{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T05:49:58Z","timestamp":1787636998180,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pediatric and adolescent gynecology (PAG) is an expanding subspecialty of obstetrics and gynecology that addresses the reproductive health needs of girls and young women worldwide. In regions with limited subspecialist healthcare providers, general obstetricians, gynecologists, and nurse\u2010midwives, frontline healthcare providers provide essential PAG services. In this article, we examine the multifaceted role of PAG, encompassing preventive care counseling, clinical care, surgical expertise, endocrine management, genetic counseling, and advocacy, while offering resources for generalists. PAG specialists deliver age\u2010tailored care for conditions such as menstrual disorders, M\u00fcllerian anomalies, and endometriosis, while managing complex cases involving developmental delays, cancer, and differences in sex development. They also support adolescents during pregnancy, offering prenatal care, postnatal contraception counseling, safe abortion care, and interventions aimed at reducing sequential adolescent births. PAG providers promote health and wellness in their care models through opportunistic prevention measures and screening. Globally, PAG training varies. Formal fellowships and integrated programs exist around the world. Organizations such as the North American Society for Pediatric and Adolescent Gynecology (NASPAG), the International Federation of Pediatric and Adolescent Gynecology (FIGIJ), the Asia Oceania Society of Pediatric and Adolescent Gynecology (AOSPAG), the Latin American Association of Pediatric and Adolescent Gynecology (ALOGIA), the European Association of Pediatric and Adolescent Gynecology (EURAPAG), and national associations drive education, research, capacity building, and policy advocacy, addressing disparities through initiatives including human papillomavirus vaccination and comprehensive sex education.<\/jats:p>","DOI":"10.1002\/ijgo.70499","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T14:10:07Z","timestamp":1757081407000},"page":"528-537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Elevating and empowering reproductive futures: Pediatric and adolescent gynecology's specialized care across the globe"],"prefix":"10.1002","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8550-937X","authenticated-orcid":false,"given":"Nichole A.","family":"Tyson","sequence":"first","affiliation":[{"name":"Center of Academic Medicine, Obstetrics and Gynecology  Stanford California USA"},{"name":"University School of Medicine  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e9abh N\u00ed","family":"Bhuinne\u00e1in","sequence":"additional","affiliation":[{"name":"M\u00e9decins Sans Fronti\u00e8res and Royal College of Physicians in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hema","family":"Divakar","sequence":"additional","affiliation":[{"name":"Divakars Speciality Hospital  Bengaluru India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Mauger","sequence":"additional","affiliation":[{"name":"International Federation of Gynecology and Obstetrics  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith Simms","family":"Cendan","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa","family":"Labovsky","sequence":"additional","affiliation":[{"name":"Buenos Aires University  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"FIGO Committee on Adolescent and Youth Health","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,5]]},"reference":[{"key":"e_1_2_22_2_1","unstructured":"World Health Organization.Adolescent and young adult 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