Open Vagina Toddlers

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Vulvovaginitis in toddlers is the inflammation or swelling of their vulva and vagina. Symptoms include redness, soreness and itching in your child’s vaginal area. The most common cause of vulvovaginitis in toddlers are irritants such as harsh soaps, bubble baths and tight-fitting clothing. Treatment typically involves eliminating the irritants.

Brander, EPA, McQuillan, SK. Prepubertal vulvovaginitis. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028267/) CMAJ . 2018;190(26):E800. Accessed 3/14/2022.
Cemek F, Odabaş D, Şenel Ü, et al. Personal Hygiene and Vulvovaginitis in Prepubertal Children. (https://pubmed.ncbi.nlm.nih.gov/26187769/) J Pediatr Adolesc Gynecol . 2016;29(3):223-227. Accessed 3/14/2022.
Loveless M, Myint O. Vulvovaginitis- presentation of more common problems in pediatric and adolescent gynecology. (https://pubmed.ncbi.nlm.nih.gov/28927766/) Best Pract Res Clin Obstet Gynaecol . 2018;48:14-27. Accessed 3/14/2022.
North American Society for Pediatric and Adolescent Gynecology. Pre-pubertal Vulvovaginitis. (https://www.naspag.org/assets/docs/prepubertal_vulvovaginitis_2.pdf) Accessed 3/14/2022.
Zuckerman A, Romano M. Clinical Recommendation: Vulvovaginitis. (https://pubmed.ncbi.nlm.nih.gov/27969009/) J Pediatr Adolesc Gynecol . 2016;29(6):673-679. Accessed 3/14/2022.

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Vulvovaginitis in toddlers is the swelling or inflammation of their vagina and vulva. Your child’s vulva is the area between their legs surrounding the opening of their vagina. Vulvovaginitis in toddlers, or pediatric vulvovaginitis, is a common problem that affects young girls.
Before puberty , your child isn’t making estrogen, which means the skin around their vulva is thin. In addition, your child lacks pubic hair and fatty labia, the lips of the vulva. This means they don’t have as much protection from possible irritation. Irritating products such as bubble baths, soaps, detergents and clothing can cause vulvovaginitis.
Without estrogen, mucus hasn’t had a chance to build up in your child’s vagina. Thick vaginal mucus protects against infection. Also, there’s a shorter distance between your child’s vagina and anus. This makes it easier for germs to spread from their anus (where there are lots of germs and poop) to their vagina.
Many young girls are still learning proper bathroom habits. This includes wiping from front to back to keep bacteria from their anus from tracking up their vagina or urethra. The urethra is where they pee, the connection to their bladder.

