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Chapter 6 - Paediatric and Adolescent Gynaecology

from Section 2 - Menstrual Disorders

Published online by Cambridge University Press:  24 November 2021

By
Eveline J. Roos ,
Ivonne A. Bedei  and
Paul L. Wood
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

Children and adolescents presenting with common and rare gynaecological conditions are described in this chapter. Communication needs to be sensitive and appropriate for age and development to retrieve as much information as possible.

Puberty heralds the development of secondary sexual characteristics, gonadal maturation, and start of reproductive capacity. Pubertal disorders can be divided into precocious and delayed puberty. Menarche is an important marker of puberty and menstruation should be seen as a vital sign. Oligomenorrhoea is pathological over time and most girls with oligomenorrhoea develop polycystic ovary syndrome (PCOS).

Sex development in the human is the result of a complex interaction involving production and response to sex hormones which is regulated by genetic and environmental factors. Disorders of sex development occur when an individual’s sex development takes a different path.

Keywords

adolescent gynaecologyvaginal dischargepubertyamenorrhoeaheavy menstrual blood lossPCOSdisorders of sexual developmentlabial hypertrophy
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 47 - 54
Publisher: Cambridge University Press
Print publication year: 2021

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