This is a unique book based on the unusual educational experience of personally conductive clinics in pediatric and
adolescent gynecology at 3 hospitals and a continuing private office consultation over many years.
The subject
is not taught because it is multidiscipline. Our gynecology residents rarely or never see young patients
and vice versa for pediatric residents.
The young patient is completely different than the traditional mature woman
in all aspects and requires special expertise.
In the future it will be taught because it is important for patient care and
because the American Boards of Specialties Examination for Obstetrics-Gynecology, and Pediatrics and Adolescent Medicine now
have questions on it.
The book emphasizes the approach to the young patient, including the psychologic aspects.
There is always anxiety. Each patient is different.
In addition to standard subjects
such as menstrual disturbances, vulvo-vaginitis, tumors, hormonal problems, etc. The book has unique contents
such as the concept of "education for life", and avoiding school drop outs. It is the only book
with newly published reports of discoveries by Dr. Altchek of atopic dermatitis of the vulva; prepubertal, distal longitudinal
vaginal folds (which may mimic molestation); and unilateral labia majora tumor (which may mimic a malignant tumor).
There
is a lengthy chapter about Rokitansky syndrome (MRKH syndrome) of congenital absence of the vagina and uterus based on an
extensive personal experience including psychologic management and a large personal series of the most common surgical procedure
in the USA for treatment.
The contributing authors are experienced. Clinical teachers who have emphasized
diagnosis and management.
The Foreward of the book was written by Dr. Alan DeCherney, Head, Program in Reproductive and Adult
Endocrinology, National Institute of Child Health and Human Development, National Institutes of Health.
The philosophy of the book is illustrated by the
happy faces on the cover.