This book emphasizes the proper procedures when examining the patient, the growth and development stages, and problems occurring during adolescent sexuality. Clearly defined and organized, the text presents a variety of clinical problems including diagnoses and management for each. The book begins by focusing on the treatment of the patient during the examination and clinical problems related to vulvo-vaginal disease and sexual abuse. The next section discusses the physiology of puberty and the management of abnormal uterine bleeding. The third segment of the text explores problems concerning adolescent sexuality, the role of contraception and managing human papilloma virus (HPV). Finally, an excellent review of the differential diagnoses and management of pelvic pain is addressed. In order to understand the adolescent and pediatric patient one must realize that there are distinct physical and behavioral differences from those of an adult patient. This idea along with making the right decisions when dealing with specific adolescent and pediatric clinical problems is the focus of this book.