PAG over Pastries

Camille Imbo & Susan Kaufman, NASPAG

A pediatric and adolescent gynecology review podcast. Started by a fellow for residents, fellows, and others to learn more about PAG topics.

  1. 27 APR

    19 - Endometriosis in the Adolescent

    We trace the line from “bad cramps” to a careful, compassionate evaluation for endometriosis, showing how physiology, history, and practical treatment choices restore a teen’s daily life. Evidence, empathy, and clear steps help shorten the long road to relief and reduce missed school and stress. • defining primary and secondary dysmenorrhea and why prostaglandins matter • prevalence figures and diagnostic uncertainty in adolescents • first line management with timed NSAIDs and continuous hormonal therapy • what to ask in the menstrual and symptom history • when to suspect endometriosis after failed therapy • broad differential including GI, GU, musculoskeletal and psychological causes • limits of labs and imaging and the value of diaries • multimodal care: PT, TENS, CBT, neuropathic agents • GnRH options with add back and prudent use of surgery • staging limits and mismatch with pain severity • mental health, trauma awareness and inclusive care for trans patients What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources. Want to test your knowledge? PAG WebEd cases are a great way to review our podcast content.

    30 min

  2. 23 MAR

    18 - Menstrual Concerns in the Adoelscent

    We walk through a clear roadmap for evaluating heavy menstrual bleeding in teens, from what counts as normal to when labs and treatment should start. A case of a 15-year-old with 10-day periods and nosebleeds anchors a practical workup and evidence-based care plan. • Normal adolescent cycle ranges and red flags for heavy bleeding • Definitions that guide when to test and treat • Key causes in teens: anovulation and coagulopathy • Focused history and exam without routine pelvic exams • Labs that matter: pregnancy, ferritin, thyroid, coagulation, von Willebrand • When imaging helps and when it delays care • Iron repletion strategies and when to use IV iron • Hormonal vs nonhormonal therapy, adherence, and expectations • Acute management thresholds, IV estrogen, and layering therapy • Long-term options including levonorgestrel IUD and progestins What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources. Want to test your knowledge? PAG WebEd cases are a great way to review our podcast content.

    27 min

  3. 23 FEB

    17 - Normal Menstrual Cycle

    walk through what a healthy teen menstrual cycle looks like, why early cycles are often irregular, and how to recognize red flags that need care. We share practical ways to track flow, choose products, reduce pain, and support teens with sensitivity and clarity. • menarche timing, influences, and normal ranges • early anovulatory cycles and HPO axis maturation • typical cycle intervals and expected variability • defining normal flow, duration, and clot size • dysmenorrhea care with NSAIDs and heat • assessing heavy bleeding using product charts • clear red flags for evaluation and amenorrhea criteria • headaches, fainting, nausea, and quality of life • cycle tracking options and privacy cautions • product choices, period poverty, and advocacy • focused adolescent history, nutrition, and activity • culturally sensitive education and reassurance What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources. Want to test your knowledge? PAG WebEd cases are a great way to review our podcast content.

    22 min

  4. 26 JAN

    16 - The Pediatric Gynecological Exam

    Dr. Susan Kaufman, pediatric gynecologist at Virtua Health, is joined by Dr. Tania Dumont, pediatric gynecologist from CHEO and the University of Ottawa, to break down how to perform a pediatric gynecologic exam with empathy, clarity, and evidence, from newborn anatomy to adolescent assessment. We show how language, positioning, and choice reduce fear while improving visualization, diagnosis, and outcomes. Reference: NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 4 What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources. Want to test your knowledge? PAG WebEd cases are a great way to review our podcast content.

    23 min

  5. 29/12/2025

    15 - Laparoscopic Considerations in Pediatric & Adolescent Gynecology

    Dr. Susan Kaufman, PAG physician at Virtua health in New Jersey, and Dr. Olga Kciuk, PAG physician at Stanford University, walk through laparoscopic care for pediatric and adolescent patients from consent and anatomy to entry, pain control and recovery. The focus stays on safety, physiology, and teen-centered decisions that protect fertility and speed return to life. Reference: NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 30 What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources. Want to test your knowledge? PAG WebEd cases are a great way to review our podcast content.

    24 min

  6. 24/11/2025

    14 - Urogenital Anomalies

    Venture into the intricate world of complex genitourinary anomalies with pediatric and adolescent gynecologists Drs. Susan Kaufman and Megan Sumida. Their discussion unravels the challenges and approaches to conditions that fundamentally alter the anatomical landscape for young patients. Reference NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 25 What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources. Want to test your knowledge? PAG WebEd cases are a great way to review our podcast content.

    26 min

  7. 27/10/2025

    13 - Care for the Transgender Adolescent

    Dr. Susan Kaufman and Dr. Yossie Ahmadieh, an adolescent medicine doctor with Physicians for Reproductive Health, explore the vital topic of gender-affirming care for transgender and gender-diverse adolescents, discussing how appropriate medical interventions can be life-saving for these vulnerable youth. Outline Introduction to Transgender Healthcare BasicsBarriers and Mental Health ConsiderationsCreating Safe Spaces in Clinical SettingsPuberty Blockers and Treatment OptionsGender-Affirming Hormone Therapy ApproachesMonitoring Testosterone TherapyEstrogen Therapy and Anti-AndrogensSurgical Options and Cancer ScreeningReference NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 3 What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources. Want to test your knowledge? PAG WebEd cases are a great way to review our podcast content.

    32 min

  8. 29/09/2025

    12 - Labial Concerns in Adolescents

    Dr. Vrunda Patel, a PAG physician at Nemours Children's Hospital in Wilmington, Delaware, and Dr. Camille Imbo PGY6 PAG fellow discuss the increasing trend of teenage patients seeking evaluation for labial concerns, often driven by appearance rather than medical issues. Many teens and parents lack understanding about what constitutes normal genital appearance. Outline Normal Vulvar Development in PubertyCommon Labial Concerns and InfluencesDefining Labial Hypertrophy and AsymmetryPsychological Aspects and AssessmentTreatment Options and Self-CareSurgical Considerations and RecoveryReference NASPAG Essentials of Pediatric and Adolescent Gynecology: Chapter 16 Labial Anatomy Concerns in the Adolescent - JPAG  What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources. Want to test your knowledge? PAG WebEd cases are a great way to review our podcast content.

    27 min
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About

A pediatric and adolescent gynecology review podcast. Started by a fellow for residents, fellows, and others to learn more about PAG topics.

Information

  • Creator
    Camille Imbo & Susan Kaufman, NASPAG
  • Years Active
    2025 - 2026
  • Episodes
    19
  • Rating
    Explicit
  • Copyright
    © 2026 PAG over Pastries
  • Show Website
    PAG over Pastries

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