Adolescent Gynecology by Hina J. Talib

Author:Hina J. Talib
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Conclusions

Results from direct microscopy of the vaginal discharge from our case were consistent with a diagnosis of bacterial vaginosis. Karla was treated with a 7-day course of metronidazole and her symptoms resolved. Her STI screening for gonorrhea and chlamydia and HIV were all negative. Her depression and screening for IPV were also negative. Although not indicated for our current case, the CDC recommends routine cervical cancer screening to all women over the age of 21 years, regardless of sexual preference or sexual practices in accordance with the current guidelines [7]. She was counseled on her contraceptive options and declined initiating a hormonal contraceptive at this visit. She was encouraged to use barrier protection when engaging in sexual intercourse with her partner and given information about community-based LGBTQ peer support groups for high school girls in her city.

Adolescent WSW are a unique group of young women with diverse sexual health needs and who are often presumed to be at low or no risk for STIs because of medical provider bias and presumptions of heterosexuality. Sexual histories for adolescent girls should include all three dimensions of sexual identity, and reporting same-sex behavior should not deter providers from considering and performing screening for STIs, offering contraception counseling including provision of LARC methods, and screening for depression and IPV. Problematic vaginal discharge may be a common gynecologic complaint among these girls, and anticipatory guidance and counseling on the use of barrier methods, hand and sexual instrument hygiene, and the risk of acquisition of sexually transmitted infections should be included in the counseling for these girls. Even with the unique challenges faced by sexual minority youth, the majority grow up healthy and lead happy, productive lives.

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