Spotlight on… paediatric and adolescent gynaecology

Paediatric and adolescent gynaecology (PAG) used to be the remit of the general gynaecologist, but with increasing specialisation, the knowledge and skills required to practice in this niche specialty have been concentrated with those running specialised PAG clinics. PAG covers all areas of gynaecological health in children up to the age of 16, and it is important to bear in mind that the vast majority of medical conditions presenting in the PAG clinic also present in adult gynaecology clinics. However, managing patients in a PAG clinic is somewhat unique in that the consultation can involve up to three generations and can often be a consultation with the family. Also, there is a tendency to direct the consultation to parents but it is important to involve the patient as much as is possible.

In 2018, Ephia Yasmin wrote a TOG Spotlight on PAG and discussed the articles previously published in TOG till then. These included articles on child sexual exploitation (TOG 2017;19:205–10) and late effects of childhood cancer (TOG 2016;18:315–22). Since then, a range of articles covering various aspect of paediatric and adolescent health have been published.