title: Pediatric gynecology: assessment strategies and common problems.
abstract: Pediatric gynecology is an emerging subspecialty involving the collaborative efforts of health professionals from gynecology, pediatrics, and urology. The gynecologic problems encountered in the pediatric population are unique to this age group and involve physician skills differing from those utilized with an adult population. The purpose of this manuscript is to describe the normal anatomy and physiology of the reproductive tract and genitalia and common problems seen in the prepubertal female. Common anatomic variations are considered. Suggestions on assessment techniques for evaluation of the young child are discussed. Presentation of common gynecologic problems in the prepubertal child will include common symptoms, evaluation and testing, and management to enable the practicing gynecology health professional to provide compassionate and quality care to the young female.
authors.affiliation: Department of Obstetrics and Gynecology, The University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75390-9032, USA.
authors.forename: Jane H
authors.initials: JH
authors.lastname: Kass-Wolff
authors.forename: Ellen E
authors.initials: EE
authors.lastname: Wilson
mesh_terms: D002675:Child, Preschool; D003218:Condylomata Acuminata / Q000175:diagnosis; D004967:Estrogens / Q000502:physiology; D005260:Female; D005836:Genitalia, Female / Q000033:anatomy & histology / Q000502:physiology; D006176:Gynecology; D006801:Humans; D007223:Infant; D010372:Pediatrics; D010808:Physical Examination / Q000379:methods; D011627:Puberty; D012742:Sex Offenses; D013048:Specimen Handling / Q000379:methods; D000267:Tissue Adhesions / Q000175:diagnosis; D014845:Vulvar Diseases; D014847:Vulvitis / Q000175:diagnosis / Q000382:microbiology / Q000469:parasitology; D014848:Vulvovaginitis / Q000175:diagnosis / Q000382:microbiology
chemical_list: D004967:Estrogens