Abstract：
BACKGROUND:The Mirena levonorgestrel intrauterine system (IUS; Bayer HealthCare Pharmaceuticals) is frequently used for menstrual suppression in adolescents with special needs. However, the presence of a uterine anomaly is generally considered a contraindication to IUS insertion, thereby excluding a potentially highly effective option for this patient population. CASE:A Mirena IUS was used in a medically and surgically complex special needs 14-year-old adolescent with a didelphys uterus and obstructed hemivagina. With the IUS inserted into the unobstructed uterus, she achieved amenorrhea and significant reduction in pain, with interval reduction in hematometra in the contralateral obstructed uterus. SUMMARY AND CONCLUSION:We report the successful use of the Mirena IUS in a patient with a Müllerian anomaly, supporting the use of this device in carefully selected patients.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
King CP,Kives Sdoi
10.1016/j.jpag.2018.11.014subject
Has Abstractpub_date
2019-04-01 00:00:00pages
182-185issue
2eissn
1083-3188issn
1873-4332pii
S1083-3188(18)30367-Xjournal_volume
32pub_type
杂志文章abstract：OBJECTIVE:To examine menstrual patterns and effects of menstrual disorders on social and academic lives of undergraduate students in Kano, Nigeria. PARTICIPANTS:Students attending Bayero University Kano, Nigeria (n = 383). INTERVENTION:Self-administered questionnaires. MAIN OUTCOME MEASURES:Sociodemographic characte...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.08.006
更新日期：2012-12-01 00:00:00
abstract：STUDY OBJECTIVE:To investigate the attitudes and practices of cystic fibrosis (CF) providers toward sexual and reproductive health (SRH) care in young women with CF. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS:Adult and pediatric US CF providers were sent an online survey exploring their attitudes toward SRH impo...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2017.01.009
更新日期：2017-10-01 00:00:00
abstract：PURPOSE:Despite hypothesized relationships between lack of partner support during a woman's pregnancy and adverse birth outcomes, few studies have examined partner support among teens. We examined a potential proxy measure of partner support and its impact on adverse birth outcomes (low birth weight (LBW), preterm birt...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2013.08.002
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Neisseria gonorrhoeae is one of the most common organisms associated with pelvic disease in a woman of reproductive age. CASE:We present an unusual case of cerebrospinal fluid infection with N. gonorrhoeae in a woman with a ventriculoperitoneal shunt who complained of abdominal pain. Her shunt was removed a...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(97)70059-7
更新日期：1997-05-01 00:00:00
abstract：STUDY OBJECTIVE:To evaluate the utility of transabdominal ultrasound and magnetic resonance imaging in the evaluation of American Society for Reproductive Medicine (†)(ASRM)-classified müllerian anomalies compared to surgical findings in the pediatric and adolescent population. DESIGN:Retrospective chart review. SETT...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2011.12.069
更新日期：2012-06-01 00:00:00
abstract：STUDY OBJECTIVES:To report a rare reason for primary amenorrhea, a Frasier syndrome, XY gonadal dysgenesis associated with renal failure with eventual development of gonadoblastoma. To study immunohistochemical analysis of gonadoblastoma and dysgerminoma. To analyze the possibility of androgen receptor mutation in this...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(02)00147-x
更新日期：2002-06-01 00:00:00
abstract：STUDY OBJECTIVE:To investigate an association between pubertal development and timing of menarche with glycemic control, disease duration, and body mass index (BMI) in patients diagnosed with diabetes mellitus type 1 (DM1) before puberty. DESIGN:Retrospective study. SETTING:The study was performed at the diabetes out...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2014.08.009
更新日期：2015-02-01 00:00:00
abstract：:In this article we review the existing fertility preservation options for women diagnosed with Turner syndrome and provide practical guidelines for the practitioner. Turner syndrome is the most common sex chromosome abnormality in women, occurring in approximately 1 in 2500 live births. Women with Turner syndrome are ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2015.10.011
更新日期：2016-10-01 00:00:00
abstract：:Today's generation of adolescents and young adults have been labeled "digital natives" given that they have had access to digital technology since birth. In this review, we address 2 critical areas affecting adolescents' reproductive health and social media. First, we address the current state of the science across se...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2020.06.016
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Recurrent adnexal torsion rarely affects girls. Various surgical techniques for its prevention are available. We describe a case of recurrent asynchronous bilateral torsions in a prepubertal patient. CASE:An 8-year-old girl first presented with a right adnexal torsion and underwent a laparoscopic untwisting...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2013.01.060
更新日期：2013-06-01 00:00:00
abstract：:Receiving the diagnosis of Primary Ovarian Insufficiency (POI) can be emotionally difficult and confusing for young girls and their families. Parents need assistance in knowing how to help their daughters understand and live with the diagnosis in a way that allows for healthy growth and development. This paper provide...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,病人教育讲义
doi：10.1016/j.jpag.2010.12.004
更新日期：2011-06-01 00:00:00
abstract：STUDY OBJECTIVE:We aimed to investigate the etiology and clinical management of vaginal bleeding in girls aged 0-9 years and to compare our results with previous publications. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: The records of all girls younger than 10 years of age who were seen bet...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2015.10.017
更新日期：2016-06-01 00:00:00
abstract：STUDY OBJECTIVE:The objective of this study was to evaluate the quality and accuracy of sexual health information on crisis pregnancy center Web sites listed in state resource directories for pregnant women, and whether these Web sites specifically target adolescents. DESIGN:A survey of sexual health information prese...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2015.05.008
更新日期：2016-02-01 00:00:00
abstract：STUDY OBJECTIVE:Adolescent compliance with cytologic and histologic cervical abnormalities is poor. Recent changes in abnormal cytology follow-up and colposcopy indications in young women may delay the diagnosis of cervical dysplasia. The objective of our study was to determine the compliance with follow up. We also wa...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2008.08.003
