Journal of pediatric and adolescent gynecology最新文献

{"title":"A Developmentally-Informed Model of Adolescent Decision-Making Around Pregnancy: A Qualitative Study.","authors":"Lauren A Bell, Elizabeth I Harrison, Traci M Kazmerski, Margaret R Russell, Tahniat Syed, Nicholas Szoko, Crystal P Tyler, Laura A Kirkpatrick","doi":"10.1016/j.jpag.2025.05.002","DOIUrl":"10.1016/j.jpag.2025.05.002","url":null,"abstract":"<p><strong>Study objective: </strong>This study sought to formulate a model of the process through which adolescents and young adults (AYAs) progress when making decisions around pregnancy.</p><p><strong>Methods: </strong>We recruited United States-based participants aged 18-35 years in 2020-2021 who experienced pregnancy under age 20 across 3 pregnancy outcomes (parenting, adoption, abortion). Through semi-structured phone interviews, we explored participants' emotions around pregnancy, pregnancy disclosures, and pregnancy-related decision-making. We used qualitative analysis to identify common themes in the steps of the process experienced by participants in their decision-making and associated influences and develop a model of that process.</p><p><strong>Results: </strong>We interviewed 50 participants aged 13-19 years at the time of 1 or more pregnancies, totaling 56 pregnancies (16 parenting, 19 abortions, 18 adoptions, and 3 miscarriages). The developed Pregnancy Decision-making and Outcome Trajectories (PDOT) model incorporates varied trajectories of intention establishment/achievement. PDOT has 4 stages: 1) initial reactions, 2) intention analysis, 3) planning, and 4) action/inaction. PDOT highlights AYA potential to experience persistent uncertainty around pregnancy but also potential to express certainty and move toward thoughtful research, support-seeking, and cost/benefit analysis. PDOT also highlights the impact of barriers and facilitators that limit AYAs from or help AYAs with achieving their desired pregnancy outcome.</p><p><strong>Conclusion: </strong>Pregnant AYAs experience difficulty making and following through with decisions around pregnancy outcomes. People interfacing with pregnant AYAs can utilize this framework to give AYAs appropriate, intentional support to boost AYA agency in making decisions around pregnancy and acting on those decisions.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Healthcare Utilization Postpharmacist Contraception Prescribing Among College-Aged Students.","authors":"Katherine P Davis, Trexie Rudd, Tracey A Wilkinson, Mary A Ott, Ashley H Meredith","doi":"10.1016/j.jpag.2025.05.003","DOIUrl":"10.1016/j.jpag.2025.05.003","url":null,"abstract":"<p><strong>Background: </strong>Pharmacists have expanded contraceptive access through contraceptive prescribing. Concerns exist that patients will forego healthcare visits.</p><p><strong>Objective(s): </strong>Describe the intended and actual use of healthcare services by college-aged students utilizing pharmacy contraceptive prescribing.</p><p><strong>Study design: </strong>Prospective; observational; survey-based (baseline; 6- and 12-month).</p><p><strong>Results: </strong>Thirty-three participants completed a baseline survey; 25 (76%) completed the 6-month survey; 17 (68%) completed the 12-month survey. At baseline, 23 (70%) intended to see a healthcare provider within 1-3 years. At 6- and 12-months, just over 30% had visited a primary health care provider (n = 8, 32% and n = 6, 35%, respectively).</p><p><strong>Conclusion(s): </strong>Healthcare utilization rates of participants were similar to published rates for preventative services by college students. Pharmacist prescribing is an additional access point for contraceptive care and provides an opportunity to refer students for recommended preventive services.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PAG in the Asia-Oceania Region—Taking Little Steps Forward","authors":"Ani A. Zainuddin ,&nbsp;Sze-yan C. Cheung ,&nbsp;Eveline J. Roos","doi":"10.1016/j.jpag.2025.02.001","DOIUrl":"10.1016/j.jpag.2025.02.001","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"38 3","pages":"Pages 306-307"},"PeriodicalIF":1.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence (AI) and The Journal of Pediatric and Adolescent Gynecology (JPAG)","authors":"Paula J Adams Hillard MD (JPAG Editor-in-Chief)","doi":"10.1016/j.jpag.2025.04.007","DOIUrl":"10.1016/j.jpag.2025.04.007","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"38 3","pages":"Pages 301-303"},"PeriodicalIF":1.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menstrual Cycle Experiences, Health, and Illness","authors":"Margaret L. (Peggy) Stubbs PhD","doi":"10.1016/j.jpag.2025.01.176","DOIUrl":"10.1016/j.jpag.2025.01.176","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"38 3","pages":"Pages 304-305"},"PeriodicalIF":1.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Now?","authors":"Rosemary Claire Roden MD","doi":"10.1016/j.jpag.2025.03.001","DOIUrl":"10.1016/j.jpag.2025.03.001","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"38 3","pages":"Pages 311-312"},"PeriodicalIF":1.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-Ablative Radiofrequency and Vaginal Dilation Therapy.","authors":"Ana Maria Luna Ramalho, Claudia Cristina Takano, Mila Torii Corrêa Leite, Marair Gracio Ferreira Sartori","doi":"10.1016/j.jpag.2025.04.009","DOIUrl":"10.1016/j.jpag.2025.04.009","url":null,"abstract":"<p><strong>Introduction: </strong>Radiofrequency (RF) is indicated for degenerative processes that involve decreased or delayed metabolism, blood flow, and nutrition, typically associated with chronic conditions. This study evaluated the effects of non-ablative radiofrequency (RF) combined with vaginal dilation in patients with vaginal agenesis or vaginal stenosis.