Dr. Susan Kaufman and Dr. Yossie Ahmadieh, an adolescent medicine doctor with Physicians for Reproductive Health, explore the vital topic of gender-affirming care for transgender and gender-diverse adolescents, discussing how appropriate medical interventions can be life-saving for these vulnerable youth.

Outline

• Introduction to Transgender Healthcare Basics
• Barriers and Mental Health Considerations
• Creating Safe Spaces in Clinical Settings
• Puberty Blockers and Treatment Options
• Gender-Affirming Hormone Therapy Approaches
• Monitoring Testosterone Therapy
• Estrogen Therapy and Anti-Androgens
• Surgical Options and Cancer Screening

Reference

NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 3

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What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

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PAG WebEd cases are a great way to review our podcast content.

Dr. Vrunda Patel, a PAG physician at Nemours Children's Hospital in Wilmington, Delaware, and Dr. Camille Imbo PGY6 PAG fellow discuss the increasing trend of teenage patients seeking evaluation for labial concerns, often driven by appearance rather than medical issues. Many teens and parents lack understanding about what constitutes normal genital appearance.

Outline

• Normal Vulvar Development in Puberty
• Common Labial Concerns and Influences
• Defining Labial Hypertrophy and Asymmetry
• Psychological Aspects and Assessment
• Treatment Options and Self-Care
• Surgical Considerations and Recovery

Reference

NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 16

Labial Anatomy Concerns in the Adolescent - JPAG 

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What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Fertility preservation options have dramatically expanded for children and adolescents in recent decades, offering hope to patients undergoing gonadotoxic therapies for cancer and other conditions. Dr. Stephanie DuFour, PAG and REI attending at CHEO in Ottawa, Canada, joins Dr. Susan Kaufman to discuss the latest advances in preserving reproductive potential for young patients facing treatments that may compromise their fertility.

Outline

• Case Presentation: 7-Year-Old with Leukemia
• Introduction to Fertility Preservation
• Who Needs Fertility Preservation
• External Impacts on Fertility
• Fertility Preservation Options
• Assessing and Monitoring Patients
• Barriers and Insurance Coverage
• Case Resolution and Conclusion

References: 

•  NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 23 

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching!

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Dr. Jane Su, a PGY4 OBGYN resident at university of Ottawa, joins Dr. Susan Kaufman to discuss POI with a special emphasis on Turner's syndrome. Both important and life changing diagnoses that cannot be missed!

Outline

• Case Presentation
• Introduction to POI 
• Defining POI: Causes and Prevalence
• Clinical Presentation and Diagnostic Approach
• Treatment Strategies for POI
• Turner Syndrome: Characteristics and Management
• Case Conclusion and Key Takeaways

References: 

•  NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 18

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching!

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Dr. Julie Cron, an OBGYN with PAG certification at Presbytarian and Cornell, joins Dr. Camille Imbo PGY6 to explore amenorrhea - the absence of menstruation - breaking down how to evaluate and diagnose this important vital sign in adolescent patients.

Outline

• Introduction to Amenorrhea Types
• Physical Exam Importance
• Hormonal Evaluation & Causes
• Understanding Lab Results
• Genetics and Structural Causes
• Secondary Amenorrhea & PCOS
• Case Discussion and Conclusion

References: 

•  NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 11

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching!

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

This episode, we are joined by Dr. Aliah Fonteh, a PGY2 resident, and Dr. Alla Vash-Margita a PAG attending at Yale to break down what every provider should know about sexually transmitted infections. 

Outline

• Introducing STIs in Adolescent Care
• Confidential Interviews with Teen Patients
• Common STIs: Chlamydia, Gonorrhea, Trichomonas
• Syphilis: Screening and Diagnostic Challenges
• HPV and Vaccination: Preventing Cancer
• HSV and HIV PrEP Management
• STI Testing Recommendations and PID
• Case Discussion and Conclusion

References: 

•  NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 20
• Human Papillomavirus Vaccine Efficacy and Effectiveness against Cancer by Supitcha Kamolratanakul and Punnee Pitisuttithum 

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching!

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Dive into the fascinating world of Pediatric and Adolescent Gynecology (PAG) with this week's guest, Dr. Lissa Yu from Seattle Children's Hospital. This conversation shatters common misconceptions about what PAG specialists actually do - far beyond just teen pregnancy and contraception.

Outline

• What is PAG? History and Scope
• Why Choose PAG as a Specialty?
• Common Conditions and Patient Care
• Research Opportunities and Typical Day
• Becoming a PAG: Training Pathways
• Professional Resources and Organizations

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching!

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Dr. Susan Kaufman is joined by Dr. Mary Romano, a PAG physician from Vanderbilt and the current president of NASPAG, to discuss Relative Energy Deficiency in Sports (RED-S) previously knows as the Female Athlete Triad. 

Outline:

• Highlights of a case study involving a 17-year-old athlete
• Identifying high-risk sports for developing energy deficiency
• Psychological and physiological impacts of inadequate energy
• Importance of early detection and intervention strategies
• Key roles of nutrition and hydration in athlete health
• Holistic approaches to treatment, involving multiple disciplines
• Empowering parents and coaches to support athletes effectively
• Importance of addressing hormonal imbalances with appropriate therapies

References: 

- NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 13
- Reproductive Health Management of Female Adolescent Athletes With Relative-Energy Deficiency in Sport by Mary Romano and Amy Sass in Journal of Pediatric and Adolescent Gynecology

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching!

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about how to work up and examine prepubertal bleeding, as well as differential diagnoses.

Outline

• Patient and Family History
• Examination techniques and consent
• positioning and observation techniques
• differential diagnoses of prepubertal bleeding
• Common Causes
• Rare Causes
• Case review

Check out the episode visuals on YouTube.

References:

• Clinical Review: Prepubertal Bleeding, Valerie Bloomfield, MD, FRCSC, Abigail Iseyemi, MD,FRCSC, Sari Kives, MD, MSc, FRCSC, JPAG, 2023
• Current review of prepubertal vaginal bleeding, Dwiggins, Gomez-Lobo, 2017
• Essentials of Pediatric and Adolescent Gynecology: Chapter 7

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching!

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Camille Imbo, MD PGY6 and Susan Kaufman, MD discuss delayed puberty, the last in their series on puberty. The episode provides an in-depth exploration of delayed puberty, discussing key signs and the clinical evaluation process for young teens facing this challenge. It addresses common causes, the importance of physical exams, and appropriate treatments while offering reassurance and guidance for families.

Check out the video on YouTube.

Outline
• Defining delayed puberty by breast development and menstruation standards 
• Importance of comprehensive medical and family history in evaluations 
• Role of growth charts in monitoring physical development 
• Value of physical exams in diagnosing anatomical issues 
• Differentiating between hypogonadotropic and hypergonadotropic hypogonadism 
• Exploring hormonal treatments and lifestyle changes 
• Addressing oncofertility considerations for young patients 
• Understanding eugonadotropic amenorrhea and its anatomical causes 
• Concluding reassurance and guidance for families on managing delayed puberty

References:

• Essentials of Pediatric and Adolescent Gynecology: Chapter 6

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching!

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.