Adolescent GYN

Question 1

ACOG recommended age to begin initial screenings

Answer 1

• 13-15

Question 2

Age of PAP screening tests

Answer 2

• 21

Question 3

STI’s tested for through urine

Answer 3

• Chlamydia
• Gonorrhea
  ACOG recommended annual screening for in all sexually active adolescents

Question 4

STI’s tested for through blood draw

Answer 4

• HIV
• PRP
• Hepatitis

Question 5

In PA minors may consent to

Answer 5

• All contraceptive services
• All STI services
• All placental care
• Medical for minor’s child
  (adoption and abortion services require parental notice)

Question 6

Menses red flags

Answer 6

• Bleeding >7 days
• Cycles <21 and >45
• Menses jumps interval days, not consistent or predictable
• Pad or tampon soaked in an hour
• Cramps not controlled by usual pain relief
• Age 15 and no menses

Question 7

Teen Sexuality ACOG Recommendations

Answer 7

• ACOG recommends annual screening for chlamydia and gonorrhea in all sexually active adolescents
• No symptoms, which is why screening is done
• Can lead to scarring of the fallopian tubes and infertility
• Reported to the state
• Easily and effectively treated w/ antibiotics
• Can be easily screened for w/ a urine sample or vaginal swab w/ out speculum
• Test of cure for Chlamydia should be done in 3-4 months, as reinfection is common

Question 8

Contraceptive options

Answer 8

• LARC; long acting reversible contraception
• Implant
  
  • prevents pregnancy by suppressing ovulation and thicken cervical mucous and may alter the uterine lining (progesterone only)
• IUD
  
  • 2 types: hormonal w/ levonorgestrel (Mirena) and non-hormonal/ copper (ParaGard)

Question 9

HPV Vaccine

Answer 9

Gardasil 9

• Contains 9 diff. HPV types, not life virus, proteins of HPV
• Protects against cervical cancer, vulvar and vaginal cancer, anal cancer, precancerous lesions, genital warts
• Now indicated women 9-26, series of 3 shots