PAG over Pastries

Dr. Susan Kaufman and  Dr. Bianca Allison take on contraception for teens whose chronic conditions and medications make standard options unsafe or ineffective. They discuss how we protect confidentiality, apply CDC guidance, and still center teen autonomy. • assessing pregnancy-related risks tied to chronic disease and treatment • protecting confidentiality with evolving minor consent laws and car...

We trace the line from “bad cramps” to a careful, compassionate evaluation for endometriosis, showing how physiology, history, and practical treatment choices restore a teen’s daily life. Evidence, empathy, and clear steps help shorten the long road to relief and reduce missed school and stress. • defining primary and secondary dysmenorrhea and why prostaglandins matter • prevalence figures and di...

We walk through a clear roadmap for evaluating heavy menstrual bleeding in teens, from what counts as normal to when labs and treatment should start. A case of a 15-year-old with 10-day periods and nosebleeds anchors a practical workup and evidence-based care plan. • Normal adolescent cycle ranges and red flags for heavy bleeding • Definitions that guide when to test and treat • Key causes in teen...

walk through what a healthy teen menstrual cycle looks like, why early cycles are often irregular, and how to recognize red flags that need care. We share practical ways to track flow, choose products, reduce pain, and support teens with sensitivity and clarity. • menarche timing, influences, and normal ranges • early anovulatory cycles and HPO axis maturation • typical cycle intervals and expecte...

Dr. Susan Kaufman, pediatric gynecologist at Virtua Health, is joined by Dr. Tania Dumont, pediatric gynecologist from CHEO and the University of Ottawa, to break down how to perform a pediatric gynecologic exam with empathy, clarity, and evidence, from newborn anatomy to adolescent assessment. We show how language, positioning, and choice reduce fear while improving visualization, diagnosis, and...

Dr. Susan Kaufman, PAG physician at Virtua health in New Jersey, and Dr. Olga Kciuk, PAG physician at Stanford University, walk through laparoscopic care for pediatric and adolescent patients from consent and anatomy to entry, pain control and recovery. The focus stays on safety, physiology, and teen-centered decisions that protect fertility and speed return to life. Reference:  NASPAG Essentials...

Venture into the intricate world of complex genitourinary anomalies with pediatric and adolescent gynecologists Drs. Susan Kaufman and Megan Sumida. Their discussion unravels the challenges and approaches to conditions that fundamentally alter the anatomical landscape for young patients. Reference NASPAG Essentials of Pediatric and Adolescent Gynecology : Chapter 25 What is PAG? Pediatric and Adol...

Dr. Susan Kaufman and Dr. Yossie Ahmadieh, an adolescent medicine doctor with Physicians for Reproductive Health, explore the vital topic of gender-affirming care for transgender and gender-diverse adolescents, discussing how appropriate medical interventions can be life-saving for these vulnerable youth. Outline Introduction to Transgender Healthcare Basics Barriers and Mental Health Consideratio...

Dr. Vrunda Patel, a PAG physician at Nemours Children's Hospital in Wilmington, Delaware, and Dr. Camille Imbo PGY6 PAG fellow discuss the increasing trend of teenage patients seeking evaluation for labial concerns, often driven by appearance rather than medical issues. Many teens and parents lack understanding about what constitutes normal genital appearance. Outline Normal Vulvar Developmen...

Fertility preservation options have dramatically expanded for children and adolescents in recent decades, offering hope to patients undergoing gonadotoxic therapies for cancer and other conditions. Dr. Stephanie DuFour, PAG and REI attending at CHEO in Ottawa, Canada, joins Dr. Susan Kaufman to discuss the latest advances in preserving reproductive potential for young patients facing treatments th...

Dr. Jane Su, a PGY4 OBGYN resident at university of Ottawa, joins Dr. Susan Kaufman to discuss POI with a special emphasis on Turner's syndrome. Both important and life changing diagnoses that cannot be missed! Outline Case Presentation Introduction to POI  Defining POI: Causes and Prevalence Clinical Presentation and Diagnostic Approach Treatment Strategies for POI Turner Syndrome: Character...

Dr. Julie Cron, an OBGYN with PAG certification at Presbytarian and Cornell, joins Dr. Camille Imbo PGY6 to explore amenorrhea - the absence of menstruation - breaking down how to evaluate and diagnose this important vital sign in adolescent patients. Outline Introduction to Amenorrhea Types Physical Exam Importance Hormonal Evaluation & Causes Understanding Lab Results Genetics and Structural...

This episode, we are joined by Dr. Aliah Fonteh, a PGY2 resident, and Dr. Alla Vash-Margita a PAG attending at Yale to break down what every provider should know about sexually transmitted infections.  Outline Introducing STIs in Adolescent Care Confidential Interviews with Teen Patients Common STIs: Chlamydia, Gonorrhea, Trichomonas Syphilis: Screening and Diagnostic Challenges HPV and Vaccinatio...

Dive into the fascinating world of Pediatric and Adolescent Gynecology (PAG) with this week's guest, Dr. Lissa Yu from Seattle Children's Hospital. This conversation shatters common misconceptions about what PAG specialists actually do - far beyond just teen pregnancy and contraception. Outline What is PAG? History and Scope Why Choose PAG as a Specialty? Common Conditions and Patient Ca...

Dr. Susan Kaufman is joined by Dr. Mary Romano, a PAG physician from Vanderbilt and the current president of NASPAG, to discuss Relative Energy Deficiency in Sports (RED-S) previously knows as the Female Athlete Triad.  Outline: • Highlights of a case study involving a 17-year-old athlete • Identifying high-risk sports for developing energy deficiency • Psychological and physiological impacts of i...

Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about how to work up and examine prepubertal bleeding, as well as differential diagnoses. Outline Patient and Family History Examination techniques and consent positioning and observation techniques differential diagnoses of prepubertal bleeding Common Causes Rare Causes Case review Check out the episode visuals on YouTube . References: Clinical Rev...

Camille Imbo, MD PGY6 and Susan Kaufman, MD discuss delayed puberty, the last in their series on puberty. The episode provides an in-depth exploration of delayed puberty, discussing key signs and the clinical evaluation process for young teens facing this challenge. It addresses common causes, the importance of physical exams, and appropriate treatments while offering reassurance and guidance for...

In this next part of the puberty series, Camille Imbo, MD and Susan Kaufman, MD discuss precocious puberty including isolated, peripheral, and central precocious puberty. They also discuss treatment and management goals. Outline - Understanding Abnormal Puberty - Types of precocious puberty - Peripheral precocious Puberty - McCune Albright Syndrome - Central Precocious Puberty - Treatment - Case d...

Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about normal puberty, the many axes involved, the milestones, and expected timing of each. References: Essentials of Pediatric and Adolescent Gynecology: Chapter 5 Check out the visual post on YouTube . What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and...

A short introduction to what is PAG over Pastries, its format, and what we hope you get out of it. Check out the visual post on YouTube .  What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary f...