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Title Date

Adolescent Confidentiality and Electronic Health Records

Number 599

ABSTRACT Confidentiality concerns are heightened during adolescence and these concerns can be a critical barrier to adolescents in receiving appropriate health care Health care providers caring for minors should be aware of federal and state laws that affect confidentiality State statutes on the r...

May 2014

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Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices

Number 539

(Replaces Committee Opinion No. 392, December 2007, Reaffirmed 2014)

ABSTRACT Longacting reversible contraception LARCintrauterine devices and the contraceptive implantare safe and appropriate contraceptive methods for most women and adolescents The LARC methods are toptier contraceptives based on effectiveness with pregnancy rates of less than 1 per year for perfe...

October 2012

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Depot Medroxyprogesterone Acetate and Bone Effects

Number 602

(Replaces Committee Opinion Number 415, September 2008)

ABSTRACT Depot medroxyprogesterone acetate DMPA is a highly effective injectable contraceptive that affords privacy and has a convenient dose schedule of four times per year making it appealing to many users especially adolescents Although the use of DMPA is associated with loss of bone mineral de...

June 2014

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Gynecologic Concerns in Children and Adolescents With Cancer

Number 607

ABSTRACT Advancements in radiation therapy chemotherapy surgery and multimodal treatment have dramatically improved childhood cancer survival However cancer and its treatment may have immediate or delayed adverse effects on reproductive health Gynecologists should be prepared to manage gynecologic...

August 2014

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Health Care for Transgender Individuals

Number 512

ABSTRACT Transgender individuals face harassment discrimination and rejection within our society Lack of awareness knowledge and sensitivity in health care communities eventually leads to inadequate access to underutilization of and disparities within the health care system for this population Alt...

December 2011

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Human Papillomavirus Vaccination

Number 641

(This Committee Opinion Replaces Committee Opinion Number 588)

ABSTRACT Human papillomavirus HPV is associated with the development of anogenital cancer including cervical vaginal vulvar penile and anal oropharyngeal cancer and genital warts Human papillomavirus vaccination can significantly reduce the incidence of anogenital cancer and genital warts Despite ...

September 2015

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Menstrual Manipulation for Adolescents With Disabilities

Number 448

(Reaffirmed 2012)

ABSTRACT Defining the reasons for intervention and the precise goal of treatment are the most critical issues regarding use of interventions to alter menstrual flow in adolescents with disabilities Reasons for intervention may relate to abnormal uterine bleeding hygiene mood issues fear of pregnan...

December 2009

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Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign

Number 651

(Replaces Committee Opinion 349, November 2006)

ABSTRACT Despite variations worldwide and within the US population median age at menarche has remained relatively stablebetween 12 years and 13 yearsacross wellnourished populations in developed countries Environmental factors including socioeconomic conditions nutrition and access to preventive h...

December 2015

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Müllerian Agenesis: Diagnosis, Management, and Treatment

Number 562

(Replaces No. 355, December 2006, Reaffirmed 2015)

ABSTRACT Müllerian agenesis occurs in 1 out of every 400010000 females The most common presentation of müllerian agenesis is congenital absence of the vagina uterus or both which also is referred to as müllerian aplasia MayerRokitanskyKüsterHauser syndrome or vaginal agenesis Satisfactory vaginal ...

May 2013

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Options for Prevention and Management of Heavy Menstrual Bleeding in Adolescent Patients Undergoing

Number 606

ABSTRACT Adolescents undergoing cancer treatment are at high risk of heavy menstrual bleeding and gynecologists may be consulted either before the initiation of cancer treatment to request strategies for menstrual suppression or during an episode of severe heavy bleeding to stop the bleeding emerg...

August 2014

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Reproductive Health Care for Incarcerated Women and Adolescent Females

Number 535

ABSTRACT Increasing numbers of women and adolescent females are incarcerated each year in the United States and they represent an increasing proportion of inmates in the US correctional system Incarcerated women and adolescent females often come from disadvantaged environments and have high rates ...

August 2012

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Risk of Venous Thromboembolism Among Users of Drospirenone-Containing Oral Contraceptive Pills

Number 540

(Reaffirmed 2014)

ABSTRACT Although the risk of venous thromboembolism is increased among oral contraceptive users compared with nonusers who are not pregnant and not taking hormones and some data have suggested that use of drospirenonecontaining pills has a higher risk of venous thromboembolism this risk is still ...

November 2012

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The Initial Reproductive Health Visit

Number 598

(Replaces Committee Opinion Number 460, July 2010)

ABSTRACT The initial visit for screening and the provision of reproductive preventive health care services and guidance should take place between the ages of 13 years and 15 years The initial reproductive health visit provides an excellent opportunity for the obstetriciangynecologist to start a pa...

May 2014

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The Transition From Pediatric to Adult Health Care: Preventive Care for Young Women Aged 18-26 Years

Number 626

ABSTRACT Young women aged 1826 years are a heterogeneous population transitioning from adolescence into adulthood who may present with unique issues and challenges including a potential gap in health care after pediatric health care Obstetriciangynecologists should note that these patients may nee...

March 2015

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Von Willebrand Disease in Women

Number 580

(Replaces No. 451, December 2009, Reaffirmed 2015)

ABSTRACT Von Willebrand disease the most common inherited bleeding disorder among American women is a common cause of heavy menstrual bleeding and other bleeding problems in women and adolescent girls Von Willebrand disease and other inherited and acquired disorders of coagulation and hemostasis s...

December 2013

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American Congress of Obstetricians and Gynecologists
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