Paediatric and adolescent gynaecology care shapes healthier futures for girls and young women globally

A new paper authored by the FIGO Committee on Adolescent and Youth Health explores key aspects of Paediatric Adolescent Gynaecology (PAG), a critical subspecialty in obstetrics and gynaecology, addressing the unique reproductive health needs of girls and adolescents.
As global health systems grapple with rising adolescent birth rates, increasing menstrual disorders, and sexually transmitted infections among youth, the demand for specialised, age-appropriate care has never been more pressing.
The paper examines PAG’s multifaceted role in detail, including areas such as:
- clinical care
- developmental embryology
- endocrine expertise
- genetic and developmental sensitivity
- surgical expertise
- PAG through the life-course
- adolescent pregnancy
- PAG training, education and certification.
As the field gains traction, increased investment in training, awareness and interdisciplinary collaboration will be key to ensuring every girl and adolescent has access to the care they need — regardless of geography or socioeconomic status.
PAG providers are expertly trained for paediatric and adolescent needs. They address unique conditions like menstrual disorders, Müllerian anomalies and adolescent pregnancy with precision and sensitivity across diverse settings. Their holistic approach empowers young patients, enhancing health outcomes. OBGYNs should deepen knowledge of local PAG experts, champion expanded PAG specialised training and foster collaboration, as these specialists are invaluable assets, elevating patient care and supporting OB/GYNs globally.
- Nichole Tyson, lead author
By championing the reproductive rights and health of young people, PAG stands not only as a medical discipline, but also as a movement toward a healthier, more informed and more equitable future for young women and girls.