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Expanding Pediatric and Adolescent Gynecologic Care

New physician is one of North Carolina’s few fellowship-trained specialists in pediatric and adolescent gynecology

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Black adolescent patient talking to physician

To enhance the expertise and patient care options for children and adolescents, Duke Health’s gynecology team recently welcomed Tara Streich-Tilles, MD, MPH. Streich-Tilles brings specialized training in the medical and surgical care of children, adolescents, and young adults with gynecologic concerns, and brings comprehensive, inclusive, and impactful care to the community. 
 
“The health of this patient population is important and Duke is committed to growing its presence in this area,” says Streich-Tilles. “I’ve appreciated the warmth I’ve received, as well as the integrity and innovativeness of the Duke community.”

Promoting informed, inclusive care

Untreated gynecologic concerns can negatively impact health and development, and Streich-Tilles says some patients feel apprehensive to seek expert care in this area. In this specialty, it’s particularly important for patients to have the information they need to make healthy decisions, and involve parents and caregivers in the education process.  
 
“I start each visit by getting to know the patient — what they enjoy doing, who is a part of their family, and what they are passionate about. This helps us build comfort and trust.” 
 
Streich-Tilles serves patients from birth to young adulthood and offers high-efficacy therapies for a wide range of gynecologic conditions and reproductive health concerns specific to children and adolescents, including:

  • Abnormal pubertal development
  • Vulvar dermatoses
  • Adnexal masses
  • Menstrual disorders
  • Dysmenorrhea
  • Chronic pelvic pain
  • Endometriosis
  • Complex contraception
  • Müllerian anomalies
  • Differences of sex development
  • Ovarian insufficiency
  • Reproductive care for children, adolescents, and young adults with cancer, and cancer survivors
Refer a Patient

Tara Streich-Tilles, MD, MPH sees pediatric and adolescent patients at: 

  • Duke Children's Adolescent Gynecology, Creekstone, Durham, NC
  • Duke Fertility Center, Morrisville, NC
  • Duke Women's Health Associates, Arringdon, Morrisville, NC

To refer a patient, call 919-572-4673.

Multidisciplinary teams for complex cases

Streich-Tilles collaborates with community providers, specialists, and subspecialists within and outside Duke, including pediatrics, family medicine, gastroenterology, urology, urogynecology, hematology, endocrinology, oncology, surgery, and more.
 
“I have great respect for my colleagues who help patients manage their reproductive health, and I can serve as a supportive team member for second opinions or for patients with more complex needs,” says Streich-Tilles.
 
Within Duke, Streich-Tilles is collaborating with various subspecialties and programs to integrate a higher level of gynecologic care, including fertility preservation, into the treatment and disease management of many conditions, such as cancer, urogenital conditions and anorectal malformations, endocrine disorders, and others.