Adolescent gynecology is the medical specialty that deals with the gynecological problems of the younger females or adolescent girls or teenagers. A woman’s body is much different as it is more developed than the body of an adolescent girl and therefore, the adolescent gynecological problems affecting these younger females need special care and attention. Gynecological problems in adolescents or teenagers are common, and although grave pathology is rare, distress and discomfort can be significant. Adolescent girls are underneath bigger pressure than ever before, mainly in terms of examination performance; they find menstrual dysfunction predominantly hard to manage.
Cautious and sympathetic assessment is crucial, and artless treatment remedies are enough. Nevertheless, multifaceted and rare medical conditions can also occur and must not be missed. Some congenital disorders present for the first time in adolescence.
Early diagnosis and proper treatment of gynecological conditions will ensure the best possible outcomes in terms of sexual function and probable fertility.
Here, we give a detailed overview of top 5 types of adolescent gynecology problems and their treatments:
What are the top 5 adolescent gynecology disorders and their treatments?
What is Amenorrhea?
The condition of the deficiency of the menstrual bleeding is called Amenorrhea. There are two types of Amenorrhea: primary and secondary.
In primary amenorrhea, there can be two conditions. In the first condition, a 14 years girl experiences absence of the menstrual bleeding and secondary sexual characteristics (such as pubic hair and breast development). In the second condition, a 16 years girl experiences absence of the menstrual bleeding but secondary sexual characteristics remains normal.
In secondary amenorrhea, the woman experiences natural menstrual bleeding but she stops menstruating later for about 3 or even more months due to the absence of pregnancy and lactation, menopause or cycle suppression with birth control pills (hormonal contraceptive pills).
What is the treatment of Amenorrhea?
Amenorrhea can be caused by the nutritional deficiencies (due to dieting) in some teenagers, so the best way to treat it is to eat a properly balanced diet. The patient can consult a nutritionist for a balanced diet plan.
Some women experience amenorrhea due to excessive body weight, so these women should limit the intake of fat in their diet and follow an exercise regime regularly to maintain a balanced body weight.
It is recommended that a moderate exercise program is followed because a vigorous exercise for more than 8 hours may also cause amenorrhea.
Some adolescents experience amenorrhea due to excessive weight loss (anorexia nervosa), so by maintaining a healthy body weight, the condition can be controlled.
If amenorrhea is caused by stress, managing the stress help the patient to control the condition.
Avoid smoking and alcohol for achieving a healthy lifestyle greatly helps in preventing the amenorrhea.
What is dysmenorrhea?
Dysmenorrhea is the condition in which female experiences pain during menstruation (often referred as “menstrual cramps”). Dysmenorrhea is classified into two types: “primary” and “secondary”.
Primary dysmenorrhea is characterized by menstrual cramps that occur again and again and they are not because of some other disease. Normally, pain occurs 1-2 days before the menstrual bleeding or at the time when it starts and it usually felt in back, lower abdomen or thighs. Pain can be mild or severe, may last for 12 to 72 hours and may happen along with nausea, exhaustion or even diarrhea. In most cases, with the age of the woman, menstrual cramps become less painful and they may completely stop if a woman is having a baby.
Secondary dysmenorrhea is characterized by pain that is caused by some other illness/disease in reproductive organs of the women such as adenomyosis, endometriosis, uterine fibroids, or some infection. The pain in this type of dysmenorrhea starts early in the menstrual cycle and can last longer. This pain is not present with vomiting, nausea, or diarrhea.
How to treat Dysmenorrhea?
For treating mild menstrual cramps, the patient can take pain relievers such as aspirin or ibuprofen, acetaminophen or naproxen as soon the bleeding or cramping starts.
Heat can also give relief. A heating pad or hot water bottle can be placed on the place where the pain is occurring such as the lower back. A warm bath can also provide relief.
3- Abnormal vaginal bleeding
What is abnormal vaginal bleeding?
Abnormal vaginal bleeding in the teenage years usually has non-organic causes; but, a wary elimination of organic causes is necessary before the diagnosis of dysfunctional uterine bleeding is made. The differential diagnosis in the case of such a complaint and a management plan is discussed.
How to treat abnormal vaginal bleeding?
There is no home treatment available for abnormal vaginal bleeding. With certain types of vaginal bleeding, it may be okay to wait to see if the bleeding stops on its own. The patient should check her symptoms to choose if and when she should see a doctor. If the bleeding continues or gets worse, consult the OB/GYN specialist to find out the reason for the bleeding and possible treatment.
4- Sexually transmitted diseases (STDs)
What are sexually transmitted diseases (STDs)?
STDs are the diseases that are transmitted when the sexual intercourse is unprotected. These diseases are extremely infectious. Unguarded sexual contact increases the risk of having STDs such as HIV infection and unwanted pregnancy.
In the USA alone, every year, around 19 million cases of STDs are reported and among these cases, half of the number of affected individuals is from 15 to 24 years of age group.
Some of the common sexually transmitted diseases are:
- Acquired Immune Deficiency Syndrome (AIDS),
- Human Papillomaviruses (HPVs),
- Pelvic inflammatory disease (PID),
- Chlamydial infections,
- Genital Herpes,
- Genital warts, and
The symptoms of some of STDs appear gradually while some of them even don’t appear. In females, sometimes, it becomes difficult to differentiate the symptoms of STDs and those of other diseases. Female patients experience more severe and frequent symptoms of STDs. Due to sexually transmitted diseases, the fallopian tubes and uterus can be harmed, inflammatory disease can be developed which can further lead to infertility and the risk of cervical cancer becomes high. The STD can be passed from a pregnant female to the unborn baby if she gets the disease during her pregnancy. In such cases, the newborn baby can be treated but sometimes, the child becomes disabled for whole life or even die.
How to treat STDs?
Early treatment is imperative if an adolescent is diagnosed with a sexually transmitted disease because prompt treatment can help to effectively and successfully treat the underlying condition. During the treatment, the patient should stay away from sexual intercourse. Follow-up checkups are necessary after the treatment. Different types of tests such as pelvic examination, Pap smear, and test for STDs should be conducted at regular intervals.
A functioning knowledge about contraception greatly supports the pediatrician in promoting the sexual health preferment and treating the common adolescent gynecological disorders. The best practices in providing the guidance to adolescent include reviewing the sexual health history, performing screening for pregnancy and STDs, giving counseling and even giving access to the contraceptives.
The long-term relationships of pediatricians with adolescents and their families let them help encourage a healthy sexual decision-making, including the abstinence and contraceptive use.
What to do:
Cumulative evidence from studies of adolescents suggests that individual counseling about contraception and sexual health topics is most operative using patient-centered approaches, such as motivational interrogating. Motivational interrogating can be used to address the uncertainty and discrepancies among adolescents’ sexual and contraceptive behaviors, their sexual and relationship morals, and future life goals. Motivational interviewing is accomplished through open-ended questions and cautious listening. In the situation of pregnancy prevention and sexual health promotion, debates might explore the adolescent’s reasons for becoming sexually active and the effect that sexual intercourse and unintended pregnancy may have on relationships with peers, parents, and noteworthy others.
For the treatment of adolescent gynecologic problems, consult Women Caring For Women:
The team of skilled, experienced and board-certified obstetricians and gynecologists help the adolescents and teenagers who are experiencing gynecologic problems. Here at Women Caring for Women, we are having the best OB/GYN specialist in Staten Island, who provides the customized treatment for different gynecologic conditions affecting the adolescents. For booking an appointment online, visit our website or call (718) 630-1300