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Vulvovaginitis is the most common gynecological problem in young girls. The condition makes up about 62% of gynecological problems seen by pediatricians .
Vulvovaginitis in toddlers may cause many uncomfortable symptoms in their vaginal area. These symptoms may include:
Your child lacks estrogen in their body before puberty. Without estrogen, the skin around their vulva is thin. Your child also doesn’t yet have pubic hair and fatty labia. Thicker skin, pubic hair and fatty labia provide protection from irritation. Irritants cause up to 75% of all vulvovaginitis cases in toddlers. Irritants may include:
Poor hygiene and bacterial infections can also team up to cause pediatric vulvovaginitis. During puberty, estrogen thickens your child’s vaginal mucus, which reduces the chance of infection. Before puberty, your child doesn’t have this protection. Also, there’s not as much space between your child’s vagina and anus, which makes it easier for bacteria to spread.
Your child may still be learning how to properly wipe themselves. If they don’t wipe carefully, urine can collect in their vagina and give bacteria a place to grow. If your child doesn’t wipe from front to back, fecal bacteria can transfer from their anus to their vagina as well. Bacteria can also spread by not washing their hands, picking their nose or sucking their thumb, and then touching their genital area.
Other causes of vulvovaginitis in toddlers may include:
Your child’s healthcare provider will ask about their medical history, including any recent infections. They’ll ask about your child’s symptoms, including when they started and what makes them better or worse. Their provider will ask about their toileting habits and hygiene. They’ll also ask you about any potential irritants that could cause the infection.
Your child’s healthcare provider will perform a physical examination . They’ll look at your child’s external vaginal area. Your child may feel uncomfortable, but you’ll stay in the room with them and the exam won’t hurt. If your child’s healthcare provider suspects a bacterial infection or sees discharge, they’ll collect a sample for testing. They’ll collect the sample using a wet swab smaller than the size of a Q-Tip. They’ll send the sample to a laboratory to test for bacteria.
Most of the time, you can treat your toddler’s vulvovaginitis with home remedies. Natural remedies for toddler vulvovaginitis caused by irritants include:
To help relieve symptoms, you can apply an emollient such as zinc oxide (Aquaphor®) or a steroid cream. But you should use steroid creams sparingly and discuss their use with your child’s healthcare provider.
If your child has a bacterial infection, your child’s healthcare provider will prescribe an antibiotic such as penicillin . Pediatric vulvovaginitis treatment for other causes include:
Vulvovaginitis is a common diagnosis in toddlers. Steps you can take to prevent vulvovaginitis in your toddler include:
Teaching your child about proper hygiene should treat and prevent future occurrences. If your toddler is toilet trained, make sure they’re:
Redness, soreness, itchiness and even vaginal discharge can be scary for a parent to see in their toddler. But vulvovaginitis is a common condition in young girls. It’s usually not serious and is most likely caused by an irritant. Try eliminating potential culprits, such as scented soaps or bubble baths. And make sure you’re teaching your child proper hygiene. If your child’s symptoms persist, call their healthcare provider. They’ll be able to confirm the diagnosis and determine the correct treatment. With proper treatment, your toddler will be feeling better in no time.
Last reviewed by a Cleveland Clinic medical professional on 03/14/2022.

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Even though your child's vagina pretty much takes care of itself, it's good to know how to keep rashes and infections in a toddler vagina at bay.
What to Expect The First Year , 3rd edition, Heidi Murkoff and Sharon Mazel. What to Expect The Second Year , Heidi Murkoff and Sharon Mazel. American Academy of Pediatrics, Bathing Your Newborn , November 2009. American Academy of Pediatrics, Prevent Urinary Tract Infections in Children , November 2015. Mayo Clinic, Baby Bath Basics: A Parent's Guide , October 2016
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Vaginas are pretty good at self-maintenance, but sometimes it can get pretty uncomfortable down there — even in a toddler vagina. Just like fully grown ones, a child’s vagina is susceptible to itchiness, irritation or even infection. As a mom your challenge is to figure out when your little girl has a vaginal problem and how to solve it — or better still, how to prevent it in the first place. Tricky on all fronts (and bottoms), since your little one doesn’t yet have the body awareness or vocabulary to tell you what’s up down there — or the patience to perform proper vaginal hygiene (or any other part of her toddler grooming routine). Here are some tips on how to keep the toddler vagina healthy and avoid the most common causes of irritation.
If your toddler seems to be in pain after she pees, or her vaginal area seems red, she may have an inflammation of the vagina or vulva (also called vaginitis). If the steps above don’t help, check with your pediatrician for advice. You’ll also need to call the doc if your daughter experiences pain or stinging while she’s urinating — she could have a UTI.
From the What to Expect editorial team and Heidi Murkoff, author of What to Expect When You're Expecting . What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy .
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The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. This educational content is not medical or diagnostic advice. Use of this site is subject to our terms of use and privacy policy . © 2022 Everyday Health, Inc
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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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Today, I caught my daughter of 26 months old putting a plastic spoon inside her vagina. She had pyjama pants on and she put her hand with a spoon inside her pants. I asked her why she did that and she told me that she just wanted to. Four months ago i saw her attempting to insert a hose pipe in her vagina, when i asked her where she has seen that, she told me that a boy at her play school put a finger on her. I asked the teacher at the time and she told me that the boy in question had not started potty training and therefore it was impossible that the incident could have happened. The teacher told me that in any case they seperate the boys and girls in the toilet. I really tried to put that first incident behind me but this one really freaked me out because she really went out of her way to reach her vagina(Putting her hand inside her pants as opposed to being naked). I know this sounds bad but I do not even want my husband to bathe her now. What do i DO?

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