Pediatric Gynecology Day
Update on Pediatric and
Adolescent Gynecology

May 5, 2017
Montréal Québec

Agenda

7:30 - 8:00 Registration and Continental Breakfast
8:00 - 8:15 Introduction and Word of Welcome Dr. Suzanne Mac Donald
8:15 - 8:45

OPENING PLENARY
Prepubertal Gynecology Revisited Dr. Ian Comeau and Dr. Suzanne Mac Donald
By the end of this presentation, the learner should:
  • Understand the maturation and anatomy of the prepubertal female genital tract;
  • Know the proper technique and particularities of the prepubertal genital exam;
  • Be aware of variants of normal genital anatomy.
8:50 - 11:30 WORKSHOPS
8:50 - 9:35


SESSION I
A. Prepubertal Vulvar Disorders Dr. Ian Comeau
By the end of this presentation, the learner should:
  • Be able to differentiate between the most common pediatric vulvar conditions;
  • Develop an understanding of the first line management of common pediatric vulvar conditions;
  • Have an approach to the child with discharge and/or pruritus;
  • Be aware of some pediatric vulvar conditions where the evidence-based approach to care has changed in recent years.
  B. Vaginal Bleeding in the Prepubertal Child Dr. Suzanne Mac Donald
By the end of this presentation, the learner should:
  • Be able to discuss the differential diagnosis for prepubertal genital bleeding;
  • Know the approach to the child with isolated genital bleeding versus the child with genital bleeding and discharge.
C. Dysmenorrhea/Pelvic Pain in Adolescents Dr. Elsa Quiros-Calinoiu
By the end of this workshop, the learner should:
  • Understand the pathophysiology of dysmenorrhea in teenagers;
  • Understand the difference between primary and secondary dysmenorrhea;
  • Understand treatment approaches to dysmenorrhea;
  • Be able to discuss the differential diagnosis and initial management for pelvic pain (including endometriosis, rectus muscle tear, PID and ovarian pathology).
D. Approach to the Sexually Active Teenager Ms Monica O'Donohue, clinical nurse specialist
By the end of this workshop, the learner should:
  • Know what the stakes are for a sexually active teen;
  • Feel more confident engaging adolescents in conversations about their sexual health, relationships, and sexual behaviours;
  • Be able to identify interventions that will help the adolescent to reflect on at-risk behaviours;
  • Know how to teach adolescents to use their chosen mode of contraception effectively;
  • Be more aware of community and on-line resources for adolescent sexual health.
9:35 - 9:55 BREAK AND VISIT EXHIBITS
9:55 - 10:40 SESSION II (repeat of workshops A to D)
10:45 - 11:30 SESSION III (repeat of workshops A to D)
11:30 - 12:00

PLENARY
The Particularities of the Menstrual Cycle in Adolescents Dr. Franziska Baltzer
By the end of this presentation, the learner should:
  • Understand the particular physiology of menstruation in the adolescent patient;
  • Know the normal variations regarding onset of menses, length and frequency of cycles, intensity of bleeding in adolescence;
  • Be able to discuss the recent FIGO classification for abnormal uterine bleeding;
  • Know the key questions to ask on history to ascertain the extent of bleeding and guide therapy;
  • Recognize the red flags of menstrual abnormalities in adolescents and learn about the basic concepts of evaluation and management.
12:00 - 13:00 LUNCH BREAK
13:00 - 15:40 WORKSHOPS
13:00 - 13:45

SESSION IV
E. Contraception in Adolescents Dr. Giuseppina Di Meglio
By the end of this workshop, the learner should:
  • Be able to state the available methods of contraception in teens and their efficacy;
  • Be able to state the WHO contraindications to the use of estrogens in teens;
  • Be aware of the most recent CPS guidelines regarding teenage contraception including recent innovations.
F. Abnormal (heavy) Uterine Bleeding in Adolescents Dr. Susan Finkelberg
By the end of this workshop, the learner should:
  • Learn the most up-to-date definition of abnormal uterine bleeding (FIGO classification);
  • Be able to discuss the differential diagnosis of abnormal menstrual bleeding in the postpubertal teen;
  • Be able to state the approach to treatment of abnormal menstrual bleeding in teens according to the MCH menorrhagia protocol (case-based discussion).
  G. Oligomenorrhea and Amenorrhea in Adolescents Dr. Franziska Baltzer
By the end of this workshop, the learner should:
  • Be able to establish a differential diagnosis for teens presenting with oligomenorrhea / amenorrhea;
  • Be able to state in which ways the approach to amenorrhea differs in adolescents as compared to adult women;
  • Acquire the principles of the work-up and treatment of hyperandrogenemia in adolescents.
H. Gynecological Care for Sexual Minority Youth Dr. David Martens
By the end of this workshop, the learner should:
  • Learn the keys to communicating with sexual minority youth (what to say/what to avoid);
  • Learn how to provide gynecological care for lesbian patients / transgender males / transgender females.
13:50 - 14:35 SESSION V (repeat of workshops E to H)
14:35 - 14:55 BREAK AND VISIT EXHIBITS
14:55 - 15:40 SESSION VI (repeat of workshops E to H)
15:45 - 16:05

PLENARY
STIs in Adolescents Blitz Dr. Holly Agostino
By the end of this presentation, the learner should:
  • Learn about the prevalence of various STI in adolescents;
  • Be able to discuss the Canadian STI screening guidelines;
  • Learn the approach to STI testing in the office setting;
  • Be able to discuss the provincial treatment guidelines for cervicitis and PID.
16:05 - 16:15 Closing Remarks
Dr. Suzanne Mac Donald