Dive into the fascinating world of Pediatric and Adolescent Gynecology (PAG) with this week's guest, Dr. Lissa Yu from Seattle Children's Hospital. This conversation shatters common misconceptions about what PAG specialists actually do - far beyond just teen pregnancy and contraception.

Outline

• What is PAG? History and Scope
• Why Choose PAG as a Specialty?
• Common Conditions and Patient Care
• Research Opportunities and Typical Day
• Becoming a PAG: Training Pathways
• Professional Resources and Organizations

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What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Dr. Susan Kaufman is joined by Dr. Mary Romano, a PAG physician from Vanderbilt and the current president of NASPAG, to discuss Relative Energy Deficiency in Sports (RED-S) previously knows as the Female Athlete Triad.

Outline:

• Highlights of a case study involving a 17-year-old athlete
• Identifying high-risk sports for developing energy deficiency
• Psychological and physiological impacts of inadequate energy
• Importance of early detection and intervention strategies
• Key roles of nutrition and hydration in athlete health
• Holistic approaches to treatment, involving multiple disciplines
• Empowering parents and coaches to support athletes effectively
• Importance of addressing hormonal imbalances with appropriate therapies

References:

- NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 13
- Reproductive Health Management of Female Adolescent Athletes With Relative-Energy Deficiency in Sport by Mary Romano and Amy Sass in Journal of Pediatric and Adolescent Gynecology

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about how to work up and examine prepubertal bleeding, as well as differential diagnoses.

Outline

• Patient and Family History
• Examination techniques and consent
• positioning and observation techniques
• differential diagnoses of prepubertal bleeding
• Common Causes
• Rare Causes
• Case review

Check out the episode visuals on YouTube.

References:

• Clinical Review: Prepubertal Bleeding, Valerie Bloomfield, MD, FRCSC, Abigail Iseyemi, MD,FRCSC, Sari Kives, MD, MSc, FRCSC, JPAG, 2023
• Current review of prepubertal vaginal bleeding, Dwiggins, Gomez-Lobo, 2017
• Essentials of Pediatric and Adolescent Gynecology: Chapter 7

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Camille Imbo, MD PGY6 and Susan Kaufman, MD discuss delayed puberty, the last in their series on puberty. The episode provides an in-depth exploration of delayed puberty, discussing key signs and the clinical evaluation process for young teens facing this challenge. It addresses common causes, the importance of physical exams, and appropriate treatments while offering reassurance and guidance for families.

Check out the video on YouTube.

Outline
• Defining delayed puberty by breast development and menstruation standards
• Importance of comprehensive medical and family history in evaluations
• Role of growth charts in monitoring physical development
• Value of physical exams in diagnosing anatomical issues
• Differentiating between hypogonadotropic and hypergonadotropic hypogonadism
• Exploring hormonal treatments and lifestyle changes
• Addressing oncofertility considerations for young patients
• Understanding eugonadotropic amenorrhea and its anatomical causes
• Concluding reassurance and guidance for families on managing delayed puberty

References:

• Essentials of Pediatric and Adolescent Gynecology: Chapter 6

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

In this next part of the puberty series, Camille Imbo, MD and Susan Kaufman, MD discuss precocious puberty including isolated, peripheral, and central precocious puberty. They also discuss treatment and management goals.

Outline
- Understanding Abnormal Puberty
- Types of precocious puberty
- Peripheral precocious Puberty
- McCune Albright Syndrome
- Central Precocious Puberty
- Treatment
- Case discussion and management

Check out the visual post on YouTube.
References:

• Essentials of Pediatric and Adolescent Gynecology: Chapter 6

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

A short introduction to what is PAG over Pastries, its format, and what we hope you get out of it.
Check out the visual post on YouTube.

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.

Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about normal puberty, the many axes involved, the milestones, and expected timing of each.

References:

• Essentials of Pediatric and Adolescent Gynecology: Chapter 5

Check out the visual post on YouTube.

Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching?

What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

Want to test your knowledge?
PAG WebEd cases are a great way to review our podcast content.