Vulvar Disorders Among Children And Adolescents
Friday, August 17th, 2007It may be difficult for a young child to describe vulvar sensations. Parents may notice the child crying during urination, scratching herself repeatedly, or complaining of vague symptoms. Often, the gynecologic child patient’s pediatrician will have evaluated the child for urinary tract infection. Evaluation for pinworms is also warranted, as pinworms can cause severe itching in the vulvar as well as perianal area. Vulvovaginitis is the most common gynecologic problem of childhood. Prepubertally, the vulva, vestibule, and vagina are anatomically and histologically vulnerable to infection. The physical proximity of the vagina and vestibule to the anus can result in overgrowth of pathogenic bacteria that can cause primary vulvitis and secondary vaginitis. Cultures of these bacteria can be seen and studied using medical microscopes such as a gynecology microscope. (more…)