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Care for children and teenagers

Gynaecological problems in children and teenagers are common and very treatable, but they need a specialist who understands growing bodies and how to talk with young people. Dr Williams has trained and worked in paediatric and adolescent gynaecology since her fellowships at UCLH and Alder Hey, and leads the service at Alder Hey Children's Hospital.

What Dr Williams sees young patients for

Puberty and periods

  • Delayed puberty
  • Periods that have not started (primary amenorrhoea)
  • Heavy, painful or irregular periods
  • Polycystic ovary syndrome in teenagers
  • Pelvic pain in adolescents
  • Endometriosis in adolescents

Vulval and vaginal problems

  • Vulvovaginitis (soreness and irritation)
  • Paediatric vulval conditions

Conditions present from birth

  • Congenital gynaecological anomalies
  • Müllerian duct anomalies (differences in how the womb and vagina formed)
  • Differences in sex development (DSD)
  • Turner syndrome
  • Imperforate, microperforate or septate hymen
  • Vaginal septum

Ovaries

  • Ovarian cysts
  • Premature ovarian insufficiency (POI) — when the ovaries stop working early

If you're the young person

[CONFIRM: three or four sentences from Cara written directly to teenagers — that she will talk to you and not only your parents, that you can ask for time on your own, what an appointment usually involves, and whether an examination is likely at a first visit]

What to expect at a first appointment

  1. 1. Before the visit

    What to bring — a period diary, growth records and any test results. [CONFIRM: details to confirm]

  2. 2. The conversation

    Who is in the room and how long the appointment takes (30 minutes). [CONFIRM: details to confirm]

  3. 3. Examinations and tests

    What is and isn't usually done at a first visit. [CONFIRM: details to confirm]

  4. 4. Afterwards

    A letter to your GP, follow-up arrangements and onward referral if needed. [CONFIRM: details to confirm]

Book an appointment

Book an appointment

Questions first? Call 01244 680 444