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Journal of Pediatric and Adolescent Gynecology | 2008

Non-chromosomal, non-iatrogenic premature ovarian failure in an adolescent population: a case series.

Melissa Cameron; Sonia Grover; Paddy Moore; Yasmin Jayasinghe

STUDY OBJECTIVE To review a cohort of patients with non-chromosomal, non-iatrogenic premature ovarian failure (POF) presenting to the Gynaecology Clinic of the Royal Childrens Hospital, Melbourne. DESIGN Case series SETTING The Department of Gynaecology, Royal Childrens Hospital, Melbourne, Victoria, Australia. PARTICIPANTS Adolescent patients with non-chromosomal, non-iatrogenic premature ovarian failure RESULTS Seventeen patients with non-chromosomal, non-iatrogenic POF were identified between 1990 and 2006. The average age at the time of diagnosis was 16.1 years. 58.8% (10/17) presented with primary amenorrhea, 23.5% (4/17) with secondary amenorrhea and 17.6% (3/17) with oligomenorrhea. 41.1% (7/17) were positive for anti-nucleic acid antibodies and one patient had antithyroid antibodies. Two sets of sisters were identified. CONCLUSION Non-chromosomal, non-iatrogenic POF in an adolescent population is poorly characterized and its incidence unknown. It most commonly presents as primary amenorrhea, but may also present as a disturbance in a previously established menstrual cycle. Like adult onset POF, there appears to be an association with autoimmune conditions although, in our population, overt autoimmune conditions were rare. The occurrence of POF in two sets of sisters raises the possibility of a genetic basis of the condition being more significant in the younger age group, and provides an interesting cohort for further studies in the area.


Journal of Pediatric Endocrinology and Metabolism | 2004

Gonadal Dysgenesis with a Difference

Theresa Naidoo; Yuen Chan; Yasmin Jayasinghe; Paddy Moore; John M. Hutson; Garry L. Warne

We report here an exceptional clinical finding of a 46,XY phenotypic female with complete gonadal dysgenesis, but who was found unexpectedly to have absence of the uterus and posterior vagina. Extensive review of current and past literature failed to confirm other reports of this variant form of complete gonadal dysgenesis.


Australian & New Zealand Journal of Obstetrics & Gynaecology | 2003

Consensus statement: Menstrual and contraceptive management in women with an intellectual disability.

Eleanor Atkinson; Michael Bennett; Jan Dudley; Sonia Grover; Kim Matthews; Paddy Moore; Julie A. Quinlivan; Tamara Walters


Australian & New Zealand Journal of Obstetrics & Gynaecology | 2003

Consensus statement: The management of congenital genital tract anomalies in women

Eleanor Atkinson; Michael Bennett; Jan Dudley; Sonia Grover; Kim Matthews; Paddy Moore; Julie A. Quinlivan; Tamara Walters


Journal of Pediatric and Adolescent Gynecology | 2006

The Use of Levonorgestrel Intrauterine System in Adolescents

K. Jayasinghe; Paddy Moore; Yasmin Jayasinghe; Sonia Grover


Journal of Pediatric and Adolescent Gynecology | 2007

Uterus Didelphys With Obstructed Hemivagina: A Case Series

Melissa Cameron; Paddy Moore; Sonia Grover


Journal of Pediatric and Adolescent Gynecology | 2011

Cervical Agenesis: Progress and Pitfalls in Creation of Uterovaginal Anastomoses

S.M. Moeed; Sonia Grover; Yasmin Jayasinghe; Paddy Moore


Journal of Pediatric and Adolescent Gynecology | 2008

Hyperbaric Oxygen Treatment Post-Pelvic Irradiation in the Pediatric Female Patient

Alexandra C. Nevin Lam; Paddy Moore; Sonia Grover


Journal of Pediatric and Adolescent Gynecology | 2008

Surgical Planning in Patients with Cloacal Anomalies and Obstructed Gynecological Systems: The Scrambled Renal-Genital System Association and Radiological Clues

Alexandra C. Nevin Lam; Paddy Moore; Lee Coleman; Sonia Grover


Journal of Pediatric and Adolescent Gynecology | 2007

Transverse Vaginal Septum: Two Unusual Cases

Melissa Cameron; Paddy Moore; Yasmin Jayasinghe; Sonia Grover

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