Gynecologic Emergencies

Abstract

Gynecologic conditions in infants, children, and adolescents are distinct from those seen in adults, due to fluctuating hormone levels from infancy to puberty. This chapter focuses on the prepubertal child as there is significant overlap between gynecologic complaints in postpubertal adolescents and adults. The content in this chapter will enable emergency providers to distinguish normal pediatric gynecologic conditions from urgent and emergent pathology, including ovarian torsion, dysfunctional uterine bleeding and straddle injuries. Guidance for the management and treatment of these conditions is also provided in this chapter.