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Gynecologic Concerns for Children and Adolescents With Vascular Anomalies

Anna N Ujvary1, Deepti Gupta2, Katherine E Debiec3

  • 1University of Washington School of Medicine, Seattle, Washington.

Journal of Pediatric and Adolescent Gynecology
|June 6, 2026
PubMed

Insights

Vascular anomalies (VA) are endothelial disorders often diagnosed in childhood, affecting gynecologic structures. Understanding VA classification and management is crucial for pediatric gynecologists to ensure accurate diagnosis and optimal patient care.

Area of Science:

  • Gynecology
  • Pediatrics
  • Vascular Biology

Background:

  • Vascular anomalies (VA) encompass a range of endothelial disorders, including tumors and malformations.
  • These conditions frequently manifest in infancy or childhood, potentially impacting gynecologic organs such as the vulva, vagina, uterus, and bladder.
  • VA can lead to significant gynecologic issues, including anatomical distortion, pain, prepubertal bleeding, and abnormal uterine bleeding.

Purpose of the Study:

  • To emphasize the importance of understanding vascular anomaly nomenclature, classification, genetics, and treatment options.
  • To guide pediatric and adolescent gynecologic providers in managing patients with gynecologic involvement of vascular anomalies.
  • To facilitate accurate diagnosis, multidisciplinary coordination, and improved patient care for gynecologic vascular anomalies.

Main Methods:

  • Review of current literature on vascular anomalies affecting the female reproductive tract.
  • Analysis of diagnostic and therapeutic strategies relevant to pediatric and adolescent gynecology.
  • Synthesis of information on nomenclature, classification, and genetic factors.

Main Results:

  • Vascular anomalies present unique challenges in pediatric and adolescent gynecology.
  • Specific gynecologic concerns include anatomical distortion, pain, bleeding irregularities, and reproductive health considerations.
  • Multidisciplinary approaches are essential for comprehensive management.

Conclusions:

  • A thorough understanding of vascular anomalies is vital for pediatric and adolescent gynecologic providers.
  • Accurate diagnosis and tailored management plans are critical for optimizing outcomes.
  • Effective care requires collaboration among various medical specialists.

Keywords:
Abnormal uterine bleedingHemangiomasVascular anomaliesVascular malformationsVascular tumors

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