Working closely with referring physicians and other specialists at St. Louis Children's Hospital, the specialists with the Program in Pediatric and Adolescent Gynecology are able to address the special gynecologic needs of children and adolescents -especially those with physical or mental disabilities, or chronic underlying health problems.

Adolescents are especially able to benefit from pediatric gynecology's wellness and prevention programs. We cover topics that are especially important to teens:

• Counseling about the risks of sexual activity
• Education about abstinence programs
• Pregnancy prevention
• Prevention of sexually transmitted diseases

Treating Pediatric Gynecologic Problems

We diagnose and treat gynecologic problems for the infant, child, young adolescent and teen, including a full spectrum of clinical and support services in a comprehensive program for evaluation, specialized treatment and follow-up care. We also provide abstinence counseling, contraceptive counseling and pregnancy prevention strategies.

Evaluating and Treating Children and Adolescents with:

• Heavy, frequent or painful menstrual periods
• Irregular or infrequent menstrual periods
• Signs of early sexual maturation
• Signs of delayed sexual maturation
• Breast abnormalities, asymmetry or pain
• Chronic genital rashes or itching
• Vaginal discharge, drainage or odor
• Unusual appearance of the genitals
• Abdominal pain
• Ovarian cysts or pelvic masses
• Polycystic Ovary Syndrome
• Hyperinsulinemia
• Hirsutism
• Abdominal pain, pelvic endometriosis
• Birth defects involving the reproductive organs
• Injuries involving the reproductive organs
• Abnormal pap smears
• Sexually transmitted infections

Our Specialized Procedures:

• Laparoscopy
• Laser surgery
• Vaginoscopy
• Colposcopy
• Special instruments and equipment that allow the examination of young children and teens in a reassuring and non-threatening environment -- without discomfort
• Special equipment to allow easy access for patients with physical disabilities