Gynecological Issues in Girls and Young Women with Cerebral Palsy

Girls and young women with cerebral palsy face more difficulties than their nondisabled peers. In particular, reproductive health issues can be more complicated for adolescents with disabilities. This can be an area of significant apprehension and frustration for young women and their families. Medical providers often have limited training and comfort caring for young women with disabilities, especially with gynecologic issues in this population. As a result, adolescents with disabilities, and with cerebral palsy in particular, are less likely to receive education about reproductive health. In addition, confidentiality, a key tenet of adolescent health care, is often overlooked in this population. This chapter aims to provide education about reproductive health for young women with cerebral palsy, with a focus on menstrual management and contraceptive options.