Pediatric Gynecology: Assessment Strategies and Common Problems

Jane H. Kass-Wolff, RN, MS; Ellen E. Wilson, MD


Semin Reprod Med. 2003;21(4) 

In This Article

Abstract and Introduction


Pediatric gynecology is an emerging subspecialty involving the collaborative efforts of health professionals from gynecology, pediatrics, and urology. The gynecologic problems encountered in the pediatric population are unique to this age group and involve physician skills differing from those utilized with an adult population. The purpose of this manuscript is to describe the normal anatomy and physiology of the reproductive tract and genitalia and common problems seen in the prepubertal female. Common anatomic variations are considered. Suggestions on assessment techniques for evaluation of the young child are discussed. Presentation of common gynecologic problems in the prepubertal child will include common symptoms, evaluation and testing, and management to enable the practicing gynecology health professional to provide compassionate and quality care to the young female.


Pediatric gynecology is a new specialty incorporating the expertise of gynecologists, pediatricians, and often urologists. The pathologic processes in infants and young children differ significantly from that of the adolescent or adult female. Because of the unique problems in this population, practicing obstetrician-gynecologists are often uncomfortable evaluating and managing these children. The purpose of this article is to provide an overview of the anatomy and physiology of the prepubertal child and to describe specific techniques for the gynecologic exam; evaluation and management of common gynecologic problems seen in this population are discussed.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.