The paediatrician and the management of common gynaecological conditions

Arch Dis Child. 2018 Jul;103(7):703-706. doi: 10.1136/archdischild-2017-314375. Epub 2018 Mar 15.

Abstract

Paediatric gynaecology is an emerging discipline. Since 2000, there has been an advanced training programme in paediatric gynaecology available for obstetric and gynaecology trainees; additionally, a set of clinical standards 1 for the care of paediatric and adolescent patients has been developed by The British Society of Paediatric and Adolescent Gynaecology (BritSPAG). BritSPAG is a multidisciplinary group of professionals including gynaecologists, paediatricians, paediatric urologists and endocrinologists.Girls with gynaecological conditions are often seen in general paediatric services; it is important that those assessing them are confident in identifying patients who require more specialist care. Despite this, gynaecology does not appear in the Royal College of Paediatrics and Child Health curriculum. This article aims to increase the knowledge base and confidence of paediatricians in dealing with common paediatric and adolescent gynaecological conditions.

Keywords: endocrinology; gynaecology; heavy menstrual bleeding; vulval disorders.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Diagnosis, Differential
  • Female
  • Genital Diseases, Female / diagnosis*
  • Genital Diseases, Female / therapy*
  • Humans
  • Menstruation Disturbances / diagnosis*
  • Menstruation Disturbances / etiology
  • Menstruation Disturbances / therapy*
  • Polycystic Ovary Syndrome / diagnosis
  • Polycystic Ovary Syndrome / therapy
  • Turner Syndrome / diagnosis
  • Turner Syndrome / therapy
  • Uterus / abnormalities
  • Vagina / abnormalities
  • Vulvar Diseases / diagnosis
  • Vulvar Diseases / therapy