Journal of pediatric and adolescent gynecology最新文献_第2页

Enhancing Athlete Well-being with RED-S: The Potential Role of Virtual Reality for Stress Management. 用RED-S增强运动员的健康：虚拟现实在压力管理中的潜在作用。

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-09-20 DOI: 10.1016/j.jpag.2025.09.006

Anna Ayu Herawati, Prof Dr Syamsu Yusuf, Ilfiandra, Dr Andi Wahyu Irawan, Ahmad Syafya Habibi

引用次数: 0

"Bridging the gap between hypothyroidism and precocious puberty: A case report of Von Wyk Grumbach Syndrome". 弥合甲状腺功能减退与性早熟之间的差距：Von Wyk Grumbach综合征1例报告。

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-09-17 DOI: 10.1016/j.jpag.2025.09.005

Dr Om Kumari, Dr Neetu Sharma, Dr Megha Jindal, Dr Kanak Dubey, Dr Latika Chawla

{"title":"\"Bridging the gap between hypothyroidism and precocious puberty: A case report of Von Wyk Grumbach Syndrome\".","authors":"Dr Om Kumari, Dr Neetu Sharma, Dr Megha Jindal, Dr Kanak Dubey, Dr Latika Chawla","doi":"10.1016/j.jpag.2025.09.005","DOIUrl":"https://doi.org/10.1016/j.jpag.2025.09.005","url":null,"abstract":"Introduction: Von Wyk Grumbach syndrome (VWGS) is a rare clinical entity that presents with the triad of precocious puberty, polycystic ovaries, and severe hypothyroidism. VWGS is an uncommon cause of precocious puberty characterized by dissociation of gonadarche and adrenarche. Unlike other aetiologies of precocious puberty, VWGS is associated with absent growth acceleration and delayed bone maturation due to prolonged, untreated hypothyroidism. The diagnosis is often delayed or overlooked, as the overt or unusual pubertal manifestations may overshadow the subtle signs of hypothyroidism. Failure to identify hypothyroidism as cause of ovarian cyst and precocious puberty may lead to catastrophic ovarian resection and oophorectomy in prepubertal girls and adolescents.Case presentation: We present a case of VWGS in a 07 years old girl presenting with painful abdomen with precocious puberty and menarche .Relevant review of the literature on this uncommon clinical entity is also presented.Conclusion: This study underscores the importance of recognizing the atypical presentation of prolonged hypothyroidism with precocious puberty in young children. It emphasizes the need for clinicians to consider the rare entity of VWGS, which could help prevent delays in appropriate management.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091933","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}

引用次数: 0

Comparison of Long-Acting Reversible Contraceptive (LARC) Choices by Multiethnic U.S. Adolescents and Young Adults with and without Eating Disorders: A Multicenter Cohort Study. 美国多种族有和无饮食失调的青少年和年轻人选择长效可逆避孕药的比较：一项多中心队列研究

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-09-16 DOI: 10.1016/j.jpag.2025.09.003

Nicole R Ferrigno-Layton, Carly E Milliren, Sarah Pitts, Amy D DiVasta, Michelle Escovedo, Sarah A Golub, Susan M Coupey, Sofya Maslyanskaya