更新日期：2009-06-01 00:00:00
abstract：BACKGROUND:Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair. CASE:A 1...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2018.04.005
更新日期：2018-10-01 00:00:00
abstract：STUDY OBJECTIVE:To describe the prevalence and correlates of vaginal douching among urban African American adolescents and to examine the association between douching and sexually transmitted infection (STI) status. DESIGN:Demographic, psychosocial, and behavioral data were collected through cross-sectional, self-admi...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2011.07.017
更新日期：2012-02-01 00:00:00
abstract：STUDY OBJECTIVE:To describe an unusual, premenarchal presentation of an obstructive vaginal anomaly. DESIGN:Case Report. SETTING:University Medical Center. PARTICIPANTS:Premenarchal subject INTERVENTIONS:Vaginogram, vaginal septum resection. RESULTS:Vaginal septum resection with resolution of vaginal discharge. C...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2005.09.008
更新日期：2005-12-01 00:00:00
abstract：:Acquired and inherited platelet disorders can present with bleeding symptoms during adolescence. Platelet disorders include disorders of platelet number and disorders of platelet function. In adolescent females with platelet disorders, menorrhagia is a common presenting bleeding symptom. Other associated bleeding symp...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2010.08.012
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVE:The objective of this research was to examine the effectiveness of a brief behavioral intervention, provided at the time of diagnosis of pelvic inflammatory disease, on subsequent behaviors by patients who were urban adolescents in a community in which sexually transmitted infection was prevalent. METHODS:12...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jpag.2009.06.005
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:Mesonephric duct remnants usually do not present any clinical dilemma. However, if the cellular lining remains active, it may lead to cystic lesions that may cause pain or torsion of the adnexa. CASE:This is a 13-year-old female who presented because of severe pelvic pain. Ultrasound and CT scan revealed a ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.06.009
更新日期：2012-12-01 00:00:00
abstract：STUDY OBJECTIVES:Most pediatric education materials are designed for a parent audience. Social marketing techniques rely on the principles called the "4 P's": product, price, place, and promotion. The objective of this study was to test the design, readability, likelihood to read, and overall opinion of a pediatric fer...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2011.10.007
更新日期：2012-04-01 00:00:00
abstract：:Tattoo rates in the United States have been rising in recent years, with an expected concomitant rise in tattoo-associated complications. Tattoo complications range from cutaneous localized and generalized inflammatory eruptions, to local bacterial or viral infections, and finally to infectious endocarditis and hepati...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2012.08.005
更新日期：2013-04-01 00:00:00
abstract：STUDY OBJECTIVE:To investigate the clinical and computed tomography (CT) characteristics of ovarian lesions in infants, children, and adolescents. DESIGN, SETTING, AND PARTICIPANTS:A retrospective analysis of the clinical and CT data was performed in 222 patients who were 20 years or younger with ovarian lesions. Pati...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2020.10.007
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:Endometriosis-ectopic implantation of endometrial-like tissue-affects 10% of female adolescents and adults. First-line treatment includes progesterone only (such as norethindrone acetate [NET-A]) or combined estrogen/progestin oral contraceptive pills. Estrogen-containing contraceptives confer increased risk...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2016.12.002
更新日期：2017-06-01 00:00:00
abstract：STUDY OBJECTIVE:To describe the sexual behavior and contraception use among a sample of high school and vocational school adolescents in Barcelona, Spain. DESIGN:Cross-sectional study. METHODS:A random sample of 3139 students, aged 14 to 19 years, living in the city of Barcelona, were surveyed by means of an anonymou...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(97)70076-7
更新日期：1997-08-01 00:00:00
abstract：BACKGROUND:A longitudinal vaginal septum might present as a nonobstructive or obstructive type. Both can result in dyspareunia, difficult tampon insertion, persistent vaginal bleeding despite tampon placement, and dysmenorrhea. Surgical correction is warranted for symptomatic cases. CASE:We present a 16-year-old femal...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2016.06.002
更新日期：2016-12-01 00:00:00
abstract：STUDY OBJECTIVE:To describe contraceptive use among female adolescents initiating outpatient treatment for opioid use disorder. DESIGN:Retrospective chart review. SETTING:Outpatient clinic providing medication-assisted treatment for substance use disorders to adolescents and young adults. PARTICIPANTS:Nonpregnant fe...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/j.jpag.2017.11.002
更新日期：2018-04-01 00:00:00
abstract：STUDY OBJECTIVE:We documented adolescent pregnancies that were thought to be at high risk for increased obstetric complications. DESIGN, SETTING, PARTICIPANTS:This study covered 442 pregnant women who were under 19 years of age and who delivered in Cukurova University, School of Medicine, Department of Obstetrics and ...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章
doi：10.1016/s1083-3188(00)00062-0
更新日期：2000-11-01 00:00:00
abstract：UNLABELLED:PAPER OBJECTIVE: This paper is designed to help clinicians understand the relationship between hormonal contraceptive side effects and the potential development of general and reproductive health concerns that can impact on adherence to hormonal contraception. By understanding the concerns raised by young wo...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/s1083-3188(01)00123-1
更新日期：2001-11-01 00:00:00
abstract：BACKGROUND:Imperforate hymen, with an incidence between 0.1% and 0.05%, is the most common obstructive congenital abnormality of the female genital tract. 'Standard' surgical treatment of imperforate hymen involves hymenectomy after a cruciate, plus, or X-shaped hymenotomy incision. CASES:Two cases with imperforate hy...
journal_title：Journal of pediatric and adolescent gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jpag.2008.03.009
更新日期：2009-08-01 00:00:00
