[Oluyemisi Adeyemi-Fowode, MD, FACOG
“Dr. Yemi”
Board Certified Pediatric & Adolescent Gynecologist
Ages 0-21
281.803.TPAG (8724)
​
Services
Pediatric Menstrual Disorders
At the start of their menstrual cycle, some girls will experience menstrual disorders like heavy bleeding or irregular periods. To identify what’s causing menstrual disorders, the team at Texas Pediatric & Adolescent Gynecology offers on-site diagnostic testing services. Oluyemisi Adeyemi-Fowode, MD, also specializes in custom treatment plans to regulate adolescent menstrual cycles and relieve painful cramping. Call the office in Sugar Land, Texas, to schedule a menstrual disorders consultation for your teen or 
Menstrual Disorders Q & A
What are menstrual disorders?
There are three primary menstrual disorders that affect adolescent girls, usually within a year or two of starting their first period.
These disorders include:
Painful menses (dysmenorrhea)
Painful periods describe severe cramps that occur during menstruation. These cramps can develop from severe uterine contractions or because of underlying conditions like endometriosis or pelvic inflammatory disease (PID).
Irregular menses
In adolescents the normal cycle interval is 21-45 days, but some girls will have shorter or longer cycles.
Irregular periods describe menstrual cycles that are different lengths or don’t occur every month. That may be due to hormone fluctuations or can be a sign of underlying conditions like polycystic ovary syndrome (PCOS).
Heavy menses
Heavy periods are a menstrual disorder that involves heavy bleeding or prolonged bleeding during a menstrual cycle. Causes of heavy periods in adolescents can include:
* Hormone imbalance
* Bleeding disorders
* Pelvic infections
* Sexually transmitted disease (STDs)
* Structural causes such as polyps
The use of hormonal birth controls, anti-inflammatories, and other medications can also contribute to heavy periods.
When should I seek treatment for menstrual disorders?
The Texas Pediatric & Adolescent Gynecology team recommends scheduling a diagnostic evaluation for menstrual disorders in adolescents if pain or heavy bleeding interferes with quality of life.
The team offers exams on-site to determine the underlying cause of menstrual disorders. They spend time reviewing your child’s medical history to determine if STD testing, blood work, or other diagnostic testing is needed.
What treatments are available for menstrual disorders?
Texas Pediatric & Adolescent Gynecology offers customized treatment plans for menstrual disorders. The team focuses on nonsurgical treatments to ease pain and help regulate your child’s periods.
Your child may benefit from treatments like over-the-counter or prescription anti-inflammatory medications to relieve painful menstrual cramps.
The team may also recommend hormonal therapy such as pills, patches, rings, injections, or implants. These therapies can also regulate your period.
While rare in adolescents, surgery may also be necessary to treat menstrual disorders. Girls with endometriosis or large uterine polyps may be candidates for surgery when other therapies aren’t working well.
To schedule a diagnostic evaluation for symptoms of menstrual disorders in adolescents and teens, call Texas Pediatric & Adolescent Gynecology or 
Meet Dr. Yemi
!“Dr. Yemi,” is a board-certified OB/GYN and fellowship- trained pediatric and adolescent gynecology specialist. She provides high-quality, evidence- based gynecology care for girls aged 0-21. Dr. Yemi is a fellow of the American College of Obstetrics and Gynecology and an active member of the North American Society of Pediatric and Adolescent Gynecology.
“My mission is to provide a personalized approach to the gynecologic needs of girls aged 0-21 in a non-judgmental, conducive environment built on trust.”
Pediatric & Adolescent
Gynecology Services
On-Site Ultrasounds and Lab Services
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info@TPAG.us
We are Available:
Monday - Friday 8am - 5pm
Looking Forward To Seeing You Soon!
Because You Only Want the Best for Them.
© 2024 TPAG          email us!     
