Children's gynecologist

Just a few decades ago, childrengynecologist was something out of the ordinary. Unfortunately, nowadays a pediatric gynecologist endocrinologist is one of the most popular specializations of pediatricians. Gynecological diseases are rapidly becoming younger and often girls face very unpleasant phenomena. A pediatric gynecologist is becoming an increasingly popular specialist. As a rule, a mother, having noticed something wrong, begins to panic and seek advice and support from more experienced friends or relatives. A variety of means are used - from uncontrolled use of antibiotics to baths with all sorts of herbs. Sometimes these measures help temporarily, and sometimes only worsen the situation. It is most reasonable to consult a doctor - a timely consultation with a pediatric gynecologist will help to avoid many problems, both in the present and in the future. Many parents are embarrassed to contact a pediatric gynecologist, considering it something shameful. But in fact, questions to a pediatric gynecologist can help you avoid many unreasonable worries. But if your concerns are not in vain and your baby really has health problems, a consultation with a pediatric gynecologist will help diagnose diseases in time and prescribe effective treatment. All parents are interested in the question of what a pediatric gynecologist does? The doctor will conduct the necessary examination, prescribe, if necessary, certain studies and select an appropriate treatment regimen. What diseases do pediatric gynecologists endocrinologists have to deal with? There are quite a lot of them, but only the main ones are listed below:

Vulvovaginitis and simple vulvitis. They are the most common diseases of genital organs of an inflammatory nature. These inflammations cause such microorganisms as E. coli, streptococci, enterococci and staphylococci.

Most susceptible to inflammatory diseasesgenitals, those girls who suffer from metabolic disorders often suffer from colds: bronchitis, laryngitis and tracheitis. The child's body is very weakened and as a result, microbes that somehow get into the girl's vagina cause quite severe inflammatory diseases. Most often, pathogenic microorganisms get into the vagina along with feces, with improper daily toilet of the genitals, when the child bathes in polluted water, including natural reservoirs. These diseases, both vulvitis and vulvovaginitis, have approximately similar symptoms. The main symptom of these diseases is whitish discharge from the girl's genital tract. In the same case, if the baby inserted any foreign object into the vagina, be it a button, a small toy, a piece of paper, a pin or a paper clip, as a rule, a fairly severe vulvovaginitis develops, accompanied by a very profuse discharge of leucorrhoea, which has an extremely unpleasant odor.Cystitis is the second most common disease,which a pediatric gynecologist encounters. Cystitis occurs equally often in both boys and girls, but in girls it is much more severe, in a pronounced form. In addition, cystitis occurs equally often in both little girls and teenage girls. Cystitis in babies, as a rule, occurs as a result of hypothermia or vulvitis, and in older girls - as a result of hypothermia, as well as vaginal dysbacteriosis. Treatment of cystitis in children is no different from the treatment of this disease in an adult. Examination by a pediatric gynecologist, urine analysis, and culture for sensitivity of microflora to antibiotics. In no case should you delay the start of treatment for cystitis, since the inflammatory process in girls very quickly spreads from the bladder to the kidneys. At the first signs of the disease, it is necessary for the child to be examined by a pediatric gynecologist.

Thrush is the most commondisease not only in adult women, but even in nursing girls. Infection with yeast-like fungi occurs when the baby passes through the mother's birth canal. In the same way, it is possible to infect a girl not only with mushrooms, but with other simple microorganisms - chlamydia, trichomonads, herpes and gonorrhea.

Thrush is characterized by symptoms such asitching, burning and pronounced redness of the external genitalia, with the release of white cheesy discharge. If the disease is of a trichomonas nature, the discharge is foamy. Parents should remember that most often the disease manifests itself not immediately after childbirth, but only after 4-5 years. In some cases, the incubation period of the disease can last even longer and manifest itself only after the first menstruation.

Another pathology with which they come to the receptionchild gynecologist, this juvenile bleeding. It occurs during the period when the menstrual cycle is being established. It is caused by diseases of various internal organs, chronic intoxications of the body and all sorts of psycho - emotional overloads. Very often the occurrence of juvenile bleeding is provoked by prolonged sun exposure to the girl's organism, or by diseases accompanied by prolonged hyperthermia.

Often it is juvenile bleeding that isone of the first signs of a blood defect in a girl - both congenital and acquired. Juvenile bleeding often develops gradually: at first, the girl has very scanty spotting of ichor, which only after a few days turns into quite heavy bleeding. But in some cases, juvenile bleeding begins very abruptly and violently - the girl begins to bleed heavily. In this case, there is a serious threat to the child's life, so there is an urgent need for an immediate examination by a pediatric gynecologist.