</p><p><strong>Methods: </strong>Ten patients were divided into 2 groups: 5 received RF combined with dilation (VD+RF group), and 5 underwent only vaginal dilation (VD group). The RF treatment involved applying radiofrequency at 39°C for 5 minutes before dilation, while the VD group had dilation alone for 20 minutes.</p><p><strong>Results: </strong>No significant differences between the groups in final vaginal length and diameter were found. However, the VD+RF group exhibited a significant increase in vaginal length during sessions compared to the VD group. Improved comfort and reduced pain during dilation in the VD+RF group were attributed to the thermal effects of RF, which enhanced tissue elasticity and extensibility. Pain reduction during dilation was reported by all participants in the VD+RF group, whereas issues such as canal stenosis and emotional challenges were noted in both groups. The Visual Analog Scale for Satisfaction showed a significant improvement in sexual satisfaction in the VD+RF group compared to the VD group (P = .0422). Although the Female Sexual Function Index questionnaire revealed improvements in sexual function domains, it was only administered to a subset of sexually active women in the RF group.</p><p><strong>Conclusion: </strong>RF is as a safe and effective adjunct to vaginal dilation, enhancing pain management and sexual satisfaction.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence (AI) and the Journal of Pediatric and Adolescent Gynecology (JPAG).","authors":"Paula J Adams Hillard","doi":"10.1016/j.jpag.2025.04.010","DOIUrl":"10.1016/j.jpag.2025.04.010","url":null,"abstract":"","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and Preoperative Management of Adolescent Patients with Pathology-Confirmed Endometriosis: A Multi-Institutional Study.","authors":"Katherine C Bergus, Brenna Rachwal, Lindsey Asti, Lesley L Breech, Yuan Yuan Gong, S Paige Hertweck, Holly R Hoefgen, Anne H Horne, Ashli Lawson, Seema Menon, Kathleen E O'Brien, Shashwati Pradhan, Yolanda R Smith, Priya Suvarna, Sarah Van Son, Geri Hewitt","doi":"10.1016/j.jpag.2025.04.003","DOIUrl":"10.1016/j.jpag.2025.04.003","url":null,"abstract":"<p><strong>Study objective: </strong>This multi-institutional, observational, retrospective cohort study aimed to characterize the demographics and preoperative medical management of patients with pathology-confirmed endometriosis.</p><p><strong>Methods: </strong>We reviewed patients <22 years at 8 tertiary care pediatric hospitals in the Midwestern United States who underwent diagnostic laparoscopy and had biopsy-confirmed endometriosis. Patients were identified through pathology records. Demographics, medical history, clinical symptoms, and prior medical management were extracted. Descriptive statistics were computed.</p><p><strong>Results: </strong>Among 305 patients, median age at first presentation to pediatric and adolescent gynecology (PAG) was 15.6 years (interquartile range: 14.2-17.1). Most patients were White (83.3%) and most had commercial insurance (70.5%). Only 4.3% had a diagnosis of endometriosis prior to their initial presentation to PAG. Common symptoms included progressive dysmenorrhea (76.7%), heavy menstrual bleeding (50.8%), missed school/activities due to dysmenorrhea (55.1%). Patients sought care for their symptoms from a range of providers in addition to PAG, including primary care/adolescent medicine (75.1%), gastroenterology (18.7%), adult gynecology (22.3%), and physical therapy (13.4%). Nearly all patients (92.8%) tried oral hormonal menstrual suppression prior to laparoscopy. Hormonal management included combined oral contraception (62.3%), medroxyprogesterone acetate injection (15.7%), ≤5mg daily norethindrone (14.8%), >5mg daily norethindrone (13.4%), hormonal intrauterine system (13.1%), and contraceptive implant (5.3%).</p><p><strong>Conclusions: </strong>Patients with pathology-proven endometriosis typically presented with progressive dysmenorrhea, missed school or activities, and heavy menstrual bleeding. They sought care from a variety of providers and while most tried hormonal management of symptoms, the method used varied.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stenosis of Sigmoid Neovagina with Subsequent Pelvic Infection and Surgical Excision.","authors":"Taylore King, Cynthia Abam, Emily Trautner, Elissa Trieu, Laura Ramirez-Caban","doi":"10.1016/j.jpag.2025.04.008","DOIUrl":"10.1016/j.jpag.2025.04.008","url":null,"abstract":"<p><p>Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome involves Müllerian abnormalities including agenesis of the upper vagina. Patients often elect for the creation of a neovagina, which can be performed via intestinal vaginoplasty to allow for penetrative sexual intercourse. We present a case of a 38-year-old female with MRKH who underwent sigmoid vaginoplasty and presented 12 years later with diffuse neovaginal closure, resulting in pelvic abscess formation and sepsis. She ultimately required surgical excision of the sigmoid neovagina for source control of the infection. This case highlights the importance of lifelong aftercare following vaginoplasty and incorporation of multidisciplinary teams in medically complex patients with complications from neovagina reconstruction.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}