{"title":"Comparison of Long-Acting Reversible Contraceptive (LARC) Choices by Multiethnic U.S. Adolescents and Young Adults with and without Eating Disorders: A Multicenter Cohort Study.","authors":"Nicole R Ferrigno-Layton, Carly E Milliren, Sarah Pitts, Amy D DiVasta, Michelle Escovedo, Sarah A Golub, Susan M Coupey, Sofya Maslyanskaya","doi":"10.1016/j.jpag.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.jpag.2025.09.003","url":null,"abstract":"Study objective: Body image concerns may influence contraceptive choices of adolescents and young adults (AYAs) with eating disorders (EDOs). We aimed to compare long-acting reversible contraceptive (LARC) choices and continuation rates for AYAs with and without EDOs.Methods: We used data on LARC insertions from 2017-2021 from four US adolescent medicine practices measuring demographics, menstrual history, reason for LARC device, follow-up and continuation. Additional record search identified participants with EDOs. We examined associations of EDOs and choice of device using adjusted logistic regression and one-year discontinuation using Cox proportional hazards survival analysis.Results: The cohort included 2,346 AYAs; 80 (3%) with EDO; 32% White; 29% Hispanic, 15% Black. Mean age at LARC insertion 18.7±2.4 years (range 12-25). Participants with EDO vs. without had higher odds of choosing intrauterine devices (IUD) over implants (OR=2.18; 95% CI:1.31, 3.61; p=0.003). One-year LARC continuation rates were 77% overall and similar for those with and without EDOs. AYAs with EDOs vs. without had similar likelihood of LARC device removal within one-year. Participants identifying as Black non-Hispanic (OR=0.34;95% CI;0.26, 0.45, p<0.001) and Hispanic (OR=0.34;95% CI;0.26, 0.45, p<0.001) vs White non-Hispanic had lower odds of choosing IUDs over implants. Black non-Hispanic AYAs had higher likelihood than White non-Hispanics for LARC removal within one-year (HR=1.58; 95% CI: 1.11, 2.25; p=0.01).Conclusions: AYAs with EDOs compared to those without EDOs are more likely to choose IUDs over implants and they have similar high one-year LARC continuation rates . AYAs of non-White race/ethnicities independent of EDO diagnosis are less likely to choose IUDs.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086282","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}

引用次数: 0

Sustained Engagement and Usability of a Mobile App to Study Menstrual Cycles in Young Adolescents. 研究青少年月经周期的移动应用的持续参与和可用性。

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-09-16 DOI: 10.1016/j.jpag.2025.09.004

Sarah H O'Brien, Joseph R Stanek, Adebimpe Adelaja, Andrea E Bonny, Emre Sezgin, Jennifer Chisholm, Natasha S Bala, Sara K Vesely

{"title":"Sustained Engagement and Usability of a Mobile App to Study Menstrual Cycles in Young Adolescents.","authors":"Sarah H O'Brien, Joseph R Stanek, Adebimpe Adelaja, Andrea E Bonny, Emre Sezgin, Jennifer Chisholm, Natasha S Bala, Sara K Vesely","doi":"10.1016/j.jpag.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.jpag.2025.09.004","url":null,"abstract":"Study objective: To test patient engagement and satisfaction with mobile app menstrual monitoring in young adolescents. We hypothesized at least two-thirds of study participants would demonstrate sustained engagement with menstrual tracking over six months.Methods: The study cohort included menstruating adolescents 10-14 years of age with regular access to a smartphone or tablet. Our study design allowed for a completely remote participant experience, and participants were primarily recruited through electronic platforms. Participants used our HIPAA-compliant Teen-Period (T-Dot) mobile app to track menstrual bleeding and related symptoms over a 6-month timeframe.Results: 156 participants were included in data analysis (median age 13 years, IQR 12-14). One hundred participants (64.1%) met the primary outcome of engagement with T-Dot, meaning they entered data for ≥3 menses. Usability of T-Dot was positively rated by study participants, with the majority agreeing or strongly agreeing that T-Dot was easy to use (n=108, 74.5%) and helped to track menses effectively (n=104, 77.2%). Usability scores did not decrease from Week 6 to Month 6, nor did frequency of T-Dot use. Participant engagement did not differ significantly by age, race, body weight, or presence of heavy menstrual bleeding.Conclusion: In this preliminary study of a teen-focused HIPAA-compliant menstrual tracking app, we achieved our enrollment goals and successfully implemented a decentralized prospective cohort study. Our findings demonstrate that menstrual tracking research is possible even in early adolescents.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086375","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}

引用次数: 0

Who You Gonna Trust? Your Doctor or Social Media? 你会相信谁？你的医生还是社交媒体？

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-09-13 DOI: 10.1016/j.jpag.2025.09.001

引用次数: 0

Juvenile gigantomastia with pseudo angiomatous stromal hyperplasia in a 12-year-old female: a case report. 12岁女性青少年巨乳伴假性血管瘤间质增生1例。

