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Vulvovaginitis, Prepubescent

Simon B Griesbach, MD and Erin M Glembocki, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Vulvitis is inflammation of the external genitalia.

  • Vaginitis is inflammation involving the vaginal mucosa, and can be characterized with or without odor or bleeding.

  • In premenarchal g...

DIAGNOSIS

HISTORY

  • In taking the history from pediatric patient, develop good rapport with the patient and family as both the history and physical exam are sensitive to discuss.

  • Symptoms may include: ...

TREATMENT

  • Treatment is appropriate in the outpatient health care setting, except where systemic illness requires hospital care.

  • Approximately 75% of the time, no specific infectious cause is identified...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Monitor for fever, pruritus, and vaginal discharge. 

DIET

  • Healthy balanced diet, high in fiber to prevent constipation

  • Adequate fluid intake

PATIENT EDUCATION

REFERENCES

1
Romano ME. Prepubertal Vulvovaginitis. Clin Obstet Gynecol. 2020 Sep;63(3):479-485. 
2
Cemek  F, Odabaş  D, Şenel  Ü, et al. Personal hygiene and vulvovaginitis in pr...

CODES

ICD10

  • N76.0 Acute vaginitis

  • N77.1 Vaginitis, vulvitis and vulvovaginitis in dis classd elswhr

SNOMED

  • 53277000 Vulvovaginitis (disorder)

  • 237093007 Prepubertal vaginitis (disorder)

  • 237094001 Streptococc...

CLINICAL PEARLS

  • Vulvovaginitis is the most common gynecologic problem in prepubescent girls.

  • The hypoestrogenic state and prepubescent anatomy may increase susceptibility to vulvar and vaginal infectio...

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