Telemedicine Consultations in Pediatric Gynecology: Experience and Prospects

Aim. To analyze the potential applications of telemedicine technologies in pediatric gynecology, assess their impact on healthcare accessibility, and identify the advantages and limitations of remote consultations in the diagnosis and treatment of gynecological diseases in children and adolescents. Design. Retrospective descriptive study. Materials and methods. The study is based on an analysis of telemedicine consultations conducted at the Gynecology Department of the Russian Children’s Clinical Hospital between July 2022 and September 2024. The study included 902 telemedicine consultations with female patients aged up to 17 years 11 months 29 days. Cases were categorized into the following nosological groups: ovarian masses, menstrual cycle disorders, vulvar and vaginal diseases, benign breast tumors, hormonal disorders, and congenital malformations. Results. Over the study period, there was a marked increase in the number of telemedicine consultations: from 85 (9.4%) in 2022 to 425 (47.1%) in 2023; in the first nine months of 2024, 392 (43.5%) consultations were conducted, a figure comparable to the total for the previous year. The most frequent cases involved ovarian masses (35.7%) and menstrual cycle disorders (23.2%). The mean age of the patients was 13.2 ± 4.75 years. The findings indicate a steady growth trend in the demand for telemedicine services in pediatric gynecology. Conclusion. Telemedicine technologies improve access to specialized gynecological care for children and adolescents, particularly in settings with significant geographic barriers, enabling timely diagnosis and the possibility of continuous follow-up. Keywords: telemedicine consultations, pediatric gynecology, reproductive health