Prepubertal Vagina
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Prepubertal Vagina
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Pruritus vulvae,
Vulval dermatoses,
Prepubertal lichen sclerosus,
Vaginal foreign body,
Pinworms,
Vulvovaginal infections
L29.2, B80, S30.854A, T19.2XXA, N76.0, N90.89, R21, N76
GA42.0, EB60.0, DB70.Y, ND74.2, GA14.2, GA02.0
721199003, 67882000, 266162007, 237091009, 211652000, 34124000, 402236002, 402314003
Madeleine Johnson,
360Dx, 2019
Precision Oncology News, 2019
Precision Oncology News, 2019
360Dx, 2017
John Gilmore,
360Dx, 2019
360Dx, 2017
360Dx, 2018
Precision Oncology News, 2020
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Vulval and vaginal problems in prepubertal females
Author: Vanessa Ngan, Staff Writer, 2002.
Vulval and vaginal problems in young girls often result in pruritus vulvae (itch affecting the female genital area). Causes and treatments differ slightly between prepubertal females and mature women.
The prepubertal vulva is thin, delicate, and has a neutral pH , meaning it is easily irritated. Older women are somewhat protected by oestrogen -induced labial fat pads, thickening of the skin, and pubic hair .
The main cause of pruritus vulvae in prepubertal females is contact irritant dermatitis due to the presence of chemical and/or mechanical irritants .
Prepubertal pruritus vulvae may also be a symptom of other vulvar or vaginal problems. These include:
Often several factors are present, and it can be difficult to determine the exact cause.
Mostly the diagnosis is made by careful history and clinical examination by an experienced doctor. The doctor will need to examine the affected area and take swabs for microbiological examination. Other areas of the skin will be examined to determine the likelihood of a more widespread skin disorder being the cause.
Sometimes, a skin biopsy is necessary to determine the exact nature of the skin condition.
Patch tests are sometimes performed to see whether any contact allergy is present such as to a fragrance , preservative , medicament or another allergen .
Prepubertal vulval and vaginal problems can be treated and prevented by instituting good hygiene measures and by avoiding things that may cause irritation or infection. Some basic practices include:
Bland emollients such as sorbolene and glycerine cream or petrolatum can be used. Hydrocortisone cream is generally safe, but if it seems to irritate, discontinue its use and seek advice. Dermatological or infectious causes may be treated with medicines prescribed by a doctor.
Vulvovaginal Disorders : an algorithm for basic adult diagnosis and treatment — ISSVD
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to rule out vaginal foreign body in prepubertal girls with vaginal discharge. Medical records of all prepubertal patients who underwent vaginoscopy to rule.
A prepubertal child shows thin and sometimes short labia minora. They edge the vulva vestibulum, at the bottom of which the urethra and vagina open. On each side of the urethra, Skene’s duct can be...
Prepubertal vulval and vaginal problems can be treated and prevented by instituting good hygiene measures and by avoiding things that may cause irritation or infection. Some basic practices include
Figure 2. Female Prepubertal Genital Anatomy A Normal prepubertal female genitalia.
The knee-chest position permits far greater visibility of the vagina because gravity may unfold hymenal tissue to...
Importance Prepubertal vaginal bleeding outside the neonatal period is always abnormal and is very alarming to parents. A variety of practitioners, including obstetrician-gynecologists and pediatricians...
This girl presented with prepubertal bleeding and no signs of secondary sexual development. Vaginoscopy revealed a lesion attached to the cervix, which is seen here protruding through the vagina.
vaginal fornices do not develop until. puberty, the cervix in childhood is flush with the vaginal vault, its opening appearing as a small slit.
Atraumatic removal of secretions from the prepubertal vagina.
In boys, testicular enlargement is the first physical manifestation of puberty (and is termed gonadarche).[26] Testes in prepubertal boys change little in size from about 1 year of age to the...
Definition Vaginal bleeding, which is a misused term, should instead be called vulvovaginal
Discharge originating from the vulva and the vagina can be traumatic, infectious, hormonal, or...
Vulvovaginal complaints in prepubertal children may be the result of infection, congenital abnormalities, trauma, or dermatologic conditions. Vaginitis may have a nonspecific etiology or may be due to known...
Vaginal Itching and Discharge - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD
Prepubertal girls should be taught good perineal hygiene (eg, wiping front to back...
Abnormal vaginal bleeding, vaginal discharge and vaginal itching are discussed separately.
Prepubertal atrophic vaginitis, seen in girls before they reach puberty, may occur similarly due to lack...
While the vagina is a separate part of the anatomy, it has often been used synonymously with vulva.
The term introitus is more technically correct than "opening", since the vagina is usually collapsed...
Investigation of vaginal microbiome spectrum was carried out using a complex quantitative PCR in
It was established that in the vaginal microbiome of prepubertal girls opportunistic pathogens of occurs...
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