Children's Hospital Colorado

Pediatric and Adolescent Gynecology Medical Education Videos

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Experts in Children's Hospital Colorado's Department of Pediatric and Adolescent Gynecology are dedicated to advancing the field to improve the care and lives of all young females with gynecologic conditions. That's why we conduct research to advance care techniques that can be used for our patients and kids anywhere. Watch the gynecology medical education videos below for protocols and research from our experts to help improve the care of your patients.

Diagnosing endometriosis

Menstrual pain and cramps are very common in women and affect 50% to 90% of female teens. However, it is when the pain gets progressively worse and occurs outside the menstrual cycle, that it might be time to consider a pathological cause, such as endometriosis. Watch the video to learn the differences between primary and second dysmenorrhea and how to diagnose and treat endometriosis.

Imperforate Hymen and Müllerian Anomalies in Adolescents and Teens

Tricia Huguelet, MD, Chief of Pediatric and Adolescent Gynecology, describes the typical presentation of hymen imperforations in adolescents and young adults, as well as obstructing and non-obstructing müllerian anomalies. Dr. Huguelet also reviews the basic embryology and treatment approach for these conditions and explains when the best time is to perform surgery.

Causes and Treatment of Pelvic Pain in Adolescent Females

Chronic pelvic and abdominal pain can be debilitating for a young girl. Finding the source of this pain in adolescent females and diagnosing the condition can also be particularly challenging.

In this video, Stephen Scott, MD, MPH, emphasizes the fact that pain originates from nerve signaling and uses this understanding to help him identify the source of pain and its cause. Watch the video to learn how Dr. Scott teams up with specialists from urinary and gastrointestinal medicine to develop a holistic approach to identifying and managing chronic pelvic pain in adolescent girls.

Diagnosing and Treating MRKH in Adolescent Girls

Affecting approximately one in every 4,500 newborn girls, Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome can be challenging to treat both medically and psychologically, due to the potential loss of fertility. In this video, Veronica Alaniz, MD, MPH, talks about the types of Müllerian agenesis associated with MRKH. This includes the process for diagnosis and considerations for work-up, evaluation and treatment, such as support and counseling.

Pediatric vaginoscopy and hysteroscopy procedures

Gynecological examination of the prepubertal girl can be challenging. In the office setting, the examination should be limited to external inspection only; speculum exams should not be performed in pediatric patients. Procedures such as vaginoscopy can be used for the diagnosis of gynecologic conditions in prepubertal girls.

In this video, pediatric and adolescent gynecologist Veronica Alaniz, MD, discusses the indications, proper technique and risks of vaginoscopy and hysteroscopy. Vaginoscopy is a diagnostic procedure that can be used to evaluate the inside of the vagina and is recommended for girls who are too young for a speculum exam or cannot tolerate one. Hysteroscopy is a procedure to evaluate and manage issues of the uterine cavity and is typically only performed in adolescents when indicated. Hysteroscopy is performed in the operating room under general anesthesia. When indicated, both vaginoscopy and hysteroscopy procedures can be performed by a pediatric and adolescent gynecologist at Children’s Hospital Colorado.