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MoonDragon's Pediatric Information
Vulvovaginitis Before Puberty




BASIC INFORMATION


"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.


DESCRIPTION

Vulvovaginitis is an infection or inflammation of the vagina or vulva before a young girl reaches puberty. It affects female infants and children.




FREQUENT SIGNS & SYMPTOMS

Vulvovaginitis has the following characteristics:
  • Redness, pain and itching around the genital area.
  • Vaginal discharge, which may or may not have an odor.
  • Pain with urination.
  • Bleeding from the affected area (sometimes).





CAUSES

  • Infections caused by bacteria, parasites (including pinworms), yeast-like fungi, or viruses.


  • Allergies to synthetic fabrics, soap or other items in contact with the genitals.


  • Scratches, abrasions, or genital injury from insertion of foreign bodies in the vagina by the child or a playmate.


  • Genital injury from sexual abuse.


  • Irritation from sources such as bubble bath or bath additives.





  • RISK INCREASES WITH

  • Diabetes mellitus.


  • Infrequent bathing or unsanitary living conditions.


  • Co-existing pharyngitis or other infection.





  • PREVENTIVE MEASURES

  • Teach the child to wipe the vagina toward the anus after bowel movements.


  • Don't let the child sit around in wet clothing, especially a wet bathing suit.


  • Don't use dyed or perfumed toilet tissue, scented soap or bubble baths.


  • Provide the child with cotton underpants or nylon underpants with a cotton crotch.


  • Teach your child to resist and report any attempted sexual contact by anyone.





  • EXPECTED OUTCOME

  • Usually curable in 10 days with treatment.





  • POSSIBLE COMPLICATIONS

  • Adhesions (fibrous tissue within the body that joins normally unconnected parts; they are usually scar tissue formed after inflammation).




  • TREATMENT


    GENERAL MEASURES

  • Diagnostic tests may include laboratory blood studies, examination of vagina and culture of the vaginal discharge.


  • Removal of any foreign object in the vagina.


  • Discontinuance of the source of any irritation or allergy, such as soap or bubble bath.


  • If urinating causes burning, the child may urinate while bathing or urinate through a toilet paper roll or plastic cup with the bottom cut out or pour a cup of warm water over the genital area while urinating. This prevents urine from stinging inflamed skin.





  • MEDICATION

  • Medication appropriate for the infection, including antibiotics, antifungal or anti-parasitic drugs or treatments.


  • Topical ointments to relieve pain and itching.





  • ACTIVITY

  • No restrictions.





  • DIET

  • No special diet.




  • NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...


  • Your child has symptoms of vulvovaginitis.


  • You suspect your child has been sexually abused.


  • Symptoms don't improve in 7 to 10 days or symptoms worsen, despite treatment.


  • Unusual vaginal bleeding or swelling develops.


  • HELPFUL LINKS TO RELATED PAGES

    MoonDragon's Pediatric Information: Chlamydia

    MoonDragon's Obgyn Information: STD - Chlamydia

    MoonDragon's Obgyn Information: Candida Overview, Symptoms & Causes

    MoonDragon's Obgyn Information: Candida Treatment

    MoonDragon's Obgyn Information: Candida Holistic Treatment, Nutrition & Supplements

    MoonDragon's Obgyn Information: Bacterial Vaginitis

    MoonDragon's Obgyn Information: Candida Overview, Symptoms & Causes

    MoonDragon's Health Information: Fungal Infections

    MoonDragon's Pediatric Information: Thrush

    MoonDragon's Pediatric Information: Description of Germs

    MoonDragon's Pediatric Information: Diaper Rash

    MoonDragon's Pregnancy Information: Hand Washing Techniques

    MoonDragon's Pregnancy Information: Standard Precautions - Infection Control





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