Academic Publications in Paediatric and Adolescent Gynaecology

The Paediatric and Adolescent Gynaecology team focused on the menstrual disorder of adolescent, HPV vaccination in adolescent and Polycystic ovarian syndrome in teenage girls.

Menstrual Disorder of Adolescent

Prevalence of menstrual problem is high among Chinese girls. Chung reviewed the presentation and outcomes of 577 aged 14-19 years old adolescent.  47% presented with menorrhagia, prolonged menstruation, and short menstrual cycles; 38% had secondary or oligo-amenorrhoea, 12% had dysmenorrhoea, and 3% had primary amenorrhoea. 24% of these patients had abnormal menstrual cycles 4 years later.  Long cycle, diagnosis of polycystic ovarian syndrome at first consultation, and a current body mass index of 23 kg/m2 or higher were statistically associated with persistent long cycle length (Chung et al HKMJ 2011). The prevalence of menstrual symptom and dysmenorrhoea increased with gynaecological age and it may adversely affect their education and daily activity; 1 in 8 girls reported had been absent from school whilst only 6.4% had sought medical care because of menstrual problem. Our study indicated that medical seeking behavior depends on opinion of family members, severity of dysmenorrhoea and anxiety about embarrassing question (Chan et al HKMJ 2009).

Polycystic Ovarian Syndrome

Polycystic ovarian syndrome was diagnosed in 16% of a cohort in Hong Kong Chinese Adolescent (Chung et al HKMJ 2011). One of our research looked at the treatment effects between medroxyprogesterone acetate and Diane-35. Diane -35 was found to significantly decrease acne score (p<0.003) and LH/FSH ratio (p<0.001) (Chung et al J Pediatr Adolesc Gynecol 2014).

Human Papilloma Virus Vaccination in Adolescent

The acceptance rate of HPV vaccination by their daughters of Chinese women statistically significant improved by reading information pamphlet (p<0.001) (Chan et al J Adolesc Health 2007). While acceptance rate of HPV vaccination by adolescent girls and knowledge score were also significant improved by reading information pamphlet (p<0.001) (Chan et al al J Pediatr Adolesc Gynecol 2009).

1Health-related Quality-of-life Questionnaire for Women with Polycystic Ovary Syndrome: A Chinese Translation and Validation Study.
Chung JPW, Kwan AHW, Kwok JWK, Chan SSC
BJOG 2016;123(10): 1638 - 1645
2A Randomized Crossover Study of Medroxyprogesterone Acetate and Diane-35 in Adolescent Girls with Polycystic Ovarian Syndrome.
Chung JPW, Yiu AKW, Chung TKH, Chan SSC
J Pediatr Adolesc Gynecol 2014;27(3): 166 - 171
3The Association between in Utero Hyperinsulinemia and Adolescent Arterial Stiffness.
Tam WH, Ma RCW, Yip GWK, Yang XL, Li AM, Ko TC, Lao TTH, Chan JCN
Diabetes Res Clin Pract 2012;95(1): 169 - 175
4Menstrual Disorders in a Paediatric and Adolescent Gynaecology Clinic: Patient Presentations and Longitudinal Outcomes.
Chung JPW, Chan SSC, Yiu AKW, Lao TTH, Chung TKH
Hong Kong Med J 2011;17(5): 391 - 397
5Adolescent girls' attitudes on human papillomavirus vaccination.
Chan SSC, Ng BHY, Lo KWK, Cheung TH, Chung TKH
J Pediatr Adolesc Gynecol 2009;22(2): 85 - 90
6Menstrual problems and health-seeking behaviour in Hong Kong Chinese girls.
Chan SSC, Yiu AKW, Yuen PM, Sahota DS, Chung TKH
Hong Kong Med J 2009;15(1): 18 - 23
7Womens Attitudes on Human Papillomavirus Vaccination to Their Daughters.
Chan SSC, Cheung TH, Lo KWK, Chung TKH
J Adolescent Health 2007;41(2): 204 - 207
8Laparoscopy in a patient with XY gonadal dysgenesis.
Yuen PM, Chan SSC
J Minim Invasive Gynecol 2005;12(3): 194 - 195
9Torsion of a paraovarian myoma in a teenage woman.
Chan SSC, Yuen PM
J Am Assoc Gyn Lap 2004;11(1): 96 - 98
10Management of vulvovaginitis in childhood.
Chan SSC, Cheung GWY, Yuen PM, Chin RKH
HK Pract 2003;25(7): 319 - 324