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129 Gynaecology and Colposcopy NMH Annual Rep t | 2020 Jeanette Cabradilla CNMI Gynaecology Ward. P aediatric and Adolescent Gynaecology (PAG) services provide specialist care to children and adolescents aged 0-18 years. The management of children and adolescents with gynaecological problems requires a dedicated service, specific to their individual needs. The PAG service at NMH is led by Dr Orla Sheil and Dr Venita Broderick. Two clinics are held per week where we see girls aged 12+. This is one of only three adolescent gynaecology clinics in Ireland. Children and adolescents and their families travel from all over Ireland to access these specialist services. We provide ongoing specialist care for women diagnosed with complex congenital conditions in childhood and in adolescence. Paediatric and Adolescent Gynaecology 80% of referrals come from general practitioners, 11% from CHI Crumlin. The remainder come from other hospital consultants around the country. We are supported by our dedicated gynaecology clinic nurses. We have a dedicated adolescent nutrition and dietetics service which runs concurrently with our clinics. We have access to imaging both in NMH and at SVUH. The majority of referrals are for adolescent menstrual problems. Other common reasons for referral include pelvic pain and ovarian cysts. We also see girls with rare conditions such as congenital anomalies of the reproductive tract and premature ovarian insufficiency. Many of the young girls attending the adolescent Gynaecology clinics, and especially those with anomalies, have complex needs and consultations can be lengthy and recurrent. The impact of