Pediatric and adolescent gynecology through a global lens

Int J Gynaecol Obstet. 2022 Feb;156(2):189-196. doi: 10.1002/ijgo.13723. Epub 2021 May 21.

Abstract

Girls and adolescents, aged 0-19 years make up almost 30% of the world's female population yet their specific healthcare needs often slip between the gaps of pediatrics and adult women's health. Pediatric and adolescent gynecology is the clinical field that endeavors to address the reproductive health needs of this age group. The environment and psychosocial well-being, social determinants of health, have direct bearing on reproductive health, affecting menstrual cycles, menstrual hygiene, and risks for unintended pregnancy and sexually transmitted infections. This narrative review will highlight common gynecologic conditions of adolescents, especially where diagnosis and management are distinct from adult women. It will also present preventive health strategies to improve reproductive health through vaccination, improved access to hygiene supplies and contraception.

Keywords: adolescent pregnancy; long-acting reversible contraceptives; menstrual cycle; pediatric adolescent gynecology; prevention; reproductive health; social determinants.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Contraception
  • Female
  • Gynecology*
  • Humans
  • Hygiene
  • Menstruation
  • Pediatrics*
  • Pregnancy