sexual Abuse

Potentials and Limitations of the Medical Approach

History

Physical Examination

Forensic Evidence Collection and Interpretation

Anogenital Findings

Findings in Abused Children

Female Genitalia

Male Genitalia

Anal Findings

Extragenital Signs of Sexual Abuse

Classification of Findings

Sexually Transmitted Diseases

Differential Diagnosis

Overall Assessment

Terminology

References

The Adolescent Girl

Delayed Puberty

Abstract

Introduction

Hypergonadotropic Hypogonadism

Hypogonadotropic Hypogonadism

Primary Amenorrhea with Developed Secondary Sex Characteristics

Therapeutical Aspects

References

Menstrual Disorders

Abstract

The Menstrual Cycle in Adolescence

Amenorrhea

Dysfunctional Uterine Bleeding – Abnormal Uterine Bleeding

Dysmenorrhea

Primary Dysmenorrhea

Secondary Dysmenorrhea

References

Adolescent Dysmenorrhea

Abstract

Clinical Signs

Prevalence

Pathophysiology

Treatment

Conclusions

References

Hyperandrogenism in Adolescent Girls

Abstract

Physiological Hyperandrogenism of Puberty

Diagnosis of Hyperandrogenism in Female Adolescents

Causes of Hyperandrogenism in Female Adolescents

Treatment of Hyperandrogenism in Female Adolescents

Conclusions

References

Ovarian Masses in Adolescent Girls

Abstract

Ovarian Embryology

Conclusions

References

Breast Diseases in Adolescents

Abstract

Embryology

Physiology of the Breast

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

Conclusion

References

Cervical Cancer Prevention – Current Perspectives

Abstract

Human Papillomavirus Vaccine Efficacy and Safety Profile

Cervical Cancer Screening after HPV Vaccine Introduction

Screening of Vaccinated Women

References

Chronic Pelvic Pain in the Adolescent

Abstract

Special Challenges in the Adolescent Population: Stages of Adolescence and Confidentiality

Other Aspects of the History and Physical Examination

Laboratory Studies

The Role of Laparoscopy

Causes of Chronic Pelvic Pain in the Adolescent

Specific Etiologies, Diagnosis and Treatment

Causes of Acute and Chronic Pelvic Pain

Conclusions

References

Congenital Developmental Defects of Derivates of Müllerian Ducts

Abstract

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

Discussion

Suggested Reading

Eating Disorders throughout Female Adolescence

Abstract

Definition and Diagnostic Criteria: Eating Disorders versus Disordered Eating

Epidemiology

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

Conclusions

References

Adolescent Contraception

Abstract

Sexual Behavior

Sexuality Education

Sexual Health Services

Use of Contraception among Adolescents

What Is Needed before Prescribing?

Various Contraceptive Methods

Counseling and Follow-Up

Conclusions

References

Teenage Pregnancy

Abstract

Adolescent Sexuality and Fecundity

Focusing on Pregnant Adolescent Risk

Social Factors Associated with Adolescent Pregnancy

Suggested Reading

Bibliography of Social Factors Related to Adolescent Pregnancies

Sexuality Education: Finnish and Chilean Experiences

Abstract

Impact of Sexuality Education Programs on Adolescent Sexual and Reproductive Health

Country Example: Finland

References: Finland

Chilean Approach: Sexuality Education and the Prevention of First and Repeated of Adolescent Pregnancy

Selected Reading

High-Risk Sexual Behaviors

Abstract

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

Conclusions

References

Culturally Sensitive Gynecologic Care in Adolescence

Abstract

References

Author Index

Subject Index

Cover

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