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130 Gynaecology and Colposcopy 2020 | NMH Annual Rep t New Patients Return Patients Virtual Appointments Total Attendances 374 173 137 823 14.3% Fertility preservations / other 2.9% Ovarian Cyst / Pelvic pain 61.2% Menstrual problem 2.9% Mulerian anomally congenital 5% Vaginal / vulval problem 13.7% Suspected PCOS / PCOS Clinic Activity these diagnoses both on the adolescent and the adolescent's family is significant. A small number of adolescents with complex congenital conditions requiring reconstructive surgery are referred to Professor Sarah Creighton at University College Hospital, London. We work closely with paediatric colleagues at Childrens Health Ireland (CHI) Crumlin. We form part of a national multidisciplinary team managing children born with complex congenital anomalies such as the Disorders of Sexual Differentiation. This group meets at one of the children's hospitals a number of times per year. Fertility preservation is a new and exciting development in Ireland. We at the department of Paediatric and Adolescent Gynaecology at NMH together with our colleagues from the Merrion Fertility Clinic are working with the NCCP (Childhood, Adolescents/Young Adult Cancers CAYA). A fertility preservation service for children and adolescents at risk of infertility as result of chemotherapy/ radiotherapy has recently commenced. We contribute to undergraduate education programmes in both UCD and RCSI, postgraduate education programmes such as the MSc in Obstetrics and Gynaecology, UCC. Basic specialist trainees and Higher specialist trainees attend our weekly clinics. We are regularly involved in GP education days as well as interdisciplinary teaching at CHI. In 2020 we were successful in securing HSE Covid Era Fellowship funding. We hope to train a fellow in this niche subspecialty. In 2020 in response to the Covid 19 pandemic we introduced virtual appointments. This has been of particular benefit to patients and their families who would otherwise have to travel long distances to attend the clinic. We plan to continue to develop these services in 2021. Reasons for attendance (%)