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Gynaecology problems in puberty.
Best Practice & Research Clinical Endocrinology & Metabolism ( IF 7.4 ) Pub Date : 2019-06-14 , DOI: 10.1016/j.beem.2019.06.002
Sonia R Grover 1
Affiliation  

With the onset of puberty a range of problems may be encountered by the young girl. Some of these include a range of gynaecological issues relating to delayed onset of puberty, delayed menarche, atypical pubertal changes and the identification of anomalies of the genital tract. The distinction between physiological events and pathological problems is important to avoid unnecessary distress and anxiety. The onset of cyclic hormonal changes also provokes a number of "non-gynaecological" problems - where the link to cyclic hormonal events is often overlooked and an important opportunity to potentially intervene and assist is missed. From a global perspective there are a range of problems that are particularly encountered with the onset of puberty including the risks of sexual violence, which in the setting of having achieved the age of reproductive potential result in unplanned pregnancies, unsafe abortions and adolescent pregnancy all of which pose life threatening risks. Sex education in its broadest sense is important for all young people. Access to contraception for adolescents is vital, such that clinicians across all streams of health care who are involved in the care of young people should take the opportunity to educate and provide this care.

中文翻译:

青春期的妇科问题。

随着青春期的开始,年轻女孩可能会遇到一系列问题。其中一些包括与青春期延迟发作,初潮延迟,青春期非典型变化以及生殖道异常的鉴定有关的一系列妇科问题。生理事件和病理问题之间的区别对于避免不必要的困扰和焦虑很重要。周期性荷尔蒙变化的发作还引发了许多“非妇科”问题-经常忽略与周期性荷尔蒙事件的联系,而错过了可能进行干预和协助的重要机会。从全球的角度来看,青春期开始时尤其会遇到一系列问题,包括性暴力的风险,在达到育龄年龄的情况下,这会导致计划外的怀孕,不安全的堕胎和青春期怀孕,所有这些都构成威胁生命的风险。广义上的性教育对所有年轻人都很重要。青少年获得避孕措施至关重要,因此,涉及青年保健的所有医疗保健领域的临床医生都应趁此机会进行教育并提供这种保健。
更新日期:2019-06-14
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