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-09-11 DOI: 10.1016/j.jpag.2025.08.006

Dr Yuwei Ma, Dr Nan Xiao, Dr Zhewei Fei, Dr Wenjuan Qiu, Dr Yunshu Lu

引用次数: 0

Extensive Vulvar Involvement as the Initial Presentation of Granulomatosis with Polyangiitis in a Young Woman. 一例年轻女性肉芽肿合并多血管炎的初步表现为外阴广泛受累。

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-09-08 DOI: 10.1016/j.jpag.2025.08.005

Dubravka Živanović, Vesna Kesić, Marija Malinić, Jelena Vuković, Martina Bosić, Vesna Reljić

引用次数: 0

Non-Sedated Intrauterine Device Experiences Among Transgender and Cisgender Adolescents and Young Adults in the Outpatient Setting. 门诊跨性别、顺性别青少年和年轻人使用非镇静宫内节育器的经验。

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-09-05 DOI: 10.1016/j.jpag.2025.08.007

Liz Abernathey, Morgan E Ryan, Carly E Milliren, Kym Ahrens, Amy D DiVasta, Sarah Pitts, Michelle Escovedo, Sofya Maslyanskayaz, Sarah A Golub

{"title":"Non-Sedated Intrauterine Device Experiences Among Transgender and Cisgender Adolescents and Young Adults in the Outpatient Setting.","authors":"Liz Abernathey, Morgan E Ryan, Carly E Milliren, Kym Ahrens, Amy D DiVasta, Sarah Pitts, Michelle Escovedo, Sofya Maslyanskayaz, Sarah A Golub","doi":"10.1016/j.jpag.2025.08.007","DOIUrl":"https://doi.org/10.1016/j.jpag.2025.08.007","url":null,"abstract":"Study objectives: This study compares the demographic characteristics and experiences of three different groups of adolescent and young adults (AYAs) seeking non-sedated intrauterine device (IUD) insertion in the outpatient setting: (1) cisgender individuals, (2) transgender and gender diverse (TGD) individuals receiving gender-affirming testosterone therapy, and (3) TGD individuals not receiving gender-affirming testosterone therapy.Methods: This retrospective cohort study included AYAs age 13 to 21 years seeking IUD insertion. Data were obtained from the electronic health record via a pre-existing, multi-institutional shared quality improvement (QI) collaborative. The patient population was characterized by descriptive statistics; inferential statistics compared procedural complications, outcomes and patient-reported side effects. Unadjusted Kaplan-Meier and Cox proportional-hazard modeling assessed continuation rates.Results: Of the 683 participants attempting IUD insertion, 623 were cisgender individuals, 18 were TGD individuals on gender-affirming testosterone, and 54 were TGD individuals not on testosterone. There was no difference in insertion indication (p=0.25). TGD patients on testosterone were more likely to have experienced a procedural adverse event (17%; p=0.04), and to have reported pain beyond expectation (p=0.003), although insertional success did not differ significantly between groups (p=0.22).Conclusion: TGD AYAs had similar reasons as cisgender patients for seeking the IUD. While TGD individuals on testosterone were more likely to have pain or an adverse procedural event, insertional success did not differ. One-year IUD continuation rates were similarly high in all groups.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015611","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}

引用次数: 0

Utilizing Pharmacists as Partners to Expand Access to Adolescent Reproductive Care. 利用药剂师作为合作伙伴，扩大获得青少年生殖保健。

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-08-13 DOI: 10.1016/j.jpag.2025.08.003

Kelsey K Schmuhl

引用次数: 0

Virilization and hyperandrogenism in Turner syndrome without Y mosaicism: a case report and review of the literature. 特纳综合征无Y嵌合体的男性化和高雄激素症：1例报告和文献回顾。

IF 1.8 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2025-08-12 DOI: 10.1016/j.jpag.2025.08.002

Jacquelyn R Evans, Jennifer M Ladd, Miriam R Conces, Scott E Hickey, Daniel C Koboldt, Y Frances Fei

引用次数: 0