Pediatric and Adolescent Gynecology

Obstetrics & Gynecology

Many of our gynecologist have a special focus on pediatric and adolescent gynecology. We also offer a special program dedicated to the unique needs of younger patients (under age 21). Our pediatric gynecologists specialize in preventive and specialty care for infants, children and teenage girls. Patients receive compassion, respect and guidance from an experienced team. 

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Specialized gynecological care for children and teens: Why choose us?

BJC HealthCare works with Washington University physicians, BJC Medical Group, and providers across the region to deliver extraordinary care. We are here to help. We care for the gynecologic needs of girls from birth through age 21. We provide all the tests, treatments and educational resources you and your child need for wellness.

When you turn to us for adolescent and pediatric gynecology, you’ll find: 

  • Nationally recognized expertise: Barnes-Jewish Hospital is ranked a top hospital in the nation for obstetrics and gynecology, according to U.S. News & World Report. This recognition illustrates the high quality of our care for women and girls. Through their partnership with St. Louis Children’s Hospital and Washington University Physicians, Barnes-Jewish Hospital is able to offer a dedicated program geared to the special needs of these younger patients. 
  • Family-centered approach: Growing up is an exciting time for girls, but it also comes with many questions. As parents, you may not feel like you have all the answers. Our doctors help guide the conversation with your child, so everyone feels more comfortable and informed. 
  • Skilled, collaborative team: You have access to board-certified and fellowship-trained pediatric gynecologists. They work alongside gynecologic surgeons, endocrinologists, psychologists and other experts, providing seamlessly coordinated care for infants, girls and young adults. 
Your Daughter’s First Period: What to Expect

Get tips from our pediatric gynecologist about how you can help your daughter understand her first menstrual period. 

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What to expect at your first visit with a pediatric gynecologist

The first visit provides an opportunity for adolescents to learn more about their bodies. Our skilled gynecologists answer questions and reassure teens about their development, health and sexuality.

We provide counseling on abstinence, contraception and pregnancy prevention strategies. Teens especially can benefit from discussing the risks of sexual activity and how to prevent sexually transmitted infections.

Although our gynecologists focus on preventing teen pregnancy, we also recognize the special needs of pregnant teens. Our Teen Pregnancy Center at Barnes-Jewish Hospital provides obstetrical services, health education and counseling to pregnant adolescents up to age 17.

We also can address specific concerns such as: 

  • Abdominal pain

  • Abnormal vaginal discharge, drainage or odor

  • Acne (pimples)

  • Chronic genital rashes or itching

  • Hirsutism (excessive body hair growth)
Pediatric and adolescent gynecologic conditions

Our expertise includes both common and complex gynecologic concerns. Our services and treatments range from vaccinations and education about safe sex to care for congenital anomalies and hormone disorders. We’re here to connect young women with all the services and treatments they need.

Conditions we treat include: 

  • Abnormal menstruation
    We treat heavy, frequent or painful menstrual periods, as well as irregular or infrequent menstrual periods.
  • Breast abnormalities
    We assess and treat symptoms such as breast pain and asymmetry (breasts that have different sizes, shapes or appearances).
  • Congenital anomalies of the reproductive tract
    Some babies are born with disorders of the vagina, cervix, uterus, ovaries or fallopian tubes. The external or internal genitalia can be affected.
  • Delayed puberty
    Hormone disorders and other problems can delay breast development, menstruation and growth.
  • Early puberty
    Hormone disorders and other problems can affect breast development, menstruation, height, skin and body hair earlier than normal.
  • Endometriosis
    Uterine tissue grows outside the uterus, often on the ovaries or fallopian tubes, and may cause pelvic pain and other symptoms.
  • Genital injuries
    Straddle injuries are the most common type of genital trauma in girls. They’re often the result of falls or accidents during play or sports.
  • Ovarian cysts or pelvic masses
    Fluid-filled sacs or solid growths, which are usually benign (noncancerous), can grow on or within the ovaries.
Pediatric Gynecology Specialized Procedures

We offer a wide range of specialized procedures to evaluate and treat gynecologic conditions in young children and teens. We select noninvasive or minimally invasive tests to minimize discomfort and stress whenever possible.

We offer: 

  • Consultations and reconstructive surgery: We can discuss your child’s options for reconstructive surgery for congenital anomalies or traumatic reproductive tract injuries.
  • Vaginoscopy: We use a thin, flexible tube with a video camera on one end to check for problems inside the vagina. A vaginoscopy is a noninvasive test. 
  • Colposcopy: A colposcopy allows us to look at the cervix, vagina and vulva. We use a special tool inserted in the vagina to evaluate and treat abnormal bleeding
  • Laser surgery: We use ultrasound-guided laser therapy to perform some procedures such as cyst and tumor removal. 
  • Laparoscopy: Laparoscopy is a minimally invasive procedure to evaluate and treat abdominal masses, pelvic pain and pelvic endometriosis. 
  • Fertility preservation: If your child needs cancer treatment or a bone marrow transplant, we can discuss options for preserving their ability to have children of their own in the future
Pediatric and Adolescent Gynecology News & Resources

Schedule your appointment

Call (314) 362-9355 or (800) 392-0936 to schedule your appointment with a pediatric gynecologist. 

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