Abstract:
STUDY OBJECTIVE:The aim of this study was to review the efficacy of different medical modalities for menstrual suppression in the cohort of patients with disabilities who presented to the Queensland Paediatric and Adolescent Gynaecology (PAG) Service between January 2005 and December 2015. Menstrual suppression in adolescents with disabilities is an important aspect of care to support the patient and their carers in managing the complexities of menstrual hygiene, pain, and other discomfort associated with menses. It is important for general practitioners, pediatricians, and gynecologists to establish the right modality of suppression for each individual adolescent. DESIGN, SETTINGS, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: The study was a retrospective case notes review of 68 adolescents who presented to the Queensland PAG Service, Brisbane, Australia with a request for menstrual suppression. The medical interventions included treatment with either combined oral hormonal contraceptive, oral medroxyprogesterone, depot medroxyprogesterone, or the levonorgestrel intrauterine system (Mirena, Bayer). The primary outcome measure was success of menstrual suppression from commencement of medical intervention to achievement of complete amenorrhea or very light bleeding described as spotting, for each medical modality. Secondary outcomes were length of time from first treatment to first observed menstrual suppression, and the number of outpatient appointments taken to achieve menstrual suppression. RESULTS:Of the 68 adolescents, 59/68 (86.8%) successfully achieved menstrual suppression, with 9/68 (13.2%) having ongoing treatment or loss to follow-up at the time of conclusion of the study; 39/68 (57.4%) were menstrually suppressed with their chosen medical modality after their initial appointment. CONCLUSION:Medical modalities are highly effective in achieving menstrual suppression and no young women at this institution required a hysterectomy. Depot medroxyprogesterone was the most successful modality used to achieve menstrual suppression followed by the levonorgestrel intrauterine system. The combined oral hormonal contraceptive was the least successful medical treatment in achieving menstrual suppression.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Leeks R,Bartley C,O'Brien B,Bagchi T,Kimble RMNdoi
10.1016/j.jpag.2019.05.005subject
Has Abstractpub_date
2019-10-01 00:00:00pages
535-540issue
5eissn
1083-3188issn
1873-4332pii
S1083-3188(19)30201-3journal_volume
32pub_type
杂志文章abstract:STUDY OBJECTIVE:To document physical and symptomatic changes in adolescent females using depot medroxyprogesterone acetate (DMPA) for contraception. DESIGN:A 30-month prospective experimental study using a convenience sample of subjects. SETTING:A pediatric primary care clinic in Milwaukee, Wisconsin that serves an u...
journal_title:Journal of pediatric and adolescent gynecology
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abstract:BACKGROUND:Laparoscopic surgery is a minimal-access procedure with many advantages. However, reports of young girls with adnexal disease treated by laparoscopic surgery are limited in the literature. CASE:A 9-yr-old premenarchal girl presenting with acute abdomen was treated by emergency laparoscopic surgery. Bilatera...
journal_title:Journal of pediatric and adolescent gynecology
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abstract:STUDY OBJECTIVE:Survival into adulthood is now a reality for many adolescents facing cancer. Fertility preservation (FP) is rapidly advancing, but oncology providers and health systems struggle to incorporate the newest FP technologies into the clinical care of adolescents. Our objective was to systematically review an...
journal_title:Journal of pediatric and adolescent gynecology
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abstract:STUDY OBJECTIVE:This study was designed to determine the prevalence and factors associated with vaginal douching among secondary school girls in a metropolitan city in Ogun State, Nigeria. DESIGN:A descriptive cross-sectional study was carried out using a semi-structured interviewer-assisted questionnaire adapted from...
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abstract:STUDY OBJECTIVE, DESIGN, AND SETTING:Adolescents face barriers to accessing youth-friendly family planning services, specifically long-acting reversible contraception (LARC). School-based health centers (SBHCs) can provide youth-friendly care. A quality improvement project was undertaken to assess quality of care befor...
journal_title:Journal of pediatric and adolescent gynecology
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abstract:STUDY OBJECTIVE:To explore the potential occurrence of long-term side effects and tolerability of gonadotropin-releasing hormone agonist (GnRHa) plus 2 different add-back regimens in adolescent patients with endometriosis. DESIGN:Follow-up questionnaire sent in 2016 to patients who participated in a drug trial between...
journal_title:Journal of pediatric and adolescent gynecology
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abstract:STUDY OBJECTIVE:To document an unusual presentation of a pure Sertoli Cell tumor. DESIGN:Case report. RESULTS:We present a 10-year-old female who presented with abdominal pain and diarrhea with no symptoms of puberty. Surgical exploration revealed a metastatic pure Sertoli Cell tumor, which was treated with resection...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2007.04.009
更新日期:2007-08-01 00:00:00
abstract:STUDY OBJECTIVES:Using confirmatory factor analyses, this study examined the factor structure and reliability of a subjective outcome evaluation tool for students with greater psychosocial needs within the context of the Project P.A.T.H.S. in Hong Kong. DESIGN:To assess the views of program participants on the program...
journal_title:Journal of pediatric and adolescent gynecology
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更新日期:2014-06-01 00:00:00
abstract:STUDY OBJECTIVE:To characterize Müllerian anatomy in 46,XX cloacal exstrophy patients. DESIGN:Retrospective review of prospectively maintained, institutionally approved exstrophy-epispadias-cloacal exstrophy database. SETTING:Tertiary care, high-volume exstrophy center (Division of Pediatric Urology, The Johns Hopkin...
