Baby Toddler Vagina
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Baby Toddler Vagina
Posted on July 6, 2020 August 10, 2021 by Susan Taylor
Posted on July 6, 2020 August 10, 2021 by Susan Taylor
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When it comes to little vaginas there’s not too much you need to worry about. That said, they can get itchy, sore, irritated and infected from time to time so it’s good to know how to identify, treat and prevent these issues – especially because babies won’t be able to tell you what’s wrong. Here are seven problems to look out for down below.
Thrush is a fungal infection caused by an overgrowth of the yeast, Candida albicans, which is naturally found on the skin or in the gut. A small amount of the yeast can be found in the vagina too and this is mostly harmless, unless the yeast numbers grow.
Symptoms of vaginal thrush can include itching or burning, a white discharge and stinging or burning while urinating. Vaginal thrush is often caused by wiping your baby’s bottom from back to front (so spreading the Candida albicans from the anus to the vagina) or using soaps to clean the genital area.
Once you see symptoms of vaginal thrush, you can quickly clear it up with an over-the-counter thrush cream available from the chemist, and after that, make sure that you use a soap substitute when cleaning the area, as well as ensure you are wiping in the right direction.
It is worth noting too, that there is another form of thrush – oral thrush – that breast-fed babies sometimes get when candida is transferred from their mother’s nipple to their mouth. Oral thrush requires a different treatment.
Vulvovaginitis is when the vagina and vulva are inflamed which can be pretty painful and uncomfortable. It’s common in very young girls because the lining of their vagina and vulva is quite thin which means it can easily be irritated. Many things can cause this, such as moisture and dampness in the area, tight nappies or clothing, soaps and threadworms.
Other signs your child might have vulvovaginitis include redness on the outside vaginal area, pain during or after she urinates, itchiness in the area and discharge from the vagina. When vulvovaginitis is mild, it can be treated by putting them in loose clothing and avoiding things like bubble baths and soaps. Adding some white vinegar to the tub and using nappy rash cream can also help soothe symptoms. If there is any blood, or your child seems very distressed, take them to the doctor.
While it’s prevalent for young children in nappies (both boys and girls) to get a Urinary Tract Infection (UTI) , it is essential to attend to one immediately. If left untreated, it can cause kidney damage. Signs of a UTI include fever, appearing to be in pain when urinating, vomiting, seeming generally unwell, smelly or discoloured urine, pain in their lower abdomen, or attempting to urinate more frequently than usual.
A urine infection occurs when bacteria get into the urethra or bladder, usually from poo or bowel germs after wearing a nappy. If you suspect a UTI, take your daughter to the doctor immediately for a urine test. If positive, your child will be required to have antibiotics, possibly an ultrasound and a brief hospital stay. She will need a lot of rest and fluids once she is back at home. Ways to prevent a UTI include wiping from front to back when changing your child’s nappy or helping them on the toilet, avoid leaving them in a dirty nappy for long periods of time and steer clear of soaps and other irritants.
Apparently up to one third of all babies and toddlers have nappy rash at any time – although newborn babies are less prone to this condition (possibly because we change their nappies so often!) – so this is clearly a pesky condition that likes to bother little bottoms.
Nappy rash causes red patches on the bottom and over the genitals with skin that looks sore and raw and feels hot to touch. If extreme, you may see broken skin with pimples or blisters in patches. Nappy rash can be really uncomfortable and may make your baby pretty unhappy.
The most common causes of nappy rash include: your baby’s skin being in contact with a wet or dirty nappy for too long; a wet nappy rubbing against the skin; or using soap on the skin (causing it to dry out) – so the best ways to tackle nappy rash are to ensure that you change your baby’s nappy often, as well as giving her bottom plenty of fresh air to dry the skin well before putting a clean nappy back on, as well as avoiding using any products that are drying, like soap or alcohol.
Nappy rash is equally common in baby girls and boys, however, with more bits to clean and care for, little girls can seem more prone to nappy rash. With a bit of loving care and the proper time given to cleaning and drying your baby girl’s genitals at each nappy change, you will keep her rash-free most of the time.
The most common intestinal worm that children get is threadworm (also called pinworm). They look like tiny white threads (hence the name) and come out of the anus to lay eggs at night, which is why kids get very itchy bottoms especially in the evenings. In little girls, though, the worms often travel into the vagina as well, which can lead to scratching, causing redness and irritation. Not only are worms itchy and uncomfortable for children, but they will also interfere with their sleep and can cause a low appetite. T hreadworms spread very easily (usually via scratching and the eggs transferring to their fingernails and then the mouth), so the whole family will need to be treated quickly, even if they have no symptoms.
To treat worms, buy the medicinal worm chocolate squares from the chemist and give them to your child. Ensure she has a shower (not a bath) before bed, thoroughly cleaning her bottom and genitals. As for the rest of the house, vacuum carpets, clean surfaces including door handles and wash all bedding and towels in hot water to kill any eggs. To prevent worms, encourage good hygiene with your child by washing her hands regularly (especially after toilet visits), keeping fingernails kept short and not letting her eat food that’s been on the floor.
Also called labia adhesion, this is when the labia (outer lips of the vagina) become stuck together with a very thin membrane. It usually occurs between the ages of one and two and is most likely caused by a previous infection. If you’re worried, please speak to a doctor; however, in most cases, it usually rectifies itself over time without any treatment or surgery.
Vaginal or hymenal skin tags occur in about ten percent of all female newborns and are caused by a swollen hymen due to oestrogen passed down from the mother. They will look like a small, smooth pink tissue coming out of the vagina and will usually disappear after about two to four weeks on their own with no treatment required.