* Polycystic Ovary Syndrome (PCOS)
* 281.803.TPAG (8724)
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Ovarian Cysts
Ovarian cysts are more common after puberty, some are normal and resolve spontaneously with time, others are pathologic and persist over time. At Texas Pediatric & Adolescent Gynecology, board-certified OB/GYN and fellowship-trained Oluyemisi Adeyemi-Fowode, MD, provides complete care for adolescents with ovarian cysts. The medical team uses advanced diagnostic technologies to locate troublesome cysts and performs minimally invasive surgery to remove them. Call Texas Pediatric & Adolescent Gynecology in Sugar Land, Texas, today to schedule a diagnostic evaluation for your child if they have symptoms of ovarian cysts or 
Ovarian Cysts Q & A
What are ovarian cysts?
Ovarian cysts are fluid-filled sacs that develop in the ovaries — the reproductive organs that produce eggs.
There are two types of adolescent ovarian cysts:
Functional cysts
Functional cysts are a normal part of the menstrual cycle. The two types of functional cysts girls can develop include follicular cysts that form when an egg is maturing on the ovary and corpus luteum cysts that form on the ovary after ovulation.
Non-functional cysts
Non-functional cysts are cysts that form in your ovaries for reasons outside of menstruation. Some examples of nonfunctional cysts include:
* Cystadenomas: cysts that form on the surface of the ovary and fill with watery fluids or thick mucus.
* Dermoid cysts: cysts that form from embryonic cells and can contain teeth, hair, or skin.
* Endometriomas: cysts that develop because of endometriosis, a condition where your uterine lining grows outside of your uterus.
While females of any age can develop ovarian cysts, the cysts are most common between puberty and menopause.
What are the symptoms of ovarian cysts?
Many girls have ovarian cysts without knowing it. Smaller cysts may not cause any symptoms and often disappear on their own after a few menstrual cycles.
However, some cysts can grow large enough to cause discomfort or pain. Cystadenomas and dermoid cysts can even grow big enough to twist or move your ovary and cause nausea, vomiting, and severe pain.
Other complications from ovarian cysts can include rupture of the ovary that can lead to internal bleeding (hemorrhage). In severe cases, ovarian cysts can block blood flow to the ovary, which requires emergency surgery.
How are ovarian cysts treated?
If adolescent girls have any symptoms of ovarian cysts, the team at Texas Pediatric & Adolescent Gynecology can confirm their diagnosis with ultrasound imaging.
Based on the results of diagnostic testing, the team customizes a treatment plan to relieve pain and protect the health of the ovary.
Typically, surgical removal of large and painful cysts is necessary, the skilled OB/GYN use minimally invasive, laparoscopic surgical techniques to remove cysts. They also send them for further evaluation at a medical lab to ensure the growths are benign (noncancerous).
If your daughter needs diagnostic testing for symptoms of ovarian cysts, call Texas Pediatric & Adolescent Gynecology today or 
Polycystic Ovary Syndrome (PCOS)
The condition affects an estimated 1 out of every 10 young women and can cause irregular menses, acne, and unwanted hair growth. The team at Texas Pediatric & Adolescent Gynecology provides services to identify the condition as early as possible. Oluyemisi Adeyemi-Fowode, MD, provides comprehensive diagnostic blood and imaging tests to confirm PCOS. The team also tailors a treatment plan to address irregular periods, severe acne, and other side effects of PCOS. Call Texas Pediatric & Adolescent Gynecology in Sugar Land, Texas, to schedule a diagnostic evaluation for polycystic ovary syndrome for your child today or 
Polycystic Ovary Syndrome (PCOS) Q & A
What is polycystic ovary syndrome?
Polycystic ovary syndrome (PCOS) is a common disorder in which a girl’s ovaries produce excessive amounts of male hormones (known as androgens). This hormonal imbalance can cause irregular periods, acne, and unwanted hair growth.
Tiny cysts or bumps may also form inside the ovaries. Symptoms of PCOS often begin to appear during the teenage years.
What are the symptoms of PCOS?
