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Box 1.  

Contact/irritant vulvitis: key elements.

Box 2.  

Management of dysfunctional uterine bleeding.


Common Problems in Pediatric and Adolescent Gynecology

  • Authors: Paige Hertweck, MD; Jennie Yoost, MD
  • CME Released: 5/4/2010
  • Valid for credit through: 5/4/2011
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Target Audience and Goal Statement

This activity is intended for pediatricians, gynecologists, and other specialists who care for female children and adolescents.

The goal of this activity is to review the more common gynecologic problems seen in girls and adolescents and their management.

Upon completion of this activity, participants will be able to:

  1. Describe the difference between gynecologic problems in female children and adolescents
  2. Identify the most common pathogens involved in prepubertal vulvovaginitis
  3. Compare the accuracy of tests for gonorrhea and Chlamydia in children
  4. Describe dermatologic gynecologic conditions in children
  5. Describe the etiology and presentation of vaginal foreign bodies in children and adolescents


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  • Paige Hertweck, MD

    Department of Obstetrics, Gynecology and Women's Health, University of Louisville School of Medicine, Louisville, Kentucky


    Disclosure: Paige Hertweck, MD, has disclosed the following relevant financial relationship:
    Served as a speaker or a member of a speakers bureau for: Merck & Co., Inc.

  • Jennie Yoost, MD

    Department of Obstetrics, Gynecology and Women's Health, University of Louisville School of Medicine, Louisville, Kentucky


    Disclosure: Jennie Yoost, MD, has disclosed no relevant financial relationships.


  • Elisa Manzotti

    Editorial Director, Future Science Group, London, United Kingdom


    Disclosure: Elisa Manzotti has disclosed no relevant financial relationships.

CME Author(s)

  • Désirée Lie, MD, MSEd

    Clinical Professor, Family Medicine, University of California, Irvine, Orange, California; Director of Research and Patient Development, Family Medicine, University of California, Irvine, Medical Center, Rossmoor, California


    Disclosure: Désirée Lie, MD, MSEd, has disclosed the following relevant financial relationship:
    Served as a nonproduct speaker for: "Topics in Health" for Merck Speaker Services

CME Reviewer(s)

  • Sarah Fleischman

    CME Program Manager, Medscape, LLC


    Disclosure: Sarah Fleischman has disclosed no relevant financial relationships.

Accreditation Statements

    For Physicians

  • This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Medscape, LLC and Expert Reviews Ltd. Medscape, LLC is accredited by the ACCME to provide continuing medical education for physicians.

    Medscape, LLC designates this educational activity for a maximum of 1.50 AMA PRA Category 1 Credit(s)™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

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  1. Read the target audience, learning objectives, and author disclosures.
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Common Problems in Pediatric and Adolescent Gynecology

Authors: Paige Hertweck, MD; Jennie Yoost, MDFaculty and Disclosures

CME Released: 5/4/2010

Valid for credit through: 5/4/2011



Pediatric and adolescent gynecology focuses on a unique subset of gynecologic disorders among younger females. In the pediatric patient, gynecologic issues often present as vulvar and vaginal problems, while in the adolescent patient, complaints of abdominopelvic pain and abnormal menstrual bleeding commonly result in a gynecologic evaluation. This article focuses on two common vulvovaginal problems in the pediatric patient: vulvovaginitis and accidental genital trauma. Common infectious pathogens and treatments are reviewed along with other dermatologic and chemical causes of vulvovaginitis. The review of genital trauma focuses on various types of injury: straddle, penetrating and lacerations, and includes indications for surgical intervention. Pain and bleeding are the most common reasons for adolescents to frequent the gynecologist office, and this review focuses on these two topics, specifically menorrhagia and endometriosis. Etiologies of menorrhagia are reviewed with specific attention to anovulation and coagulation disorders. Hormonal therapy for these patients is addressed. The review of endometriosis provides insight into both medical and surgical management for optimum treatment of this disease.

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