Referring a Patient for Gynecologic Evaluation or Consultation

Dr. Paula Hillard, Dr. Stephanie Cizek and Dr. Nichole Tyson see patients for evaluation and consultation. They work actively with referring clinicians to facilitate diagnosis, treatment and management. They are available to speak by phone with clinicians who have questions about management or referral. Please call the Packard Children's Hospital Physician Referral Center at (800) 995-5724.

Pediatric and Adolescent Gynecology Services

The Program for Pediatric and Adolescent Gynecology offers a comprehensive range of services for the evaluation, diagnosis and treatment of adolescents and children with gynecologic disorders including, but not limited to:

• Preventive health and guidance for adolescents and their parents
• Menstrual dysfunction
  • Precocious or delayed puberty
  • Menorrhagia
  • Menometrorrhagia
  • Oligomenorrhea
  • Primary and secondary amenorrhea
  • Menstrual suppression in girls with developmental delay or complex medical problems
• Vulvovaginal problems
  • Recurrent vulvovaginitis
  • Candidiasis
  • Lichen sclerosus
  • Bacterial vaginosis
  • Condyloma
  • Bartholin’s gland abscess or cysts
  • Vulvar lesions
  • Vaginal foreign body
  • Labial adhesions
  • Vulvar vestibulitis
  • Vulvodynia
• Genital trauma
  • Traumatic injuries (straddle injury) or other trauma
  • Post assault injuries (after primary assault assessment and care completed)
• Abnormal Pap smear
  • Cervical dysplasia
  • HPV
  • Colposcopy
  • Treatment of cervical, vaginal, or vulvar dysplasia:
    • Cryotherapy
    • LEEP
    • Laser
• Pelvic Mass
  • Uterine abnormalities
    • Uterine fibroids
    • Obstructed uterine horn in bicornuate uterus
• Ovarian cysts and tumors
• Germ cell tumors (benign cystic teratomas—dermoids, and other)
• Symptomatic ovarian masses
  • Ovarian cyst
  • Ovarian cyst rupture
  • Adnexal torsion
• Pelvic pain
  • Dysmenorrhea
  • Endometriosis
  • Chronic pelvic pain
• Genital anomalies
  • Utero-vaginal agenesis
  • Imperforate hymen
  • Hymenal bands
  • Vaginal septa—transverse and longitudinal
  • Uterine anomalies—bicornuate, uterine septa, duplications
  • External genitalia malformations—clitoromegaly, labial hypertrophy
• Endocrine abnormalities
  • Polycystic Ovarian Syndrome (PCOS)
  • Hirsutism
  • Acne
  • Congenital adrenal hyperplasia
  • Ambiguous genitalia
  • Androgen insensitivity syndrome
  • Premature ovarian failure (POF)/ovarian insufficiency
  • Gonadal dysgenesis
• Pregnancy-related problems in adolescents
  • Ectopic pregnancy
  • Unintended pregnancy
  • Spontaneous abortion
• Contraception
  • Oral, transdermal, vaginal combination contraceptives
  • Extended cycle oral contraceptives
  • Progestin-only contraception
    • Depo-Provera
    • Implanon (subdermal implant)
    • Progestin-only pills
  • IUDs—Mirena and Paraguard
  • Contraception for adolescents with complex medical problems
• Breast problems
  • Asymmetry
  • Cysts, masses
  • Galactorrhea
• Abnormal Puberty - Precocious or Delayed
• Adolescent Sexual Health
  • STD prevention
  • STD evaluation and treatment
  • Pelvic inflammatory disease (PID)