The symptoms of PCOS typically start around the time of a girl’s first period. The symptoms of the disorder can vary and often include:
* Irregular periods
* Abnormally heavy periods
* Severe acne
* Excess body hair
Other complications from untreated PCOS can include Type 2 diabetes, sleep apnea, abnormal uterine bleeding, and mental health conditions like depression and anxiety. Early diagnosis and treatment is the best way to reduce your child's risk for long-term complications and infertility.
How is PCOS treated?
The team at Texas Pediatric & Adolescent Gynecology focuses your child's treatment plan on managing their individual symptoms and preventing more serious complications. After they complete a history, physical, blood tests, and evaluate your ovaries with ultrasound imaging, the team customizes a care plan to address PCOS symptoms.
Lifestyle changes that help you maintain a healthy weight and optimal blood sugar levels are important. It’s also important that teens exercise daily to protect their overall health.
Some girls may need hormonal therapy to decrease excess androgen levels and regulate their periods. Hormonal therapy can also address acne and prevent excessive facial and body hair growth.
The team at Texas Pediatric & Adolescent Gynecology continues to monitor your child’s condition and symptoms during follow-up visits.
To schedule a diagnostic evaluation for symptoms of polycystic ovary syndrome for your teen, call Texas Pediatric & Adolescent Gynecology today or 
Reproductive Tract Disorders
Congenital defects can lead to abnormalities of the reproductive tract in infant and adolescent girls. At Texas Pediatric & Adolescent Gynecology, board-certified and fellowship-trained OB/GYN Oluyemisi Adeyemi-Fowode, MD, and the team can diagnose and treat a wide range of reproductive tract abnormalities including abnormalities of the hymen, vagina, or uterus that can interfere with a girl’s menstrual cycle and reproductive health. Call Texas Pediatric & Adolescent Gynecology in Sugar Land, Texas, to schedule a diagnostic evaluation for abnormalities of the reproductive tract in your child today or 
Reproductive Tract Disorders Q & A
What are abnormalities of the reproductive tract?
Abnormalities of the reproductive tract in adolescent girls can affect any of the female reproductive organs, including the hymen, vagina, cervix, and uterus.
These issues can develop while the baby is still in the womb due to abnormal or missing genes or for no identifiable reason. The use of certain medications during pregnancy can also increase risk factors for structural abnormalities in a girl’s reproductive system.
Examples of abnormalities in the reproductive tract of infants and young girls can include:
* Lower vaginal atresia
* Obstructed hemivagina with ipsilateral renal agenesis (OHVIRA)
* Uterine duplication
* Hymen abnormalities such as imperforate hymen
* Unicornuate uterus
* Uterine or vaginal blockages
When should I seek treatment for abnormalities of the reproductive tract for my child?
There are a variety of structural abnormalities that can affect the health and function of the female reproductive tract. Some conditions are visible at birth, while others may not be noticeable until a girl is older.
You should schedule a diagnostic evaluation at Texas Pediatric & Adolescent Gynecology for your child if they have abnormalities that affect their physical health, such as uterine or vaginal blockages.
As girls get older, signs of reproductive abnormalities can include no menstruation, monthly cramping without bleeding, painful menstruation, and heavy menstrual bleeding.
Other signs of reproductive abnormalities that affect older girls include painful sex and repeated miscarriages or premature births.
How are abnormalities of the reproductive tract treated?
Before they create a treatment plan to address abnormalities of the reproductive tract, the team at Texas Pediatric & Adolescent Gynecology may request genetic testing, hormone testing, or an ultrasound of the pelvic area.
Based on the testing results, the team may recommend surgery to correct structural abnormalities in the reproductive organs. They can also use minimally invasive surgical techniques to remove blockages of the vagina or uterus.
Depending on the condition, the medical team may delay surgery in infants and young children until girls start menstruation.
The team also provides resources that support girls and their parents as they cope with the emotional toll abnormalities of the reproductive tract can cause. As girls get older, they may need to continue counseling or participate in support groups.
To schedule a diagnostic evaluation for abnormalities of the reproductive tract in your child, call Texas Pediatric & Adolescent Gynecology today or 