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Dr. Vash-Margita

Pediatric and Adolescent Gynecology

Yale New Haven Children’s Hospital’s Pediatric and Adolescent Gynecology Program provides specialized gynecologic care to young females from birth through adolescence and into early adulthood.

Our fellowship-trained pediatric gynecologists provide compassionate medical care to young female patients in tandem with a devoted team of experienced nurses. Their roles extend well beyond providing excellent medical care; they strive to fulfill emotional and psychological needs of young patients as they travel through their life journeys.

The American Congress of Obstetricians and Gynecologists recommend that an initial visit to a gynecologist should take place between ages 13 and 15. During this first visit, young female patients will initiate the doctor-patient relationship and obtain education about reproductive health and healthy choices. In our family-centered setting, we put our young patients at ease by dispelling common fears and myths.

We provide expert consultation for a variety of gynecologic conditions:

  • Abnormal vaginal bleeding (pre- and post-menarchal)
  • Contraceptive management for patients with complex medical histories
  • Fertility preservation for children, adolescents, and young women with cancer or other medical conditions which may compromise future childbearing
  • Genital trauma
  • Gynecologic issues related to gender identity in teens
  • Menstrual irregularities in young women with physical and mental disabilities
  • Obstructive anomalies of the female reproductive system, such as imperforate hymen and/or transverse vaginal septum
  • Ovarian cysts and other pelvic masses 
  • Pelvic pain and endometriosis in adolescent females
  • Premature ovarian insufficiency (POI)
  • Primary and secondary amenorrhea
  • Vaginal discharge and infections in teenagers
  • Vulvar disorders

We closely collaborate with the following pediatric specialties:

Specialized Programs

Differences in Sexual Development (DSD)

DSD is a broad term used for medical conditions in which development of sex chromosomes, gonads or sexual anatomy is atypical. Our team is part of a DSD multidisciplinary program that includes a pediatric urologist, gynecologist, endocrinologist, geneticist, social worker and psychologist. During the visit, our specialists will address the multiple health and psychologic needs of children, adolescents and young adults with DSD. Common diagnoses that we treat in this setting are congenital adrenal hyperplasia, androgen insensitivity and gonadal dysgenesis. 

Adolescent Polycystic Ovary Syndrome (PCOS) Program

The Adolescent PCOS Program provides comprehensive gynecologic and endocrine care to adolescent females with polycystic ovary syndrome or those who are at risk for PCOS. Our coordinated multidisciplinary team employs both conventional medicine and a holistic approach to evaluate, treat and manage the hormonal aspects of PCOS. Also addressed is prevention of associated obesity and obesity-related metabolic complications through dietary, exercise and medication interventions. Our team is committed to providing compassionate, family-centered care to support the health and psychosocial needs of these patients.