Pediatric and Adolescent Gynecology

Specialized Gynecological Care for Children and Teens

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Children and teens with gynecologic concerns receive comprehensive care from a Duke team of experts who specialize in pediatric and adolescent gynecology. Our pediatric and adolescent gynecologists are board-certified gynecologists and include one of the few fellowship-trained pediatric and adolescent gynecologists in North Carolina.  Several of our providers have a focused practice designation in Pediatric and Adolescent Gynecology from the American Board of Obstetrics and Gynecology.  This team of specialists includes adolescent medicine, endocrinology, reconstructive surgery, and more. We address your child’s concerns with age-appropriate sensitivity, compassion, and confidentiality.

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When to Seek Care from a Pediatric and Adolescent Gynecologist

Pediatric and adolescent gynecologists provide comprehensive medical and surgical gynecologic care to children from birth to age 21 for a variety of conditions. They are specially trained in the anatomy and needs of children and adolescents. Examples of conditions we treat include:

  • Congenital differences of the genitalia or reproductive tract, including differences of sex development, uterine anomalies, and vaginal agenesis
  • Labial adhesions and vulvar skin concerns
  • Vaginal bleeding that occurs before puberty
  • Abnormal pubertal development
  • Menstrual conditions and supression
  • Contraceptive and medical use of birth control
  • Vaginal and other reproductive tract infections, including sexually transmitted diseases
  • Dysmenorrhea, endometriosis and pelvic pain
  • Ovarian cysts and masses
  • Gynecological care and fertility preservation associated with complex medical conditions, including cancer
Our Locations

Duke Health offers locations throughout the Triangle. Find one near you.

Virtual Visits Available

Video visits with pediatric and adolescent specialists are available for some conditions.

What to Expect During the Visit

We will listen to your concerns, discuss your options, and work together to develop a plan of care.  We are committed to family-centered care and encourage you to ask questions.


We begin the visit by discussing your child’s medical and surgical histories.  Please bring any relevant notes and records.

Physical Exam

A physical exam is tailored to your child’s concerns. This may include evaluation of the breasts and/or external genitalia. An internal genital exam is not recommended unless medically indicated. We aim to make you and your child feel comfortable. 


Blood and urine testing, and imaging studies may be recommended to help determine a diagnosis.

Counseling for Adolescents

We encourage communication between adolescents and their families, and parents/guardians are welcome to attend every appointment. The pediatric and adolescent gynecologist also may talk with your adolescent alone, with the goal of promoting safety and health. A partial list of topics that may be discussed includes sexual activity/contraception, substance use, and mental health concerns. This approach has been shown to build trust between your adolescent and healthcare provider. 

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Why Choose Duke

A Team Approach
Depending on their individual needs and whether reconstructive surgery is required, you and your child may meet with one or more of the following specialists, in addition to a pediatric and adolescent gynecologist:

  • Pediatric urologist
  • Pediatric surgeon
  • Pediatric endocrinologist
  • Pediatric dermatologist
  • Pediatric hematologist/oncologist
  • Adolescent medicine specialist
  • Urogynecologist
  • Behavioral health specialist

High-Quality Surgical Care
Duke is one of the few hospitals in the U.S. verified as a Level I children’s surgery center by the American College of Surgeons. This Level I designation recognizes our commitment to providing the highest-quality surgical care to our young patients. To achieve Level I certification, centers must offer multiple medical and surgical specialties, with procedures for major congenital anomalies and complex diseases, including those that are uncommon or require significant coordination among multiple specialties.

Best Children’s Hospital and Gynecology Program in NC

Where you receive your care matters, Duke Health is proud of our team and the exceptional care they provide. According to U.S. News & World Report for 2023-2024, Duke Children's Hospital & Health Center is nationally ranked in 10 pediatric specialties and is #1 in the Southeast. Our nationally ranked obstetrics and gynecology program is #1 in North Carolina.

This page was medically reviewed on 11/28/2023 by