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Vaginitis is any inflammation or infection of the vagina. It's a common problem in girls and women of all ages. It develops when the walls of the vagina become inflamed because of an infection or irritant.
Bacteria, yeast, viruses, and chemicals can cause vaginitis. The most common types are:
Yeast infection. This is caused by one of the many species of fungus known as candida. These normally live in the vagina in small numbers. Candida may also be in the mouth and digestive tract in both boys and girls. Infection happens when something upsets the normal balance. For example, antibiotics can kill bacteria that normally balances the amount of yeast in the vagina. Too much yeast grows, causing an infection. Another cause can be pregnancy, which changes hormone levels. Diabetes can also be a cause because of too much sugar in the urine.
Bacterial vaginosis. This infection is caused when certain types of normal vaginal bacteria grow out of control and cause inflammation.
Trichomoniasis (trich). This is a sexually transmitted infection (STI) caused by a parasite. This parasite passes between partners during sexual contact. Most boys don’t have symptoms with trichomoniasis. So the infection is often not diagnosed until a girl has vaginitis symptoms.
Viral vaginitis. Viruses are a common cause of vaginitis. Most are spread through sexual contact. The herpes simplex virus (HSV) can cause viral vaginitis. The human papillomavirus (HPV) can also cause viral vaginitis. Both of these are spread through sexual contact.
Noninfectious vaginitis. This is vaginal irritation without an infection. It’s most often caused by an allergic reaction or irritation. Chemicals in vaginal sprays, douches, or spermicides can cause it. It may also be caused by perfumed soaps, detergents, or fabric softeners. Even chemicals in clothing can cause symptoms.
A girl is more at risk for vaginitis if she:
Has diabetes that is not well-controlled
Is using an immunosuppressant medicine
Is using high-estrogen contraceptives
Is having corticosteroid therapy, which weakens the immune system
Symptoms can occur a bit differently in each girl.
The symptoms of a yeast infection can include:
A thick, white, odorless vaginal discharge that is like cottage cheese
Itching and redness of the vulva and vagina
The symptoms of bacterial vaginosis can include:
A thin, white fluid from the vagina
A thick, gray or green fluid from the vagina
The symptoms of trichomoniasis can include:
Frothy, greenish-yellow fluid from the vagina that smells musty
Itching or burning in and around the vagina and vulva
Swelling or redness at the opening of the vagina
Light bleeding, especially after sex
The symptoms of viral vaginitis can include:
Pain in the genital area from sores, if the cause is HSV
Painless warts on the vagina, rectum, vulva, or groin, if the cause is HPV. But a girl may have the virus without visible warts.
The symptoms of noninfectious vaginitis can include:
The symptoms of vaginitis can be like other health conditions. Make sure you see your healthcare provider for a diagnosis.
The healthcare provider will ask about your teen’s symptoms and health history. They will give you child a physical exam. The physical exam may include a pelvic exam. The provider may also check vaginal fluid under a microscope.
Treatment will depend on your teen’s symptoms, age, and general health. It will also depend on the cause and how severe the condition is.
Antifungal vaginal creams and suppositories
Antifungal medicines that are taken by mouth (oral)
Treatment is done with oral antibiotics. All sexual partners need to be treated. This is to prevent the infection occurring again.
This virus can be treated with antiviral medicine. These include acyclovir, valacyclovir, and famciclovir. These medicines don’t kill the virus. But they can decrease the pain and shorten the length of the outbreak.
Most HPV infections go away within 6 to 12 months. Some infections last and can lead to cancer of the vulva, vagina, or anus.
Treatment is done by finding out what caused the reaction or irritation, and removing it from use.
Talk with your teen’s healthcare provider about the risks, benefits, and possible side effects of all medicines.
HPV is the main cause of cervical cancer in women.
An HPV vaccine can prevent infection by the types of HPV that cause most cervical cancers. The vaccine also helps prevent genital warts as well as some cancers of the vulva, vagina, and anus. The vaccine is given to children and young adults ages 9 to 26, ideally before they become sexually active. Ask your healthcare provider for more information.
Call the healthcare provider if your teen has:
Symptoms that don’t get better, or get worse
Vaginitis is any inflammation or infection of the vagina. It's a common problem in girls and women of all ages. It develops when the walls of the vagina become inflamed because of an infection or irritant.
Bacteria, yeast, viruses, and chemicals can cause vaginitis.
The symptoms of vaginitis can include pain, itching, burning, sores, fluid from the vagina, and other problems.
Treatment may include medicines. The type of medicine depends on the cause.
An HPV vaccine can prevent infection by the types of HPV that cause most cervical cancers.
Tips to help you get the most from a visit to your child’s healthcare provider:
Know the reason for the visit and what you want to happen.
Before your visit, write down questions you want answered.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you for your child.
Know why a new medicine or treatment is prescribed and how it will help your child. Also know what the side effects are.
Ask if your child’s condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if your child does not take the medicine or have the test or procedure.
If you r child has a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your child’s provider after office hours. This is important if your child becomes ill and you have questions or need advice.
©2021 University of Rochester Medical Center Rochester, NY
The bad news—There's no cure for acne. The good news—It usually clears up as you get older. In the meantime, there are a few things you can do to help keep those zits under control.
Benzoyl peroxide wash, lotion, or gel—the most effective acne treatment you can get without a prescription. It helps kill bacteria in the skin, unplug oil ducts, and heal pimples. There are a lot of different brands and different strengths (2.25% up to 10%). The gel may dry out your skin and make it redder than the wash or lotion, so try the wash or lotion first.
Start slowly—only once a day with a 5% wash or lotion. After a week, try using it twice a day (morning and night) if your skin isn’t too red or isn’t peeling.
Don’t just dab it on top of your pimples. Apply a thin layer to the entire area where pimples may occur. Avoid the skin around your eyes.
If your acne isn’t any better after 4 to 6 weeks, try a 10% lotion or gel. Use it once a day at first and then try twice a day if it doesn’t irritate your skin.
Isotretinoin (brand names are Accutane, Amnesteem, Sotret, and Claravis) is a very strong medicine taken as a pill. It’s only used for severe acne that hasn’t responded adequately to other treatments. Because it’s such a powerful drug, it must never be taken just before or during pregnancy. There is a danger of severe or even fatal deformities to unborn babies. Patients who take this medicine must be carefully supervised by a doctor knowledgeable about its usage, such as a pediatric dermatologist or other expert in treating acne. Isotretinoin should be used cautiously (and only with careful monitoring by a dermatologist and psychiatrist) in patients with a history of depression. Don’t be surprised
if your doctor requires a negative pregnancy test, some blood tests, and a signed consent form before prescribing isotretinoin.
The following are things to keep in mind no matter what treatment you use:
Be patient. Give each treatment enough time to work. It may take 3 to 6 weeks or longer before you see a change and 12 weeks for maximum improvement.
Be faithful. Follow your program every day. Don't stop and start each time your skin changes. Not using it regularly is the most common reason why treatments fail.
Follow directions. Not using it correctly can result in treatment failure or troublesome side effects.
Only use your medicine. Doctors prescribe medicine specifically for particular patients. What's good for a friend may not be good for you.
Don't overdo it. Too much scrubbing makes skin worse. Too much benzoyl peroxide or topical retinoid creams can make your face red and scaly. Too much oral antibiotic may cause side effects.
Don't worry about what other people think. It's no fun having acne, and some people may say hurtful things about it. Try not to let it bother you. Most teens get some acne at some point. Also remember that acne is temporary, and there are a lot of treatment options to keep it under control.
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.
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