Vulvovaginitis, Prepubescent
Basics
Basics
Basics
Description
Description
Description
- Vulvitis is inflammation of the external genitalia.
- Vaginitis is inflammation involving the vaginal mucosa and can be characterized with or without odor or bleeding.
- In premenarchal girls, vulvitis is usually primary with secondary extension into the vagina.
- Vulvovaginitis can be classified as either nonspecific (not likely infectious but rather hygienic/behavioral cause) or specific (likely infectious cause).
- Systems affected: reproductive, integumentary
- Clinical features: vaginal/vulvar itching, soreness, dysuria, redness, discharge, bleeding, odor, and pain
Epidemiology
Epidemiology
Epidemiology
Incidence
Unknown
Prevalence
Most common gynecologic problem in prepubertal girls
Etiology and Pathophysiology
Etiology and Pathophysiology
Etiology and Pathophysiology
Risk Factors
Risk Factors
Risk Factors
- Inadequate hand washing or perineal cleansing after urination and defecation (2)
- Wearing of tight-fitting clothing
- Obesity
- Immunosuppression
- Diabetes
- Recent antibiotic use
- Anatomic abnormalities
General Prevention
General Prevention
General Prevention
- Good perineal hygiene (including wiping from front to back)
- Urination with legs spread apart and labia separated
- Avoidance of tight-fitting clothing and nonabsorbent underwear
- Avoidance of irritants such as harsh/perfumed soaps and bubble baths
Commonly Associated Conditions
Commonly Associated Conditions
Commonly Associated Conditions
- Urinary tract infections are common in children with vulvovaginitis.
- Constipation predisposes to vulvovaginitis and vice versa.
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