Female athlete triad.

Purpose Of Review: The obstetrician/gynecologist (ob/gyn) may be the first provider to have the opportunity to recognize and diagnose female athlete triad. This review will help the ob/gyn to understand the female athlete triad and what is new on this topic, how to screen and diagnose the condition and the ob/gyn's role in treatment.

Recent Findings: Female athlete triad, also known as relative energy deficiency in sports, involves an interrelationship among energy availability, menstrual function and low bone density.

Update on adolescent gynecology.

Adolescent gynecology is an important part of clinical care of adolescent females. This discussion provides a basic review of current issues in adolescent gynecology, including consideration of current pubertal concepts with attention also given to delayed and precocious puberty. Causes of breast masses are reviewed, including discussion of the ANDI classification.

Retrospective review of intrauterine device in adolescent and young women.

Study Objective: To examine our experience with intrauterine device (IUD) use in adolescents and young women.

Design: Retrospective descriptive study evaluating outcomes after IUD insertion for patients 21 years or less over an 8-year period.

Setting: Three sites including a Pediatric and Adolescent gynecology private practice, a Title X clinic, and community based, grant funded clinic serving a high risk teen population.

Van wyk and grumbach syndrome: an unusual case and review of the literature.

Background: The syndrome consisting of primary hypothyroidism, precocious puberty, and massive ovarian cysts was termed Van Wyk and Grumbach syndrome in 1960. Little is known about the effect of the cysts on ovarian tumor markers.

Case: A 12-year-old Caucasian female presented with headaches and fatigue.

A simulation program for teaching obstetrics and gynecology residents the pediatric gynecology examination and procedures.

Study Objective: To assess the use of a pelvic simulation curriculum to teach obstetrics and gynecologic residents the pediatric gynecology examination and procedures.

Design: Residents in obstetrics and gynecology participated in a simulation curriculum using a modified pelvic hemimodel to simulate a pediatric pelvis.

Participants: 19 obstetrics and gynecology residents completed the study protocol.

Supernumerary nipple presenting as a vulvar mass in an adolescent: case report and literature review.

Background: Ectopic breast tissues can be found along the embryonic mammary ridges and can occur in the vulva. While ectopic breast tissue is not uncommon, functional breast with overlying nipple located within the vulva is exceedingly rare.

Case: A 17-year-old with undiagnosed hypothyroidism presents with vulvar mass draining milky white fluid.

Primary and preventive healthcare in obstetrics and gynecology: a study of practice patterns in the mid-atlantic region.

Objectives: To assess the current perspective of regional obstetrician/gynecologists on providing primary/preventive healthcare, including their desire to provide primary care in their practices and whether or not they are adequately trained as primary care providers.

Methods: A self-administered survey with a Likert scale that included demographic information and questions about the practice of primary healthcare was mailed to regional obstetrician/gynecologists both in practice and in residency training.

Results: One hundred thirty-nine physicians responded to the survey (33% response rate).