Journal of pediatric and adolescent gynecology
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J Pediatr Adolesc Gynecol · Dec 2009
Questionnaire study on menstrual disorders in adolescent girls in Singapore.
Adolescence, the transitional phase of physical and mental development between childhood and adulthood, is characterized by immense hormonal changes. Owing to the immaturity of the hypo-thalamo-pituitary-ovarian axis, menstrual cycles tend to be rather irregular. This variability poses a dilemma for physicians treating these girls and may result in a delay in the diagnosis and treatment of underlying problems. The purpose of this study was to collect data on the characteristics of menstrual cycles in Singapore adolescents to determine the prevalence of menstrual abnormalities and the pattern of use of medical treatments for these abnormalities. ⋯ Menstrual problems among adolescent females are common and a significant source of morbidity in this population. However, adolescent girls are reluctant to seek medical treatment, leading to delay in diagnosis and treatment. Appropriate health education measures need to be put into place to prevent this trend.
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Alkaline batteries are known to cause caustic burns to the esophagus when ingested. We report a case of alkaline burns to the vagina. ⋯ In this unique case, we discuss the treatment options and postulate reasons for the excellent outcome in this patient.
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J Pediatr Adolesc Gynecol · Oct 2009
Massive ovarian edema and contralateral mature cystic teratoma: asymptomatic presentation in a premenarchal female.
Massive ovarian edema is a rare entity, which in most cases occurs in adult females presenting with abdominal pain. We present an unusual case associated with contralateral teratoma in a premenarchal female. ⋯ Recognition of this rare condition is important to avoid overtreatment of massive ovarian edema. Intraoperative biopsy is recommended as an alternative to oophorectomy in this patient group.
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J Pediatr Adolesc Gynecol · Jun 2009
Interstitial cystitis is an etiology of chronic pelvic pain in young women.
The prevalence of interstitial cystitis (IC) in young women, especially in those 18 years old or younger, is not well defined. This case series was performed to investigate IC as a cause of chronic pelvic pain (CPP) in young women. ⋯ The results of this study suggest that interstitial cystitis is an etiology of CPP in young women. Evaluation of the bladder as an origin of pelvic pain is warranted in young women with CPP and urinary frequency or dyspareunia.