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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
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doi:10.1016/j.jpag.2016.12.002
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:The number of adolescents who are prescribed hormonal contraception (HC) for contraceptive and noncontraceptive indications is increasing. Approximately 1 of 4 female adolescents will use some form of HC by age 19 years. Venous thromboembolism (VTE) is a rare, but life-threatening complication associated wit...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
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更新日期:2016-10-01 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:STUDY OBJECTIVE:On the basis of longitudinal data collected over 6 years, the changes in delinquent behavior and the related sociodemographic, personal, and family determinants were examined in this study. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: A 6-year longitudinal research design was...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Fibroepithelial polyps (FEPs) are benign tumors, of possibly hormone-dependent nature, found in the vulvovaginal region of women of reproductive age. CASE:A 15-year-old adolescent girl, receiving hormonal contraceptive therapy, who presented with multiple vulvar masses with histopathology consistent with FE...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.04.004
更新日期:2017-10-01 00:00:00
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2005.06.009
更新日期:2005-10-01 00:00:00
abstract:STUDY OBJECTIVE:To describe repeat pregnancy among adolescents and to compare those who experienced a repeat pregnancy to those who did not. DESIGN, SETTING, PARTICIPANTS:Retrospective case control of all adolescents who entered and exited the Teen Mother & Child Program, a multidisciplinary clinic for pregnant and pa...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(03)00011-1
更新日期:2003-04-01 00:00:00
abstract:STUDY OBJECTIVE:To describe the sociodemographic characteristics of a cohort of adolescents undergoing loop electrosurgical excision procedure (LEEP) of the cervix, and to determine if LEEP is a safe and effective procedure for evaluation and treatment of high-grade squamous intraepithelial lesions (HSIL) of the cervix...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(02)00209-7
更新日期:2003-02-01 00:00:00
abstract:STUDY OBJECTIVE:To determine follow-up rates for adolescent patients who underwent medical abortion compared with adult patients, identify patient factors associated with follow-up, and evaluate contraceptive choices at the time of follow-up. DESIGN, SETTING, AND PARTICIPANTS:A retrospective cohort study of adolescent...
journal_title:Journal of pediatric and adolescent gynecology
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更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Acute lymphoblastic leukemia is a malignant disease of the bone marrow in which early lymphoid precursors proliferate and replace normal marrow hematopoietic cells, resulting in a marked decrease in the production of normal blood cells. CASE REPORT:We report a case of isolated ovarian relapse 7 years after ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2008.05.007
更新日期:2009-08-01 00:00:00
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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
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更新日期:2019-06-01 00:00:00
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更新日期:2020-12-01 00:00:00
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2010.03.002
更新日期:2010-10-01 00:00:00
abstract::The clinical setting of pediatric and adolescent gynecology poses complex tasks for the physician with its numerous procedures and the communication demands of interacting with an adolescent and/or guardian. Needless to say, teaching within this setting is highly demanding. Regardless of the level of learner or the pr...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2013.09.013
更新日期:2014-08-01 00:00:00
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journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2015.12.004
更新日期:2016-08-01 00:00:00
abstract:STUDY OBJECTIVE:To determine pelvic inflammatory disease (PID) incidence and recurrence rates in an urban teen clinic. DESIGN/SETTING:A retrospective chart review of female patients seen as outpatients over an 18-month period at an urban teen clinic. 192 patients were diagnosed with PID, and the charts of these patien...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2004.09.017
更新日期:2004-12-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the rate of urinary incontinence (UI) in a sample of young nulligravid women and its potential risk factors and consequences on life habits. DESIGN AND PARTICIPANTS:The study is based on an online self-administered questionnaire taken by nulligravid women aged 15 to 25 years. MEASUREMEN...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2015.01.003
更新日期:2015-12-01 00:00:00
abstract:PURPOSE:To assess resident physicians' clinical recognition skills in Pediatric and Adolescent Gynecology. MATERIALS:1) A questionnaire to identify demographic data and self-assessment as to the ability to perform a gynecologic evaluation of children. 2) Twenty color photographs of normal genitalia and common gynecolo...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(96)70004-9
更新日期:1996-02-01 00:00:00
abstract::The concept of the ovarian cycle as a continuum considers that all types of ovarian activity encountered during the reproductive life are responses to different environmental conditions in order to ensure the health of the woman. During the normal ovulatory cycle, a series of sequential events have to occur in a highl...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2006.02.003
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to further evaluate the pathologic features of epithelial ovarian neoplasms and their relative frequency among all ovarian tumors in the adolescent population. DESIGN:We conducted a retrospective pathologic study of all cases of epithelial ovarian neoplasms in adolescents (aged 11-...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2011.07.011
更新日期:2011-12-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of this study was to measure the prevalence of premature thelarche in infant and toddler girls and to determine if environmental sources of estrogen were associated with early breast development. DESIGN:Observational with mixed methods: Retrospective chart review, cross-sectional component invo...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2011.01.003
更新日期:2011-12-01 00:00:00