Gynecological Examination in Children and Adolescents

Authors

  • Muhammad Rusda Department of Obstetrics and Gynecology, Endocrinology Reproductive Division, School of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Berry Eka Parda Bancin Department of Obstetrics and Gynecology, Endocrinology Reproductive Division, School of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Andrina Yunita Murni Rambe Department of Otorhinolaryngology, School of Medicine, Universitas Sumatera Utara, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9262

Keywords:

Gynecological, Examination, Pediatric, Adolescent

Abstract

Pediatric gynecological examination is one of the gynecological examinations that are quite simple, but many doctors are unable to do it properly because of the infrequentness of doing this examination. Consulting a child with gynecological complaints, endocrine problems, or sexual abuse often takes a long time and is thorough. However, evidence-based data on the problem of gynecological examinations in children and adolescents are inadequate because of the high bias in many studies. The purpose of this review is to seek from the literature regarding the correct procedures for gynecological examinations in children and adolescents, the order of examinations, and how to carry out a good examination so as not to leave a traumatic experience for children.

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References

Cheikhelard A, Chaktoura Z, Thibaud E. Gynecologic clinical examination of the child and adolescent. Endocr Dev. 2012;22:1-10. https://doi.org/10.1159/000326622 PMid:22846517 DOI: https://doi.org/10.1159/000326622

Sultan C, editor. Pediatric and Adolescent Gynecology: Evidence-based Clinical Practice. Vol. 22. Basel, Switzerland: Karger Medical and Scientific Publishers; 2012. DOI: https://doi.org/10.1159/isbn.978-3-8055-9337-3

Baldwin DD, Landa HM. Common problems in pediatric gynecology. Urol Clin North Am. 1995;22(1):161-76. DOI: https://doi.org/10.1016/S0094-0143(21)01026-0

Kass-Wolff J, Wilson E. Pediatric gynecology: Assessment strategies and common problems. Semin Reprod Med. 2003;21(4):329-38. https://doi.org/10.1055/s-2004-815589 PMid:14724766 DOI: https://doi.org/10.1055/s-2004-815589

Deligeoroglou E, Karountzos V, Creatsas G. Abnormal uterine bleeding and dysfunctional uterine bleeding in pediatric and adolescent gynecology. Gynecol Endocrinol. 2013;29(1):74-8. https://doi.org/10.3109/09513590.2012.705384 PMid:22946701 DOI: https://doi.org/10.3109/09513590.2012.705384

Gordts S, Gordts S, Puttemans P, Campo R, Brosens I. Neonatal uterine bleeding and adolescent endometriosis. Endometriosis in adolescents. J Matern Fetal Nenonatal Med. 2020;2020:359-66. DOI: https://doi.org/10.1007/978-3-030-52984-0_18

Lee H, Woo S, Kim J, Suh S. “Daughter Cyst” sign: A sonographic finding of ovarian cyst in neonates, infants, and young children. Am J Roentgenol. 2000;174(4):1013-5. https://doi.org/10.2214/ajr.174.4.1741013 PMid:10749241 DOI: https://doi.org/10.2214/ajr.174.4.1741013

Vogtländer MF, Rijntjes-Jacobs EG, van den Hoonaard T, Versteegh FG. Neonatal ovarian cysts. Acta Paediatr. 2003;92(4):498-501. https://doi.org/10.1111/j.1651-2227.2003.tb00585.x PMid:12801120 DOI: https://doi.org/10.1111/j.1651-2227.2003.tb00585.x

Strickland JL. Ovarian cysts in neonates, Children and adolescents. Curr Opin Obstet Gynecol. 2002;14(5):459-65. https://doi.org/10.1097/00001703-200210000-00004 PMid:12401972 DOI: https://doi.org/10.1097/00001703-200210000-00004

Zeitoun MM, El-Dawas AO, Ateah MA, El-Deen MA. Consequences of twinning induction to Noemi ewes by a recombinant human follicle-stimulating hormone compared with pituitary-derived porcine follicle-stimulating hormone on follicular dynamics, maternal biochemical attributes, and neonatal traits. Vet World. 2020;13(4):633-41. https://doi.org/10.14202/vetworld.2020.633-641 PMid:32546905 DOI: https://doi.org/10.14202/vetworld.2020.633-641

Hoffman B.L, Schorge J.O, Halvorson L,M, Hamid C, Corton M, Schaffer J. Williams Gynecology. 4th ed. New York: McGraw Hill; 2020.

