Adolescent Medicine | Clinical Activities

The Adolescent Center at St. Louis Children's Hospital is an outpatient resource designed to assist healthcare providers in the prompt assessment and care of adolescent patients.  The Adolescent Center offers consultative services to patients between the ages of 12 and 21 years. Patients may be seen in offices either at St. Louis Children's Hospital, St. Louis Children’s Hospital Specialty Care Clinic or St. Louis Children’s Hospital in Shiloh, IL. HHT patients can only be seen at St. Louis Children's Hospital.

Adolescent Medicine physicians care for a wide-range of adolescent issues:

  • Adolescent gynecologic and reproductive health issues including:
    • Period problems (irregular periods, amenorrhea, painful periods, PCOS, abnormal/dysfunctional bleeding, need for menstrual suppression)
    • Ovarian cysts – the majority of these can be managed medically (generally less than 6 cm), in the relatively rare case when surgery is needed, we refer to gynecology
    • Vaginal discharge/vulvar irritation
    • STI and HIV screening/testing/treatment/counseling and prescription of PrEP (pre-exposure prophylaxis for HIV in high-risk patients)
    • Birth control – comprehensive counseling and provision of all birth control options, including insertion of implants and IUDs
  • Nutrition, obesity, and eating disorders
  • Drug, alcohol, and tobacco use prevention and counseling, however we refer for treatment
  • Psychosocial problems, including mild to moderate depression, stress, anxiety, self-esteem, and sleep problems
  • Acne
  • Psychosocially and/or medically complex patients who would benefit from care from an expert in adolescent health and development

To initiate a referral or to discuss concerns, patients, referring physicians or their staff can contact (314) 454-2468.
Adolescent Center patients are seen by appointment only.  After the appointment is scheduled, the patient and family will receive information and a reminder call about their upcoming visit. 

Timely communication between the referring physician and the Adolescent Center is a priority. Following a comprehensive evaluation of the patient, Adolescent Center physicians will provide referring healthcare providers with a detailed assessment and treatment plan. An inclusive report summarizing diagnoses, tests, initial therapeutic recommendations and a long-term treatment plan will be mailed immediately. Our social worker and dietitian may also participate in the patients' treatment plan. After treatment is underway, the patients return to the primary care provider for continuing care.

We look forward to helping you care for your adolescent.

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