Pediatric Adolescent Gynecology


Focusing on gynecologic issues in girls and women from birth to age 25. Specialties include:

  • Pubertal and Menstrual Issues
  • Rare Congenital Disorders
  • Pediatric Vulvo-Vaginal Complaints
  • Complex Contraception
  • Ovarian Masses

Pediatric vulvovaginitis

Vulvar lesions and skin disorders

  • Vaginal discharge, itching, and discomfort is a common symptom seen in both pre-pubertal girls and teenagers. This can be a symptom of an underlying issue or simply due to exposure of an allergen. PAG clinic provides a complete evaluation and exam if needed.

Pre-puberty vaginal bleeding

Precocious and delayed puberty

Dysmenorrhea and Endometriosis (Painful Periods)

Heavy menstrual bleeding

  • Many young women suffer from heavy periods. At PAG clinic we can evaluate the cause and discuss a variety of treatment options.

Irregular menses and Polycystic ovarian syndrome (PCOS)

  • Pediatric and Adolescent Gynecology focuses on irregular bleeding in adolescents and young adult women. The clinic provides complete evaluation and appropriate therapy if needed.
  • PCOS is a common cause of irregular bleeding in women of all ages. It can result in unwanted hair growth and acne. PCOS is also associated with a number of other health issues including obesity, high cholesterol, and diabetes.

Contraception including IUDs and Nexplanon

  • The Pediatric and Adolescent Gynecology clinic is well versed in the risks, benefits, and side effects associated with all methods of birth control. We offer same day insertion of intrauterine devices and Nexplanons.

Care of Transgender Adolescents


  • Ovarian cysts
  • Pelvic masses
  • Vaginal agenesis/MRKH
  • Imperforate hymen
  • Structural abnormalities of the vagina and uterus

What to expect from a Pediatric Gynecology visit/exam?
We will start by talking and taking a thorough history. Depending on the complaint and symptoms we may do an external exam (meaning I just look). Most patients will not require an invasive exam with a speculum or other instruments. Often the exam just includes an evaluation of the skin, neck, or abdomen. Our goal is to make the patient and family as comfortable as possible and avoid unnecessary exams and discomfort.