adolescent gyn Flashcards
adrenarche
adrenal productions of androgens
thelarche
breast budding
stage 2
pubarche
pubic/axillary hair develops
stage 2
soft pubic hair
breast buds
stage 3
coarser pubic hair
breast mounds form
stage 4
pubic hair starts covering area
breast enlargement
stage 5
pubic hair to inner thigh
breast takes adult contour
3 things that influence adolescent development
ethnic differences
genetic factors
anatomic factors
adolescent AUB
immature HPO axis
medications
pregnancy
coagulopathies
r/o trauma, abuse, infxn
4 things you can give adolescents at any age
contraception
pregnancy test
STI testing and treatment
who can get emergency contraceptives? who would need a prescription?
17+ can get it
if under 17, they need Rx
how old must you be to get CONFIDENTIAL HIV testing?
14+ years old
3 times when you must report and break confidentiality with minors?
nonconsensual sexual contact
deemed incompetent
altered consciousness or sexual contact was w/ caregiver
what age should you start talking about independent visits?
9-10 year old
at what age are kids able to label gender
18-24 months
by what age do kids use pronouns consistently?
2-4 years old
by what age do kids understand their own gender?
by 5-6 years old
examples of social affirmations for gender affirmation
reversible interventions like pronouns, hair, clothes
two examples of surgical affirmations
hair distribution modifiers
surgeries
which groups are the most vulnerable groups for STDs?
gay & bi men
15-24yo
pregnant women
which group have more unprotected sex on average?
sexual minorities