Division of Pediatric and Adolescent Gynecology

Chief: Diane F. Merritt, MD

The Division of Pediatric and Adolescent Gynecology at Washington University School of Medicine in St. Louis addresses all aspects of young women’s reproductive health including normal puberty, pubertal disorders, menstrual problems such as excessive bleeding or pain (dysmenorrhea), amenorrhea, ovarian problems, congenital anomalies affecting the reproductive tract and reproductive hormones. Our faculty are experts in the management of young women with vaginal and uterine agenesis, primary ovarian insufficiency, polycystic ovarian syndrome and cyclic exacerbation of symptoms in non-gynecologic conditions such as seizure disorders.

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Our clinical mission

The Division of Pediatric and Adolescent Gynecology seeks to support families, children, teens and young women with reproductive health concerns. We hope to promote confidence, self-esteem, good personal health and wellness for our patients and their families.

Our care team provides extensive services in menstrual management for healthy and disabled patients, contraceptive counseling and prevention of sexually transmitted infections and pregnancy. Our patients have access to genetic counseling, ultrasound imaging, and minimally invasive surgical procedures at both our Central West End and West County locations. We work closely with the physicians at St. Louis Children’s Hospital to coordinate care with the Divisions of Hematology-Oncology, Gastroenterology, Neurology, Dermatology, Urology, Genetics, Endocrinology and Psychology and Psychiatry.

See our information for patients »


Our research mission

Our division is investigating long term outcomes for women who were born with uterine and vaginal agenesis (MRKH) to determine factors that enhance patient acceptance, satisfaction and self-esteem. Our physicians work with the Beautiful You MRKH Foundation. We are also following young patients with primary ovarian insufficiency to determine if long term outcomes for patient well-being, fertility options, and satisfaction can be enhanced.

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Our educational mission

We are actively involved in education of our community physicians in pediatrics and gynecology, subspecialty fellows, residents in obstetrics and gynecology and pediatrics and Washington University medical students. Our faculty have been honored for teaching by the Association of Professors of Gynecology and Obstetrics and received teaching awards from the Washington University medical students and residents.

Learn more about the fellowship in pediatric and adolescent gynecology »


Our faculty

Assistant Professor, Obstetrics and Gynecology

Division: Pediatric & Adolescent Gynecology

Learn more about Dr. Hoefgen

Dr. Hoefgen is an assistant professor of obstetrics & gynecology at Washington University School of Medicine and an attending physician at St. Louis Children’s Hospital and Barnes-Jewish Hospital. Dr. Hoefgen received her medical degree in 2008 from Southern Illinois University School of Medicine, Springfield, IL, where she also completed her residency training in obstetrics and gynecology. She completed her clinical fellowship specializing in pediatric and adolescent gynecology at Washington University School of Medicine in St. Louis, MO in 2014.

In addition to providing general and specialty gynecologic care to girls and young women, Dr. Hoefgen is the co-founder and co-director of the Integrated Care & Fertility Preservation Program at Washington University, focusing on fertility preservation in patients with medical illness or treatments that threaten the function of their ovaries. She assists with the long-term gynecologic needs of cancer survivors.

AWARDS
Cincinnati Children’s Hospital Annual Faculty Awards, Clinical Team Award (Comprehensive Fertility Care & Preservation Program), 2017

PROFESSIONAL SOCIETIES, ORGANIZATIONS, & COMMITTEE INVOLVEMENT
American College of Obstetrics and Gynecology (ACOG), 2006– present, Fellow 2/2016 – present
American Society for Reproductive Medicine (ASRM), 2016-present
North American Society for Pediatric and Adolescent Gynecology (NASPAG), 2013 – present
International Fertility Preservation Guidelines Working Group
Oncofertility Consortium Pediatric Initiative Network

To make an appointment with Dr. Hoefgen, call 314-362-4211

Chief, Pediatric & Adolescent Gynecology
Professor, Ob/Gyn
Fellowship Director, Pediatric & Adolescent Gynecology

Division: Pediatric & Adolescent Gynecology

Learn more about Dr. Merritt

Dr. Merritt is a professor of obstetrics and gynecology and has been an attending physician at St. Louis Children’s Hospital for four decades. She is the recipient of a numerous awards and consistently ranked as a Best Doctor in America and America’s Top Doctor. She is a fellow of the American College of Obstetricians and Gynecologists and served as chair of the Committee on Adolescent Health Care. She was a founding member of the North American Society for Pediatric and Adolescent Gynecology and served on the board and as president. She is currently the chief of the Division of Pediatric and Adolescent Gynecology and is a fellowship director in Pediatric and Adolescent Gynecology at Washington University. Dr. Merritt is a consultant for the Beautiful You MRKH Foundation and has expertise in the care of women born with congenital absence (atresia) of the uterus and vagina (MRKH). She has expertise in the management of menstrual suppression and cycle control for patients with developmental disabilities and underlying medical disorders. She is also an expert in the management of congenital anomalies of the reproductive tract as well as genital injuries and repair.

AWARDS AND HONORS
Distinguished Faculty Award, Distinguished Service Teaching Award, the Humanism in Medicine Award, Alumni Achievement Award,

Best Doctor in America 1996-2017
America’s Top Doctor 2000-2017

PROFESSIONAL SOCIETIES, ORGANIZATIONS
American College of Obstetrics and Gynecology (ACOG), Fellow 1985 – present
American Society for Reproductive Medicine (ASRM), 1986 – present
Society for Adolescent Health and Medicine (SAHM) 1984 – present
North American Society for Pediatric and Adolescent Gynecology (NASPAG), 1987 – present
Alpha Omega Alpha

To make an appointment with Dr. Merritt, call 314-362-4211

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