While things beyond our control cause some of the above conditions, when it comes to infections, prevention is the key. Here are some vaginal care tips to remember for keeping your child’s genitals healthy.
If you are at all concerned about a vaginal issue your child might have or suspect a UTI, please speak to your doctor.
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Posted on April 13, 2016 September 30, 2022 Last reviewed September 30, 2022
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Latest posts by Jessica Lloyd - Naturopathic Practitioner, BHSc(N) ( see all )
This resource is not a substitute for your doctor. This resource is designed to increase your knowledge and empower you with your health options, not to diagnose, treat, cure or prevent any disease. We do our best as science loving, evidence-based health practitioners to provide accurate, correct information, but we cannot replace your real-life health professionals. My Vagina is run by qualified health professionals from Melbourne, Australia. For more information, see our Privacy Policy and Disclaimer.
Paediatric gynaecology can be quite complex, since the usual rules don’t apply. This article provides the basic outline of growth and sexual development of our human children.
There are six stages of a female’s life:
Most newborn girls have some white, mucousy vaginal discharge for about three months after birth, which is due to oestrogen from the mother circulating in the baby. This is normal, and will disappear. After three months old until puberty, vaginal discharge should be minimal. Problematic vulvovaginitis and other discharge and bleeding information
When a girl is born, she may bleed vaginally for about a week, up to two weeks, caused by withdrawal of the mother’s oestrogen. This is normal and does not require treatment.
It is the same type of bleeding that occurs when a woman stops taking birth control pills for her ‘period’, which in fact is not a period, but called withdrawal bleeding .
Labia minora can be thick, and protrude past the labia majora – this is due to the mother’s oestrogen, and is something that will go away, and then reappear when oestrogen is more of a feature at puberty.
The labia majora will be pink and covered in discharge. Vaginal length is usually about 4cm long, and it can be difficult to examine or find the entrance.
Follicle stimulating hormone (FSH) is high in infancy, with highest levels (prior to puberty) found between six and 12 months of age. Her follicles are responding.
That is, the small sacs inside her ovaries that will pop eggs out when the time is right to ovulate. These can cause ovarian cysts, which are the most common cause of pelvic masses in girls.
This period is essentially hormone-free for the duration, past age one or two. Her follicles will reduce over childhood, but later her ovaries will start to produce bigger follicles, and the ovaries will descend into the pelvis.
Sometimes large follicles can be seen, but they usually don’t need any intervention.
The mucosa of the vaginal introitus (entrance) is pink and wet. The clitoris is small – between 3-5cm in length and 2-3cm wide. Rugae is sparse. The cervix should be able to be seen clearly.
A hymen is a membrane that exists just inside the introitus that girls are born with. It changes with hormones and activities. Read about the hymen.
Examining a child’s vagina can sometimes be complicated by their lack of cooperation, and should only be done by an experienced paediatric doctor.
Part of the examination is to ensure the child is calm and cooperative, and that the practitioner is trusted. A parent or trusted caregiver should always be present during these examinations while the vulva, vagina, cervix and rectum may be examined.
Any swabs should be taken while the child coughs, avoiding the hymen, since piercing the hymen will cause pain. A small, thin speculum can be used.
The child can cough or take a deep breath, and spread her own labia if appropriate. Don’t perform internal vaginal examinations or take vaginal swabs past the hymen unless necessary.
Position 1 – ‘frog leg’, girl lies on her back on top of a parent with knees and feet gently apart.
Position 2 – the girl lies on her side with knees to her chest.
Position 3 – if the girl is old enough, lying alone on her back, knees and feet apart.
Jessica is a degree-qualified naturopath (BHSc) specialising in vulvovaginal health and disease, based in Melbourne, Australia.
Jessica is the owner and lead naturopath of My Vagina, and is a member of the:
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The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
Ordinarily the lips of skin (labia) surrounding the entrance to the vagina and urethra are separated. Sometimes, they grow together to partially or completely block the opening. This condition, called labial adhesions (sticking together of labia), may occur in the early months of life. Less frequently, it can develop later on if there is constant irritation and inflammation in this area. The problem is usually traceable to diaper irritation , contact with harsh detergents or underwear made with synthetic fabric.
Usually labial adhesions do not cause symptoms, but sometimes they can lead to difficulty with urination and increase a child's risk of urinary tract infections . If the vaginal opening is significantly blocked, urine and/or vaginal secretions will sometimes build up behind the obstruction.
If the opening of your child's vagina appears to have closed or looks partially blocked, notify your pediatrician. They will examine your child and advise you whether any treatment is necessary.
The majority of such adhesions require no treatment and resolve on their own as children gets older. In general, if they are not having symptoms like dribbling incontinence after urination or urinary tract infections, no treatment is needed. However, in some cases, the pediatrician may refer your child to a pediatric surgeon or pediatric urologist .
Treatment options for labial adhesions include:
If estrogen cream is needed, your doctor will instruct you on exactly how and where to apply the cream. Good hygiene, such as giving your child daily sitz baths, is also important in the treatment and prevention of labial adhesions. You may want to apply a lubricant along the edges to prevent them from sticking back together.
It is important to keep in mind that the estrogen cream may result in temporary changes in the appearance of the hymen (tissue at the opening of the vagina) or withdrawal bleeding (like a period). These will resolve after stopping the estrogen cream. As the adhesion opens up, the area may take on a bruised appearance that can be mistaken for trauma. This will go away.
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