SURVEY LINK: https://bit.ly/feedback_UltraSounds
SUMMARY: Theresa and Rachel discuss 3 clinical vignettes regarding gyn care for adolescents and girls with disabilities.
TIMESTAMPS:
00:53 Dr. Monica Rosen Biography
02:06 Case 1: 13 year old girl with a history of cerebral palsy presenting with concerns about menstruation
08:57 Case 2: 21 year old woman with a history of spina bifida presenting for gynecologic exam
12:08 Case 3: 8 year old girl with a history of trisomy 21 presenting with concerns about menarche and puberty
18:52 Wrap-up
LINKS:
Reimers, Arne, et al. “Ethinyl Estradiol, Not Progestogens, Reduces Lamotrigine Serum Concentrations.” Epilepsia. 2005;46(9):1414–1417.
Curtis, Tepper, Jatlaoui, et al. U.S. Medical Eligibility Criteria for Contraceptive Use, 2016.; 2016.
Daunov M et al. Prevalence of VTE in Ambulatory and Non-Ambulatory Patients with Cerebral Palsy. Pathophysiology of Thrombosis.
2019;134(1):2428.
ACOG Committee Opinion, No. 651. Menstruation in girls and Adolescents: Using the Menstrual Cycle as a Vital Sign. Obstet Gynecol. 2015;126(6).
Cutler G. The role of estrogen in bone growth and maturation during childhood and adolescence. J Steroid Biochem Mol Biol. 1997;61(3-6):141-144.
Frances YF et al. Satisfaction With Hormonal Treatment for Menstrual Suppression in Adolescents and Young Women With Disabilities. J Adolesc Health. 2021;69(3):482-488.
Quint, EH. Adolescents with Special Needs: Clinical Challenges in Reproductive Health Care. J Pediatr Adolesc Gynecol. 2016;21(1):2-6.
Fei YF, Ernst SD, Dendrinos ML, Quint EH. Preparing for Puberty in Girls With Special Needs: A Cohort Study of Caregiver Concerns and Patient Outcomes. J Pediatr Adolesc Gynecol. 2021;34(4):471-476.
Enujioke SC, Leland B, Munson E, et al. Sexuality Among Adolescents With Intellectual Disability: Balancing Autonomy and Protection. Pediatrics. 2021;148(5).
TRANSCRIPT: https://bit.ly/ultrasounds_PAGs_disabilities
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
