Challenges and Opportunities in Adolescent Gynecology Patients with Surgically-Treated Congenital and Acquired Anomalies: Transition of Care from Pediatric to Adult Surgery.
The transition from adolescence to young adulthood in patients with reproductive health care needs such as disorders of sexual development and congenital anomalies is a complex process that occurs over several years. The transition process for these patients is still poorly understood. The patients with disorders of sexual development and reproductive issues have specific and unique issues regarding timing of disclosure of diagnosis, genital examinations, gonadectomy, vaginal treatments, surgical procedures, hormone replacement therapy, use of long-term medication, and potential cancer screening. The purpose of this review is to briefly describe complex genital malformations and their associated anomalies with long-term concerns and then provide an overview of what has been published at this time regarding the transition of care to provide some guidance for providers who care for those patients.
['Hertweck|S Paige|SP|', 'Rothstein|David H|DH|']
D000293:Adolescent D000328:Adult D002648:Child D005260:Female D013509:Gynecologic Surgical Procedures D006176:Gynecology D007722:Health Knowledge, Attitudes, Practice D006301:Health Services Needs and Demand D006801:Humans D046468:Sexual Development D060305:Transition to Adult Care D014564:Urogenital Abnormalities D014932:Women's Health Services D055815:Young Adult
Adolescents Transition of care Disorders of sexual development Congenital adrenal hyperplasia DSD Gynecologic anomalies Intersex MRKH syndrome Ovarian conditions Uterovaginal agenesis