Pediatric and adolescent gynecology

What diseases and conditions gynecology of children and adolescents deals with

Doctors of MS "Dobrobut" provide gynecological care for children and adolescents with these problems, depending on their age.

In children up to 5 years old

• pediatric vulvovaginitis - the most common genital disease in children, often combined with contact dermatitis,
• genital trauma,
• labial adhesions (synechiae) - develop due to estrogen deficiency,
• congenital diseases of the female genitourinary system.

In children after age 5.

• sclerosing lichen - chronic inflammatory autoimmune dermatosis with skin lesions in the anus and genital tract,
• inflammatory diseases,
• hormonal disorders in children and adolescents, including early or delayed puberty and polycystic ovary syndrome (PCOS),
• endometriosis,
• pelvic pain,
• ovarian tumors,
• Turner's syndrome.

In adolescents.

• irregular menstrual cycle,
• amenorrhea,
• dysmenorrhea (painful menstruation),
• abnormalities of the reproductive system, including a non-perforated hymen, vaginal septum, and others,
• cysts and ovarian torsion,
• sexually transmitted infections,
• breast diseases and neoplasms,
• human papillomavirus (HPV).
• and many others.

Pediatric gynecology specialists also provide necessary care in urgent situations and counseling for preventive examinations, as well as contraception and fertility preservation.

When it is necessary to turn to pediatric and adolescent gynecology

It is worth consulting a pediatric gynecologist when girls have the following symptoms:

• acute or chronic pain in the pelvic area,
• menstrual irregularities: absence of menstruation, heavy bleeding, painful periods (dysmenorrhea),
• itching, burning, redness, excessive dryness of the vulva and vagina,
• trauma to the genitals,
• changes in the nature of discharge (increased volume, odor, color);
• ulcerations or growths on the external genitalia,
• synechiae,
• thickening and soreness in the mammary glands.

Children's gynecologists MS "Dobrobut" have undergone special training and, if necessary, involve other specialists - endocrinologists, pediatricians, surgeons, to solve any problem in a comprehensive way.

Diagnostics in pediatric and adolescent gynecology

Depending on the purpose of referral to a pediatric gynecologist, complaints and symptoms, the consultation begins with the study of the medical history and examination. If necessary, an external gynecologic examination and breast evaluation are performed, as well as an examination through the rectum.
Before the examination, the child or adolescent is explained what will happen and why a particular manipulation is performed. 
To clarify the diagnosis, the doctor may prescribe such studies:

• vaginal smear (examination for bacteria and viruses),
• microscopic examination of vaginal secretion,
• vaginoscopy in the presence of foreign bodies, trauma or fistula,
• blood tests for hormones, inflammatory markers, infections,
• Ultrasound of the pelvic organs through the abdominal wall - carried out when the bladder is full.

Treatment in pediatric and adolescent gynecology

For the treatment of gynecologic diseases in children and adolescents, the following methods are used:

• Exclusion of external irritants and thorough hygiene;
• local treatment with creams, baths, washings;
• conservative therapy: antibiotics, antiviral drugs, nonspecific anti-inflammatory, hormonal agents, immunomodulators;
• if necessary, surgical treatment - laparoscopy, surgical dissection of synechiae (if local therapy is ineffective).

It is important to realize that diseases of the female genital system, which develop in childhood and adolescence, are not cured independently and can cause complications in the future, up to infertility. Attentive attitude to such issues and timely referral to a specialist will help to preserve reproductive health.
You can make an appointment for a consultation via the form on the website or by calling the contact center.