Paediatric and adolescent gynaecology for General Physicians
How pediatric & adolescent gynecology is tested
Written for DHA, SMLE, DOH, QCHP, OMSB, MOH, NHRA and Kuwait MOH — the same GP licensing mix, not a pediatric & adolescent gynecology specialist paper.
These stems are puberty timing, primary amenorrhoea in a teen, and when a paediatric PV complaint is infection vs abuse vs foreign body.
Tanner stage plus growth tells you delayed vs precocious. Primary amenorrhoea at 15 with no secondary characteristics is a different workup from an athletic 16-year-old who is otherwise developed.
Prepubertal bleeding is not “a period.” Foreign body, trauma and rare tumours enter. Safeguarding overrides a neat endocrine label.
When is delayed puberty investigated?
No secondary characteristics by the standard age cut-off, or no menses by 15–16 with development. Check growth, TSH, and whether gonads are working.
Adolescent heavy bleeding — first thoughts?
Haemodynamic stability, pregnancy test, anaemia, and coagulopathy in the young. Do not assume fibroids in a 14-year-old.
Prepubertal vaginal bleeding — never say?
“Normal period.” Examine (appropriately, with a chaperone) and think foreign body, trauma, or rare tumour.
More Gynae subspecialties