Show Notes
Dr. Susan Kaufman, pediatric gynecologist at Virtua Health, is joined by Dr. Tania Dumont, pediatric gynecologist from CHEO and the University of Ottawa, to break down how to perform a pediatric gynecologic exam with empathy, clarity, and evidence, from newborn anatomy to adolescent assessment. We show how language, positioning, and choice reduce fear while improving visualization, diagnosis, and outcomes. Reference: NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 4 What is ...
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Dr. Susan Kaufman and Dr. Kirsten Das walk through how and why prepubertal vulvar and vaginal symptoms happen so often, then show how small hygiene and toileting changes can resolve many cases without antibiotics. We also cover the high-stakes diagnoses you cannot miss, from lichen sclerosus to painful non-sexually transmitted vulvar ulcers and labial adhesions. What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare ...
Dr. Susan Kaufman and Dr. Bianca Allison take on contraception for teens whose chronic conditions and medications make standard options unsafe or ineffective. They discuss how we protect confidentiality, apply CDC guidance, and still center teen autonomy. • assessing pregnancy-related risks tied to chronic disease and treatment • protecting confidentiality with evolving minor consent laws and careful charting • using the Guttmacher resource for state-by-state consent rules • reviewing ...
We trace the line from “bad cramps” to a careful, compassionate evaluation for endometriosis, showing how physiology, history, and practical treatment choices restore a teen’s daily life. Evidence, empathy, and clear steps help shorten the long road to relief and reduce missed school and stress. • defining primary and secondary dysmenorrhea and why prostaglandins matter • prevalence figures and diagnostic uncertainty in adolescents • first line management with timed NSAIDs and continuous hor...
We walk through a clear roadmap for evaluating heavy menstrual bleeding in teens, from what counts as normal to when labs and treatment should start. A case of a 15-year-old with 10-day periods and nosebleeds anchors a practical workup and evidence-based care plan. • Normal adolescent cycle ranges and red flags for heavy bleeding • Definitions that guide when to test and treat • Key causes in teens: anovulation and coagulopathy • Focused history and exam without routine pelvic exams • Labs t...
walk through what a healthy teen menstrual cycle looks like, why early cycles are often irregular, and how to recognize red flags that need care. We share practical ways to track flow, choose products, reduce pain, and support teens with sensitivity and clarity. • menarche timing, influences, and normal ranges • early anovulatory cycles and HPO axis maturation • typical cycle intervals and expected variability • defining normal flow, duration, and clot size • dysmenorrhea care with NSAIDs an...