Sultan C. Pediatric and Adolescent Gynecology, Endocrine Development. Germany: S.Karger; 2004. p. 7. DOI: https://doi.org/10.1159/isbn.978-3-318-01011-4

Bizzarri C, Cappa M. Ontogeny of hypothalamus-pituitary gonadal axis and minipuberty: An ongoing debate? Front Endocrinol. 2020;11:187. https://doi.org/10.3389/fendo.2020.00187 PMid:32318025 DOI: https://doi.org/10.3389/fendo.2020.00187

Lanciotti L, Cofini M, Leonardi A, Penta L, Esposito S. Up-todate review about minipuberty and overview on hypothalamicpituitary-gonadal axis activation in fetal and neonatal life. Front Endocrinol. 2018;9:410. https://doi.org/10.3389/fendo.2018.00410 PMid:30093882 DOI: https://doi.org/10.3389/fendo.2018.00410

Kaplan S, Edgar JC, Ford EG, Adgent MA, Schall JI, Kelly A, et al. Size of testes, ovaries, uterus and breast buds by ultrasound in healthy full-term neonates ages 0-3 days. Pediatr Radiol. 2016;46(13):1837-47. https://doi.org/10.1007/s00247-016-3681-0 PMid:27580909 DOI: https://doi.org/10.1007/s00247-016-3681-0

Simms-Cendan J. Examination of the pediatric adolescent patient. Best Pract Res Clin Obstet Gynaecol. 2018;48:3-13. https://doi.org/10.1016/j.bpobgyn.2017.08.005 PMid:29056510 DOI: https://doi.org/10.1016/j.bpobgyn.2017.08.005

Habeshian K, Fowler K, Gomez-Lobo V, Marathe K. Guidelines for pediatric anogenital examination: Insights from our vulvar dermatology clinic. Pediatr Dermatol. 2018;35:693-5. https://doi.org/10.1111/pde.13586 PMid:29974531 DOI: https://doi.org/10.1111/pde.13586

Smith T, Raman S, Madigan S, Waldman J, Shouldice M. Anogenital findings in 3569 pediatric examinations for sexual abuse/assault. J Pediatr Adoles Gynecol. 2018;31(2):79-83. https://doi.org/10.1016/j.jpag.2017.10.006 PMid:29111300 DOI: https://doi.org/10.1016/j.jpag.2017.10.006

Abu-Alhaija H, Zayed E, Abu-Alhaija B. Anogenital popular lesions is children five year old and younger: Gender differences. Med Res Arch. 2020;74(1):28. https://doi.org/10.5455/medarh.2020.74.28-33 PMid:32317831 DOI: https://doi.org/10.5455/medarh.2020.74.28-33

Schmitz A. Examining Child Life’s Role in Pediatric, Master of Science. Alabama: University of Alabama; 2019.

Sanflippo J, Lara-Torre E, Gomez-Lobo V. Sanfilippo’s Textbook of Pediatric and Adolescent Gynecology. 2nd ed. Boca Raton: CRC Press; 2019. DOI: https://doi.org/10.1201/9781315147659

McCaskill A, Inabinet C, Tomlin K, Burgis J. Prepubertal genital bleeding: Examination and differential diagnosis in pediatric female patients. J Emerg Med. 2018;55(4):e97-e100. https://doi.org/10.1016/j.jemermed.2018.07.011 PMid:30170834 DOI: https://doi.org/10.1016/j.jemermed.2018.07.011

Adams J, Kellogg N, Farst K, Harper N, Palusci V, Frasier L, et al. Updated guidelines for the medical assessment and care of children who may have been sexually abused. J Pediatr Adolesc Gynecol. 2016;29(2):81-7. https://doi.org/10.1016/j.jpag.2015.01.007 PMid:26220352 DOI: https://doi.org/10.1016/j.jpag.2015.01.007

Paltiel H, Phelps A. US of the pediatric female pelvis. Radiology. 2014;270(3):644-57. DOI: https://doi.org/10.1148/radiol.13121724

Norton M, Callen P. Callen’s Ultrasonography in Obstetrics and Gynecology. Amsterdam: Elsevier; 2016.

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Published

2022-03-25

How to Cite

1.
Rusda M, Bancin BEP, Rambe AYM. Gynecological Examination in Children and Adolescents. Open Access Maced J Med Sci [Internet]. 2022 Mar. 25 [cited 2024 Apr. 26];10(T7):68-73. Available from: https://oamjms.eu/index.php/mjms/article/view/9262

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