About PGA

Mission Statement

Pediatric and adolescent gynecology is an emerging subspecialty involving the collaborative efforts of health professionals from gynecology, adolescent medicine, pediatric surgery, pediatric urology, and pediatric endocrinology. The gynecologic problems encountered in the pediatric population are unique to this age group and require physician skills different from those utilized with an adult population. The normal anatomy and physiology of the reproductive tract and genitalia in the prepubertal female is distinctly different than in the adult female. Both common anatomical variations and complex Müllerian and urogenital anomalies require the skills of professionals specifically trained to evaluate and treat both common and complex conditions. The pathologic processes in infants and young children differ significantly from those of the adult female. Presentation of common gynecologic problems in the prepubertal child, evaluation and assessment techniques, and therapeutic management require a comprehensive understanding of embryology, hormonal physiology, and prepubertal anatomy, along with an educated vision of how prepubertal pathology may affect future sexual and reproductive functioning. The goal is to provide compassionate, comprehensive, high-quality health care to young female patients.

The specialty of pediatric and adolescent gynecology is unique with respect to understanding gynecologic pathology as it has an impact on the different stages of a patient’s life cycle. As a girl matures through puberty, sexual functioning, and fertility, her pathology may take on different forms, manifest in different ways, and be associated with different implications. Specific emphasis will be placed on disorders of sex development, pelvic reconstructive surgery for congenital anomalies of the reproductive tract, and minimally invasive laparoscopic surgery for ovarian cysts and endometriosis.

Young girls with surgical issues will benefit from a comprehensive treatment center that will cohesively work toward a healthy anatomical, hormonal, and psychological outcome. To that end, we provide easy access to the patient, her parents, and her referring medical doctor. Excellent communication is vital to the success of this program. This communication process begins with scheduling timely appointments, making sure appropriate records are obtained and available at the time of consultation, providing assistance with travel and accommodations for out-of-town referrals, retrieving and responding to messages in a timely fashion, arranging necessary radiologic studies, pre-certificating and scheduling for surgical procedures, and arranging follow-up appointments. Most importantly, it is imperative that the patient and her parents feel that the people involved in this process are approachable, accountable, and reliable. The goal is to minimize the obstacles and maximize the desired outcomes for the patient while providing excellent, highly specialized care to young girls who can benefit from our gynecologic expertise.

Associated Organizations

American College of Obstetricians and Gynecologists (ACOG)
North American Society for Pediatric and Adolescent Gynecology (NASPAG)
American Society of Reproductive Medicine (ASRM)
Society for Laparoscopic Surgeons (SLS)
Society for Gynecologic Surgeons (SGS)
American Pediatric Surgical Association (APSA)
American College of Surgeons (ACS)
Accord Alliance (DSD outreach)
CARES foundation (CAH outreach)
AIS-DSD
Beautiful You MRKH support group