Amenorrhea is the absence of a normalmenstrual cycle in girls and women of reproductive age. As a rule, if a girl 15 - 16 years old does not have a menstrual cycle, doctors talk about primary amenorrhea.

Primary amenorrhea can be caused by manyfactors: hereditary (late onset of menstruation in mother, grandmother), disruption of normal physiological development and organic defects (absence of the uterus, underdevelopment of the ovaries), diseases of the endocrine system, mental development disorders, critically low body weight. If the girl's menstrual cycle has already been established, but after some time the menstruation stopped, and pregnancy is excluded by the doctor, they talk about secondary amenorrhea. Examination of a large number of girls with secondary amenorrhea suggests that in most cases amenorrhea is caused by serious disorders in the endocrine system, such as ovarian or pituitary tumors. Also, secondary amenorrhea can be caused by overloads associated with academic workload, stress, a sharp decrease in body weight, both as a result of diets and as a result of diseases. But in no case should you try to independently establish the cause of amenorrhea and treat it yourself.

Another problem that sometimes occursgirls, this is endometriosis. Endometriosis is the spread of the cells of the uterine cavity (endometrium) beyond its location. Similar areas of the endometrium, as well as the endometrium in the uterus, bleed during the period of menstruation, under the influence of the hormonal background.

In the event that the blood does not have freeoutflow, it accumulates in the body for some time and forms endometriosis cysts. Every month, after each menstruation, the size of the cyst increases, the girl experiences very strong pain. Such cysts must be removed. If the cyst is small, removal occurs with a laser or electrocoagulation. In the same case, if the cyst is very large, removal occurs surgically. A girl with endometriosis needs constant supervision of a gynecologist - endocrinologist.

Inflammatory processes of the uterine appendages alsoare a frequent reason for contacting a pediatric gynecologist. The adnexa of the uterus are the ovaries, ligaments and fallopian tubes. The most common inflammation is the fallopian tubes.

Girls experience inflammatory processes more oftenall due to the weakening of the body's immune system. Most often, inflammation of the uterine appendages is preceded by diseases such as appendicitis and other diseases of the abdominal cavity, acute respiratory diseases, sore throats and tonsillitis. No less dangerous is hypothermia, especially during menstruation. The inflammatory process in the uterine appendages is characterized by severe aching pain localized in the right and left lower abdomen, reaching its peak during menstruation. To treat the disease, doctors use anti-inflammatory drugs, antibiotics and antispasmodics. In addition, antihistamines are used, as well as multivitamin complexes for general strengthening of the body and immune system. In addition, the treatment complex must necessarily include such physiotherapeutic procedures as treatment with an alternating magnetic field and ultrasound.

Unfortunately, but even for small girlsthere are tumors of the genital organs. Most often, these are ovarian tumors, a little less often are tumors of the vagina and uterus. As the statistics of medical observations show, out of every three cases of genital organs genital processes in children, two cases, unfortunately, occur in malignant neoplasms.

And if girls have menstruation before it is establishedcycle, the risk of developing these tumors is relatively small, but it is during the establishment of the menstrual cycle that the chances increase significantly. This is explained by the fact that during this period the girl's hormonal background changes significantly, the sensitivity of the ovarian tissue to hormones increases, the blood supply to the genitals increases, and the synthesis of ovarian cellular elements increases. That is why this period is favorable not only for the natural increase in the size of the ovaries, but also for the development of tumors. Sometimes in some cities, a gynecological examination in kindergarten is still practiced. In general, of course, a preventive gynecological examination for a girl is necessary, but parents should know a few simple things:

It is inadmissible to conduct gynecological examinations in the medical office of the kindergarten - only in the specialized office of the children's polyclinic.
In no case is it permissible to conduct a gynecological examination without prior notification to the parents and obtaining their consent.
Gynecological examination of girls under the age of 15 is carried out only in the presence of the mother.

That is why the gynecologist in the kindergarten is alreadyhas long been a subject of debate among doctors. If you have any doubts about your daughter's health, it is much more reasonable to consult a gynecologist at your clinic. In the event that health problems with the girl still arise, parents begin to wonder where to find a pediatric gynecologist. Some prefer to go to private clinics; residents of large cities have the opportunity to make a call at the clinic, and a pediatric gynecologist will come to your home. However, as the experience of many parents shows, a pediatric gynecologist is a good and competent specialist, and can work in a regular district clinic. Before contacting a doctor, try to find out about him from other parents or on the Internet. In addition, you can always ask a pediatric gynecologist a question and get the most comprehensive answers. Remember that both you and your doctor have one common goal - your daughter's health. After all, if you start treating the disease at the very beginning, there will be much fewer complications. Remember that from a young age it is necessary to protect not only the honor, but also the fragile health of the future woman. We recommend reading: