,PEDIATRIC AND ADOLESCENT SEXUALITY AND GYNECOLOGY:
PRINCIPLES FOR THE PRIMARY CARE CLINICIAN
I. Foreword
II. Introduction
• Pediatric and Adolescent Sexuality and Gynecology
• References
III. Pediatric Gynecology and Sexuality
Chapter 1: Pediatric and Adolescent Sexuality
• Introduction
• Psychosexual Development
• Attitudes and Sexuality: Masturbation
• The Role of CNS Maturation
• Puberty
• Normal Adolescent Sexuality Stages
• Adolescent Coital Experience
• Factors That Impede Normal Sexuality Development
• Adolescent Pregnancy and Sexually Transmitted Diseases
• Hypersexuality
• Sexual Abuse
• Dating Violence
• Adolescent Sexual Offenders
• Chronic Illness and Disability
• Other Consequences
• Responsible Male Sexuality
• Clinicians as Counselors
, • Homosexuality
o Perspectives on Homosexuality
o Psychological Perspectives
o Diagnostic Perspectives
o Homosexual Identity Perspectives
o Same-Sex Identity Acquisition
o Parents’ Reactions
o Social Perspectives
o Evaluation and Management
▪ Initiating the Evaluation
▪ Evaluation and Management Process
▪ Evaluating Support Systems
▪ Evaluating Social Relationships
▪ Depression and Suicide
▪ Sexually Transmitted Diseases (STDs)
• Conclusion
• Acknowledgments
• References
• Resources
Chapter 2: Prepubertal Office Gynecology
• Introduction
• Genitourinary Examination
o Positioning the Patient
o Documentation of Findings
o Sample/Specimen Collection
• Presenting Symptoms
o Erythema
, 1. Non-specific Vulvovaginitis
2. Diaper Dermatitis
3. Contact Dermatitis
4. Bacterial Vulvovaginitis
o Vulvar Rash
1. Lichen Sclerosus
2. Drug-induced Eruptions
3. Psoriasis
4. Molluscum Contagiosum
o Vaginal Discharge
1. Bacterial Vaginosis
2. Chlamydia, Gonorrhea, Trichomoniasis
3. Foreign Body
o Vaginal Bleeding
1. Sexual Abuse and Trauma
o Perianal Conditions
1. Pinworm Infection (including pinworm vulvovaginitis)
2. Failure of Midline Fusion and Rectal Prolapse
3. Lymphangioma
4. SSSS and Toxic Shock Syndrome
o Miscellaneous
1. Vulvar Hemangioma
2. Labial Agglutination
• References
Chapter 3: Gynecologic Endocrinology
• Introduction
• Development of the Female Reproductive System in the Fetus
PRINCIPLES FOR THE PRIMARY CARE CLINICIAN
I. Foreword
II. Introduction
• Pediatric and Adolescent Sexuality and Gynecology
• References
III. Pediatric Gynecology and Sexuality
Chapter 1: Pediatric and Adolescent Sexuality
• Introduction
• Psychosexual Development
• Attitudes and Sexuality: Masturbation
• The Role of CNS Maturation
• Puberty
• Normal Adolescent Sexuality Stages
• Adolescent Coital Experience
• Factors That Impede Normal Sexuality Development
• Adolescent Pregnancy and Sexually Transmitted Diseases
• Hypersexuality
• Sexual Abuse
• Dating Violence
• Adolescent Sexual Offenders
• Chronic Illness and Disability
• Other Consequences
• Responsible Male Sexuality
• Clinicians as Counselors
, • Homosexuality
o Perspectives on Homosexuality
o Psychological Perspectives
o Diagnostic Perspectives
o Homosexual Identity Perspectives
o Same-Sex Identity Acquisition
o Parents’ Reactions
o Social Perspectives
o Evaluation and Management
▪ Initiating the Evaluation
▪ Evaluation and Management Process
▪ Evaluating Support Systems
▪ Evaluating Social Relationships
▪ Depression and Suicide
▪ Sexually Transmitted Diseases (STDs)
• Conclusion
• Acknowledgments
• References
• Resources
Chapter 2: Prepubertal Office Gynecology
• Introduction
• Genitourinary Examination
o Positioning the Patient
o Documentation of Findings
o Sample/Specimen Collection
• Presenting Symptoms
o Erythema
, 1. Non-specific Vulvovaginitis
2. Diaper Dermatitis
3. Contact Dermatitis
4. Bacterial Vulvovaginitis
o Vulvar Rash
1. Lichen Sclerosus
2. Drug-induced Eruptions
3. Psoriasis
4. Molluscum Contagiosum
o Vaginal Discharge
1. Bacterial Vaginosis
2. Chlamydia, Gonorrhea, Trichomoniasis
3. Foreign Body
o Vaginal Bleeding
1. Sexual Abuse and Trauma
o Perianal Conditions
1. Pinworm Infection (including pinworm vulvovaginitis)
2. Failure of Midline Fusion and Rectal Prolapse
3. Lymphangioma
4. SSSS and Toxic Shock Syndrome
o Miscellaneous
1. Vulvar Hemangioma
2. Labial Agglutination
• References
Chapter 3: Gynecologic Endocrinology
• Introduction
• Development of the Female Reproductive System in the Fetus
