Stories about: Gynecology

Clinical consult: Endometriosis

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Even though studies on endometriosis in teenagers began in the 1970s, “Many gynecologists today still claim it is only present in adults,” says Dr. Marc Laufer, chief of Gynecology at Boston Children’s Hospital and co-director of the Center for Young Women’s Health.

Laufer says a large part of his practice is devoted to this condition, in which tissue normally found on the inside lining of the uterus is present elsewhere (most commonly on the ovaries, fallopian tubes, ligaments that support the uterus and tissue covering the bladder and rectum). Roughly 10% of the female population is estimated to have endometriosis. Without treatment, many women with the disease can have chronic pain and some may become infertile. …Read More

Expert’s Corner: Teens and long-acting contraception

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The use of long-acting reversible contraceptive (LARC) methods among teens is on the rise. LARC use among 15- to 19-year-olds increased from 1 to 4.5 percent between 2007 and 2009. Both the American Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics recommend LARC—specifically, intrauterine devices (IUDs) or implants—as a first-line contraceptive option for teens.

Some leaders in pediatric medicine are calling for increased access to LARC for teens. S. Jean Emans, MD, chief of Adolescent Medicine at Boston Children’s Hospital, and her colleague Amy DiVasta, MD, offer some insights into LARC and teens. …Read More

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