Pediatric and Adolescent Gynecology

Gynecology and Obstetrics · Clinical Specialties

How it begins

Estudio exhaustivo del desarrollo puberal normal y patológico, la anatomía genital en evolución, las malformaciones congénitas y la patología ginecológica propia de la infancia y la adolescencia, con correlaciones clínicas de nivel experto.

What it covers

1. Pediatric and Adolescent Gynecology
2. Introduction and Scope of the Subspecialty
3. Embryology of the Female Genital System
4. · Sexual determination and differentiation
5. · Development of the Müllerian ducts
6. Physiology of the Hypothalamus-Pituitary-Gonadal (HHG) Axis
7. · Neonatal "minipuberty"
8. · Quiescence of childhood
9. · Pubertal reactivation
10. · Hormonal chronology of female puberty
11. Tanner Stages — Developmental Timeline
12. · Breast development (M stages)
13. · Pubian hair (P stages)
14. Genital Anatomy and Particularities of the Pediatric Examination
15. · Prepubertal genital anatomy vs. postpubertal
16. · Pediatric examination positions and techniques
17. Precocious Puberty
18. · Etiological classification
19. Delayed Puberty and Hypogonadism
20. · Classification: hypergonadotropic hypogonadism vs. hypogonadotropic
21. Müllerian Anomalies and Congenital Genital Malformations
22. Differences in Sexual Development (DSD)
23. Prepubertal Vulvovaginitis
24. · Etiological classification
25. · Prepubertal vulvar lichen sclerosus
26. Vulvar Synechia (Lip Adhesions)
27. Prepubertal Genital Bleeding — Differential Diagnosis
28. · Systematized differential diagnosis by anatomical origin
29. Clinical Considerations in Suspected Child Sexual Abuse
30. · General framework for interpretation of findings
31. · Principles of the clinical approach
32. Menstrual Disorders in Adolescence
33. · The menstrual cycle as a “vital sign” in the adolescent
34. · Abnormal uterine bleeding (AUB) in adolescents
35. · Dysmenorrhea
36. Polycystic Ovary Syndrome in Adolescents
37. · Diagnostic criteria adapted to adolescence
38. · Metabolic comorbidities to be evaluated
39. Contraception and Sexual Reproductive Health in Adolescence
40. · Principle of long-acting reversible contraceptives (LARC)
41. Ovarian Masses and Cysts in the Pediatric Population
42. · Functional cysts — the most common cause
43. · Differentiation with neoplastic masses according to age
44. Sexually Transmitted Infections in Adolescence
45. · Recommended systematic screening
46. · Pelvic inflammatory disease (PID) in adolescents
47. · Vaccination against human papillomavirus (HPV)
48. Functional Hypothalamic Amenorrhea and Energy Deficit
49. · Pathophysiological mechanism — the role of energy availability
50. · Systemic clinical consequences
51. · Diagnostic approach and general considerations
52. Integrating Summary