Description
Adolescence is a defining stage of human development, shaping not only the immediate transition from childhood to adulthood but also influencing lifelong well-being. Traditionally, medical education has addressed this phase through distinct and often isolated lenses: physiological changes from a pediatric, endocrinologic and gynecological perspective, psychological development through psychiatry and psychology. Too often, it overlooks the fact that this is also the period of sexual development, a stage where its sometimes dramatic consequences emerge, exacerbated by a society that fails to provide adequate support on this critical issue. However, such a segmented approach does not fully capture the complexity of this transformative period.
This book - stemming from the IAHR workshop - aims to offer a groundbreaking, interdisciplinary perspective on adolescence, acknowledging the intricate interplay between genetics, metabolism, nutrition, psychological health, and environmental influences.
It explores how these factors interact and collectively impact an individual's future health and quality of life. By bridging gaps between disciplines, the book provides a more comprehensive and holistic understanding of adolescence as a pivotal period with far-reaching consequences. Bringing together experts from pediatrics, endocrinology, gynecology, psychology, psychiatry, and social sciences, this volume fosters collaboration to develop comprehensive medical and psychological support strategies.
By rethinking adolescence through an integrated lens, this book aims to redefine how healthcare professionals approach adolescent health, emphasizing its profound influence on future well-being.
Introduction.- Adolescence in the present World.- Part I PUBERTAL DEVELOPMENT, PRECOCIOUS PUBERTY AND STEROID-GENETIC DEFECTS AFFECTING ADOLESCENCE.- The Normal Process of Puberty in Boys and Girls.- Management of precocious puberty in girls.- Congenital Adrenal and Gonadal Disorders of Steroidogenesis Impacting Adolescent Development.- Female lower genital tract congenital anomalies.- Part II PRIMARY AMENORRHEA, PREMATURE OVARIAN INSUFFICIENCY AND IMPACT ON ADOLESCENCE OF SGA, OR OVERWEIGHT/MACROSOMIA AT BIRTH AND PHYSICAL ACTIVITY EXCESS IN CHILDHOOD AND ADOLESCENCE.- Primary amenorrhea and premature ovarian insufficiency.- Small for Gestational Age, Overweight and Macrosomia: Impact on Adolescence.- Runners, Athletes and Dancers.- Part III BORDERLINE PERSONALITY DISORDERS, EATING DISORDERS AND SOCIAL MEDIA INFLUENCE ON LIFESTYLE AND SEXUAL HEALTH.- Borderline personality disorders in adolescence.- Media influence and impact on sexual health .- Part IV SEXUAL AND SEXUALITY DEVELOPMENT, GENDER IDENTITIES PROBLEMS AND SEXUAL VIOLENCE IMPACT IN ADOLESCENTS.- Sexual development, impact on individual Sexuality and its consequences.- Impact of psychological, physical, sexual violence on Adolescents.- Part V MENARCHE AND MENSTRUAL CYCLICITY, FUNCTIONAL HYPOTHALAMIC AMENORRHEA AND ADVERSE UTERINE BLEEDING IN ADOLESCENCE.- Menarche and the beginning of Menstrual Cyclicity.- Complementary treatments and low-dose estrogens for Functional Hypothalamic Amenorrhea.- Adverse Uterine bleeding in adolescence.- Progesterone-Based Management of Adolescent Menstrual Disorders: The Role of Dydrogesterone.- Part VI PCOS PHENOTYPES, METABOLIC SYNDROME, OVERWEIGHT AND OBESITY CONSEQUENCES AND MANAGEMENT AND CONTRACEPTIVE NEEDS IN ADOLESCENTS.- Metabolic syndrome, overweight and Obesity in Adolescence.- PCOS phenotypes and their impact on adolescent life.- Anorexia Nervosa and eating disorders.- Adolescence Contraception Needs Effectiveness, Safety and Quality of life.- Part VII SEXUALLY TRANSMITTED AND PELVIC INFLAMMATORY DISEASES IN ADOLESCENTS AND PREVENTION OF HETEROSEXUAL TRANSMISSION OF HIV/STI.- Sexually Transmitted Infections and Pelvic Inflammatory Disease.- Cutting-Edge Interventions, Persistent Barriers, and Innovative Approaches in Preventing Sexually Transmitted Infections and HIV Among Adolescents.- Part VIII ENDOMETRIOSIS, ADENOMIOSIS, DISMENORRHEA AND OTHER PAIN SYNDROMES AND THE IMPORTANCE OF OPTIMAL BONE MASS PEAK ACHIEVEMENT IN ADOLESCENCE.- Endometriosis and Adenomiosis in adolescents.- Dysmenorrhea and other Pain Syndromes.- How to get an optimal peak bone mass during adolescence.- Part IX OVARIAN CYSTS AND TUMORS AND CANCER, ORGAN PRESERVING SURGERY AND PRE-PUBERTAL AND PUBERTAL FEMALE AND MALE STRATEGIES FOR FERTILITY PRESERVATION.- Ovarian Cysts and Tumors.- Organ-Preserving Surgeries in Adolescence.- Fertility Preservation in Female Patients with Cancer: Pre-pubertal and Adolescent (12 19 years).- Preserving male fertility in pre-pubertal and pubertal males.- Part X THE ADOLESCENT PREGNANCY AND MOTHER.- Adolescent Pregnancy as a Public Health, Social, Political, and Economic Crisis.- Nutrients, Lifestyle, and Environmental Determinants of Obstetric Risk Reduction in Teenage Pregnancy: A Life-Course and Precision Nutrition Perspective.- Adolescent Mothers: Risks and Needs.
