Adolescent Sexuality.

Adolescence is a unique time where there are many developmental changes occurring. Teenagers are striving to establish their personal identity as they are also developing a better understanding of their gender and sexual identity while navigating social expectations both in person and online. Therefore, clinicians must continue to support adolescent patients and their families by providing accurate and timely information so that they can have the tools they need to avoid the pitfalls of an uninformed adolescent experience.

Shifts in Gender-Related Medical Requests by Transgender and Gender-Diverse Adolescents.

Purpose: Gender-affirming hormones and/or surgeries seeking to change the body can have potentially lasting effects. Changes in requests for these therapies among gender-diverse youth are not well-understood. The study aim is to characterize factors associated with shifts in gender-related medical requests.

Pediatric and Adolescent Gynecology Education through Simulation (PAGES): Development and Evaluation of a Simulation Curriculum.

Study Objective: Develop a Pediatric and Adolescent Gynecology (PAG) curriculum, appropriate pelvic model for teaching examination skills, and an objective structured clinical examination (OSCE) for evaluation. Compare OSCE performance between residents with clinical training in PAG vs those that completed the curriculum vs those without either experience.

Design: Prospective cohort study.

Do They Stand a Chance? Vaginal Birth after Cesarean Section in Adolescents Compared to Adult Women.

Study Objective: To determine the rate of elective repeat cesarean delivery (CD), vaginal birth after cesarean (VBAC) attempt, and VBAC success in adolescent mothers presenting for delivery of a second child after a prior CD compared to their adult counterparts.

Design: Retrospective cohort study analyzing data from the Consortium on Safe Labor Database which includes data for 228,668 deliveries from 2002 to 2008.

Setting: 19 hospitals within 12 institutions in the United States.

Early initiation of postpartum contraception: does it decrease rapid repeat pregnancy in adolescents?

Study Objective: Rapid repeat adolescent pregnancy is a significant public health concern. An effective and practical means of decreasing unintended second adolescent pregnancies needs to be identified. The objective of this study is to determine if early initiation of contraception, and in particular long acting reversible contraception (LARC), decreases rapid repeat pregnancy among first time adolescent mothers.

Isolated fallopian tube torsion in pediatric and adolescent females: a retrospective review of 15 cases at a single institution.

Study Objective: To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management.

Design: Retrospective review.

Setting: Tertiary care medical center.

Giant paraovarian cysts in young adolescents: a report of three cases.

Background: Very large pelvic cysts in young adolescents present a challenge in diagnosis and management. When such cysts present shortly after menarche, measure > 20 cm and appear simple on ultrasound or MRI, the diagnosis is likely a benign paraovarian cyst.

Cases: Three young adolescents within 2 years of menarche presented with abdominal distention and masses.

Ovarian hilus cell hyperplasia as the cause of virilization in 45,X Turner's syndrome.

Objective: To describe a rare case of 45,X Turner's syndrome with elevated T and clitoromegaly caused by ovarian hilus cell hyperplasia.

Design: Case report.

Setting: Tertiary care pediatric hospital.