Adolescent and Young Adult Gynecology

We offer surgical treatments for teens and young adults with common and rare anomalies:

• Hymenal anomalies like imperforate hymen
• Uterine anomalies, including rare conditions like accessory horns of the uterus
• Vaginal anomalies, including vaginal septum (divided vagina) and agenesis (failure to develop vagina)
• Labial differences, including enlargement and underdevelopment

Our team carefully considers the capabilities of each patient when designing and communicating appropriate gynecologic treatment plans for patients with:

• Cerebral palsy or other medical conditions resulting in physical disability
• Trisomy 21, also known as Down syndrome
• Autism spectrum disorders (ASD)
• Developmental disabilities, such as developmental delays and attention deficit hyperactivity disorder (ADHD)

We also collaborate with our developmental and behavioral pediatricians to design an effective management plan for your teen.

POI, formerly known as premature ovarian failure, can have many causes in teenagers, including:

• Autoimmune diseases
• Genetic disorders
• Cancer treatments
• Idiopathic

Whether a patient has a new diagnosis of POI or has had POI for many years, we can partner with our pediatric endocrinologists on hormone replacement therapy tailored for each patient’s age and condition.

Our team specializes in addressing gynecological issues for teens and young adults with all types of genetic disorders, including:

• Turner syndrome, which can delay puberty and menstruation
• Rare genetic syndromes, such as:
  • Beckwith-Wiedemann syndrome (BWS), a congenital overgrowth syndrome
  • Prader-Willi syndrome, which can cause underdeveloped reproductive organs and delayed puberty
• Differences of physical development, such as androgen insensitivity syndrome (AISSwyer syndrome, also known as 46,XY complete gonadal dysgenesis)

Having certain disorders or undergoing treatment for many chronic diseases can put patients at risk for gynecological issues, so they require more specialized gynecological care. We routinely provide gynecologic care for children with:

• Bone marrow transplant for noncancerous conditions
• Cancer
• Congenital cardiac disease
• Hematologic issues, including sickle cell disease and bleeding disorders like von Willebrand disease
• HIV/AIDS
• Neurologic conditions, including epilepsy
• Neurological disease
• Rheumatologic issues, such as lupus
• Solid organ transplants