Pediatric Gynecology

Jill Powell, M.D.

Saint Louis University School of Medicine

Objectives

• The participant should be able to describe several techniques for examining the prepubertal girl.

• The participant should recognize normal and abnormal prepubertal anatomy.

• The participant should understand risk factors, underlying pathophysiology, differential diagnosis and treatment options for common vulvovaginal problems in prepubertal girls including nonspecific vulvovaginitis, bacterial vaginitis, pinworms, labial adhesions, lichen sclerosus, urethral prolapse, straddle injury, and sexual abuse.

• The participant should be able to discuss the ACOG indications for and components of the lab evaluation for von Willebrand’s disease in the evaluation of severe menorrhagia.

• The participant should recognize outflow tract obstruction as a cause for adolescent pain.

• The participant should be able to distinguish between common congenital vaginal disorders including Müllerian agenesis (Mayer-Rokitansky-Kuster-Hauser syndrome), androgen insensitivity syndrome, transverse vaginal septae, and imperforate hymen and will be able to describe the surgical and non-surgical methods for creation of a neovagina.