Interactive Session - Reproductive Abnormalities: How to Optimize Future Fertility

Date:October 20, 2014

Time:1:15 pm - 2:15 pm

Location:HCC315 - Hawaii Convention Center


Staci E. Pollack, M.D. (Chair), Montefiore’s Institute for Reproductive Medicine and Health

Samantha M. Pfeifer, M.D., Weill Medical College of Cornell University

Beth W. Rackow, M.D., Columbia University Medical Center

(Case Presentations)

Needs Assessment and Description
Many reproductive disorders present during adolescence, either with abnormal pubertal development, menstrual cycle abnormalities, pelvic pain, or as incidental findings on imaging. Early suspicion and diagnosis afford the best opportunity for maximizing future fertility. This interactive session will discuss adolescents with various reproductive conditions, such as “impending” primary ovarian insufficiency and reproductive tract anomalies, as well as approaches to managing such issues for those clinicians who take care of adolescent girls.

Learning Objectives
At the conclusion of this session, participants should be able to:

  1. Describe treatment options to maximize fertility for girls with various reproductive abnormalities.
  2. Determine the best time for intervention to maximize fertility for girls with various reproductive abnormalities.

ACGME Competency
Patient Care

An 18-year-old, gravida 0, virginal, adolescent girl presents to your office complaining of irregular menses since menarche at age 13, often going 6 months without a period. Her height is 5’5” and weight is 128 pounds, making her body mass index (BMI) 21.3 kg/m2 and in the 49th percentile for her age. She denies galactorrhea, hirsutism, excessive exercise, and any eating issues. After participating in this session, I will order the following test to best assess her future fertility and assist with counseling:
a. Pelvic ultrasound
b. Pelvic magnetic resonance imaging (MRI)
c. Total testosterone
d. Follicle-stimulating hormone (FSH)
e. Antimüllerian hormone (AMH)
f. Not applicable to my area of practice


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