Pediatric and Adolescent Gynecology Services

The Stanford Program for Pediatric and Adolescent Gynecology provides expert medical care to children and adolescents with female reproductive system (gynecologic) needs.

The Center provides expert medical care in a caring and sensitive environment. We are staffed by a team of specialists, experienced nurse coordinators, and administrative support, all of whom are devoted to the goal of providing patients with the highest quality health care. We work closely with referring providers to coordinate a patient's treatment and management.

We offer a comprehensive range of services for the evaluation, diagnosis and treatment of children and adolescents with gynecologic disorders including, but not limited to:

Preventive health and guidance for teens and parents
Menstrual problems
- Early or delayed puberty
- Heavy bleeding
- Frequent bleeding
- Infrequent bleeding (oligomenorrhea)
- Absent menstrual periods (amenorrhea)
- Menstrual suppression in girls with developmental delay or complex medical problems
Genital (vulvar or vaginal) infection or pain
- Vulvovaginitis - Inflammation of the vagina and/or vulva
- Vaginitis
- Lichen sclerosus
- Bacterial vaginosis - A type of vaginal infection
- Genital warts (condyloma) - Warts on the inside or outside areas of the genitals that may spread to the surrounding skin or to a sexual partner
- Bartholin’s gland cysts - Fluid-filled lumps at the opening of the vagina
- Vulvar rash
- Vulvar lump or tumor
- Vulvar vestibulitis - Inflammation of the opening to the vagina and surrounding tissues
- Vulvar pain (vulvodynia)
Genital injuries
- “Straddle” injuries
Abnormal Pap smear
- Cervical dysplasia - Abnormal growth of cells on the surface of the cervix
- Human Papillomavirus (HPV)
Ovarian cysts and masses
- Pain
- Rupture
- Twisting (torsion)
Pelvic pain
- Menstrual pain (dysmenorrhea)
- Endometriosis - Tissue normally inside the uterus grows in other areas of the pelvis
- Chronic pelvic pain
Genital anomalies
- Absent vagina and/uterus
- Imperforate hymen - No hymenal opening
- Hymenal obstruction (bands, vaginal septum)
- External genitalia malformations
Endocrine (hormonal) problems
- Polycystic Ovarian Syndrome (PCOS) - A hormonal disorder that can cause infertility
- Excess facial and body hair (hirsutism)
- Acne
Pregnancy-related problems in adolescents
- Tubal (ectopic) pregnancy
- Unintended pregnancy
- Miscarriage
Pregnancy prevention (contraception)
- Birth control pills
- Birth control patch (Evra)
- Birth control vaginal ring (Nuvaring)
- Birth control shot (Depo-Provera)
- Birth control implant (Implanon)
- Intrauterine device (IUD—Mirena and Paraguard)
- Birth control for adolescents with complex medical problems
Breast problems
- Asymmetry
- Cysts, lumps
- Breast discharge
Abnormal puberty
- Precocious or delayed
Adolescent sexual health
- STD prevention
- STD evaluation and treatment
- Pelvic infection (pelvic inflammatory disease—PID)