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Paula K. Braverman, MD, FAAP and Leslie Breech,
Adolescent Sexual Health
Pediatricians who provide primary care to adolescent girls will often address gynecologic issues, including questions related to puberty, menstrual disorders, contraception, sexually-transmitted infections and other infections. The American Academy of Pediatrics (AAP) promotes the inclusion of the gynecologic exam in the primary care setting. A new AAP clinical report, “Gynecologic Examination for Adolescents in the Pediatric Office Setting,” published in the September 2010 print issue of Pediatrics (published online Aug. 30,) reviews the gynecologic examination, including when a pelvic exam is indicated. Most adolescents do not need an internal examination, but when they do, the best setting is often in the primary care office with a pediatrician who has established a trust and rapport with the patient. The report also covers when a referral to a gynecologist is indicated.
Paula K. Braverman, MD, FAAP, pediatrician and co-author of a new AAP clinical report "Gynecologic Examination for Adolescents in the Pediatric Office Setting" and Leslie Breech, a gynecologist who represented ACOG in drafting the report both come on the show to discuss this report and help parents to guide their teen girls through their first Gynecologic exam, and prepare them for life as a women.
Dr. Paula Braverman is a Professor of Pediatrics in the Division of Adolescent Medicine at Cincinnati Children’s Hospital Medical Center. She completed medical school at Yale Medical School and a residency in Pediatrics at Yale-New Haven Hospital. She then completed a fellowship in Adolescent Medicine at Cincinnati Children’s Hospital Medical Center.
From 1987-2003 she was the Chief of Adolescent Medicine at St. Christopher’s Hospital for Children in Philadelphia and returned to Cincinnati Children’s in 2003. In her current position, she is Director of Community Programs in the Division of Adolescent Medicine and Medical Director at the Juvenile Detention Center in Hamilton County.
Her interests include adolescent gynecology, juvenile justice, and community based health education. One of her current community projects includes training middle school teachers to implement of a 6-week series on healthy eating and physical activity (FUN & FIT) based on the published Expert Guidelines. Another involves a collaborative project with the Hamilton County Juvenile Court training male juvenile corrections officers to co-lead small groups of court involved adolescent males in a youth development program that addresses the meaning of manhood, communication, responsibilities of fatherhood and pregnancy and STD prevention. She has been a member of the Committee on Adolescence for the past six years and currently represents the Committee for AAP at the Adolescent Health committee of ACOG and is a member of the Juvenile Committee of the National Commission on Correctional Health Care.
Lesley Breech, M.D., is specially trained in pelvic reconstruction and other medical and surgical management of genital anomalies. She has nearly 9 years’ experience providing surgical and medical gynecology at Emory University and the University of Cincinnati College of Medicine. She has a special interest in the care of girls and young women with abnormalities of the development of the reproductive organs. In 2004, Dr. Breech joined the multidisciplinary care provided by the Center for Pediatric Pelvic and Genitourinary Reconstruction at Cincinnati Children’s Hospital Medical Center. She also provides gynecologic care for young women with bleeding disorders, polycystic ovarian syndrome, endometriosis, and other gynecologic concerns of pediatric and adolescent females.
Melanie Cole, M.S.
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