NASPAG Clinical Consensus Guidelines 

The Clinical Consensus Guidelines are created by the NASPAG Education Committee

*As a NASPAG Member, you have full access to the full Clinical Consensus Guidelines in the Journal of Pediatric and Adolescent Gynecology (JPAG)

Adolescent Pregnancy Testing: Balancing Confidentiality, Consent, and Disclosure

Abstract: A comprehensive overview of the recommended counseling for any clinician caring for an adolescent patient with a positive pregnancy test ... visit JPAG for full article

Use of Tranexamic Acid in the Treatment of Heavy Menstrual Bleeding 

Abstract: Heavy menstrual bleeding is a common condition encountered in the adolescent patient population. The objective of this consensus ... visit JPAG for full article 

Reproductive Health Management of Female Adolescent Athletes With Relative-Energy Deficiency in Sport

Abstract: The objective of this document is to guide the screening, diagnosis, and management of Relative Energy Deficiency in Sport (RED-S) ... visit JPAG for full article 

Nonsexually Acquired Genital Ulcers (Vulvar Aphthous Ulcers)

Abstract: The objective of this document is to provide guidance on the recognition, diagnosis and management of non-sexually acquired  ... visit JPAG for full article  

Prepubertal Bleeding

Abstract: Prepubertal bleeding is a common presentation in the pediatric office and can be distressing for patients and families ... visit JPAG for full article 

Diagnosis and Management of Lichen Sclerosis in Pediatric and Adolescent Patients

Abstract: This Clinical Opinion replaces the NASPAG Clinical Recommendation published in 2014. The objective of this document is to provide guidance  ... visit JPAG for full article

Adnexal Torsion 

Abstract: Adnexal torsion is an uncommon gynecologic disorder caused by the partial or complete rotation of the ovary and/or the fallopian tube  ... visit JPAG for full article 

Heavy Menstrual Bleeding in Adolescents

Abstract: Heavy menstrual bleeding (HMB) is a very common gynecological condition in female adolescents and a frequent presenting  ... visit JPAG for full article 

Vulvovaginitis

Abstract: Vulvovaginitis is a commonly encountered condition among prepubertal and adolescent females. The objective of this report is to provide  ... visit JPAG for full article 

Labial Adhesions

Abstract: Labial adhesions, also known as labial agglutination, are a common finding in prepubertal adolescents. They are defined as ... visit JPAG for full article 

Obstructive reproductive tract anomalies

Abstract: Approximately 7% of girls will have an anatomic abnormality in their reproductive tract, diagnosed before or after puberty ... visit JPAG for full article

Non-obstructive müllerian anomalies

Abstract: The nonobstructive group of anatomic variants involving the reproductive tract includes vaginal agenesis as well as the ... visit JPAG for full article