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A vaginal foreign body is when an object is stuck in your child's vagina. Some examples are wadded toilet paper, toys, crayons, and hair bands. A vaginal foreign body may be a sign of sexual abuse.
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Suitable for 0-18 years Vulvovaginitis
Last updated or reviewed 06-05-2019
Vulvovaginitis is inflammation of the vulva or vagina. It’s very common in girls who haven’t reached puberty yet.
Young girls don’t have the hormone oestrogen . Without oestrogen, the skin of their vulvas is thin and delicate. This means that bacteria or vaginal discharge can easily irritate their skin.
Sometimes, worms or labial fusion can lead to vulvovaginitis or make it worse. Thrush is almost never a cause of vulvovaginitis at this age.
Very rarely, vulvovaginitis symptoms might be caused by sexual abuse.
A red and sore vulva is the most common symptom of vulvovaginitis. Your daughter might also get smelly discharge from the vagina, or complain of burning when she urinates.
Occasionally your daughter’s vulva might be itchy if she has eczema or a skin condition called lichen sclerosis, which also affects the vulva.
If your daughter has lots of itchiness and pain that is worse at night in bed, it might be because of worms.
Vulvovaginitis symptoms often come and go . Some days or weeks your daughter might not have any problems, and then she might have symptoms for several days or weeks.
Symptoms can last until your daughter reaches puberty.
There’s usually no need for your daughter to see the GP for vulvovaginitis unless:
If your daughter has vulvovaginitis, you can take some steps at home to help her feel more comfortable.
To start with, she should avoid anything that might irritate her vulva and vagina . For example, try changing laundry products or toilet paper to see whether this is the cause of irritation.
If the irritation isn’t settling, these daily steps can improve symptoms:
If your daughter has eczema or lichen sclerosis, your GP might prescribe a corticosteroid cream, which is effective and safe.
If your daughter has worms that might be causing the irritation, you can treat these easily with antiparasitic medication. You can get this medication over the counter from your pharmacy. Your daughter will probably need two doses.
Until the skin on your daughter’s vulva becomes stronger and less sensitive when she reaches puberty, it can be hard to completely prevent vulvovaginitis.
Encouraging your daughter to have these good toilet and personal hygiene habits can help:
This article was reviewed by Professor Sonia Grover, paediatric and adolescent gynaecologist, Royal Children’s Hospital, Melbourne and Associate Professor Jill Sewell AM, paediatrician, Royal Children’s Hospital, Melbourne.
Bauman, D. (2013). Pediatric & adolescent gynecology. In A.H. DeCherney, L. Nathan, N. Laufer & A.S. Roman (Eds), Current diagnosis & treatment: Obstetrics & gynecology (11th edn, pp. 582-610). New York: McGraw-Hill.
Hoffman, B.L., Schorge, J.O., Schaffer, J.I., Halvorson, L.M., Bradshaw, K.D., & Cunningham, F.G. (2012). Pediatric gynecology. In B.L. Hoffman, J.O. Schorge, J.I. Schaffer, L.M. Halvorson, K.D. Bradshaw, F.G. Cunningham & L.E. Calver (Eds), Williams gynecolog y (3rd edn, pp. 382-499). New York: McGraw-Hill.
Jaquiery, A., Stylianopoulos, A., Hogg, G., & Grover, S. (1999). Vulvovaginitis: Clinical features, aetiology, and microbiology of the genital tract. Archives of Disease in Childhood, 81 (1), 64-67. doi: 10.1136/adc.81.1.64.
Laufer, M.R., & Emans, J. (2018). Overview of vulvovaginal complaints in the prepubertal child . UptoDate. Retrieved 13 December 2018 from https://www.uptodate.com/contents/overview-of-vulvovaginal-complaints-in-the-prepubertal-child?search=vulvovaginal-complaints-in-the-prepubertal-child&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1.
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