Department of Obstetrics and Gynecology, Tergooi, The Netherlands.
University of Central Florida College of Medicine, Orlando, FL, USA.
Int J Gynaecol Obstet. 2022 Feb;156(2):189-196. doi: 10.1002/ijgo.13723. Epub 2021 May 21.
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.
女孩和青少年,年龄在 0-19 岁,占世界女性人口的近 30%,但她们的特殊医疗保健需求往往在儿科和成年女性健康之间存在差距。儿科和青少年妇科是致力于满足这一年龄组生殖健康需求的临床领域。环境和社会心理福祉、健康的社会决定因素,对生殖健康有直接影响,影响月经周期、月经卫生以及意外怀孕和性传播感染的风险。这篇叙述性评论将重点介绍青少年常见的妇科疾病,特别是在诊断和管理方面与成年女性不同的疾病。它还将提出预防保健策略,通过疫苗接种、改善卫生用品和避孕措施的获取来改善生殖健康。