Andrea R. Genazzani, IAHR General Secretary, Professor of Obstetrics and Gynecology, University of Pisa, Italy
Martin Birkhaeuser is Professor emeritus of the University of Berne (Switzerland). He has been Head of the Division of Gynaecological Endocrinology and Reproductive Medicine at the University of Berne until December 31th, 2008. He gained his medical degree in 1969 (University of Basel, Switzerland), and went on to specialize in endocrinology, then gynecological endocrinology and reproductive medicine. In 1987, he received the Schering Award for research work in the field of Polycystic-Ovary Syndrome. His special research interests cover the fields of menopause, osteoporosis, contraception, women's health and the effects of the pulsatile administration of GnRH. His interest within the field of menopause is reflected in his research on postmenopausal changes of bone and of lipids, the actual place of MHT, and the importance of quality of life for the postmenopausal woman.
He is Treasurer of the International Academy of Human Reproduction and of the International Society of Gynecological Endocrinology. He has been a member of the Executive Committee of the International Menopause Society where he has held the position of Treasurer from 2005-2008. He was the founding President of EMAS and of the Swiss Working Group for Gynaecological Endocrinology and Reproductive Medicine and a Co-Founder of the Swiss Association against Osteoporosis. He was a President of the Swiss Menopause Society, the Swiss Association against Osteoporosis, the Swiss Society of Contraception and the Swiss Society of Endocrinology. He is an Honorary Founding President of the European Menopause and Andropause Society, an Honorary Member of IMS, an Honorary President of the Turkish Menopause Society and an Honorary Member of Menopause Societies of Switzerland, Portugal, Romania, Hungary and Chile.
Prof. Dr. Efthimios Deligeroglou
HSGE Hellenic Society of Gynecological Endocrinology, Meandrou 23, 11528 Athens, Greece.
Prof Dr. Ozlem Dural, MD, is a Clinical Professor of Obstetrics and Gynecology at Istanbul University Faculty of Medicine, Türkiye, where she serves as a Consultant Gynecologist specializing in Pediatric and Adolescent Gynecology and Reproductive Endocrinology and Infertility.
She graduated from Istanbul University Faculty of Medicine in 2003 and completed her residency in Obstetrics and Gynecology in 2010 at Istanbul University, whose Department of Obstetrics and Gynecology has been accredited by the European Board and College of Obstetrics and Gynaecology (EBCOG) since 2009. She obtained her certification in Assisted Reproductive Treatment in 2016. Subsequently, she completed a clinical fellowship in Pediatric and Adolescent Gynecology at the University of Ottawa, Canada, in 2017, in a program accredited by the North American Society for Pediatric and Adolescent Gynecology (NASPAG). During her fellowship, she also completed the Healthcare Education Scholars Program at the University of Ottawa.
Dr. Dural's clinical and research interests include reproductive endocrinology, congenital Müllerian anomalies, minimally invasive gynecologic surgery, and pediatric gynecologic malignancies. She has contributed to more than 50 peer-reviewed scientific publications and numerous book chapters addressing reproductive medicine and pediatric and adolescent gynecology.
Dr. Dural currently serves as Treasurer and Executive Board Member of the European Association of Paediatric and Adolescent Gynaecology (EURAPAG) for 2024-2027 and as a member of its Scientific Committee for EURAPAG 2027. She is also an Executive Board Member of the Turkish Society of Obstetrics and Gynecology-Istanbul and coordinates the Pediatric-Adolescent Gynecology and Menopause Special Interest Group of the Turkish Foundation for Reproductive Medicine. Since 20
