Paediatric vulvovaginitis
द्वारा सहकर्मी समीक्षा की गई Dr Doug McKechnie, MRCGPद्वारा लिखित Dr Rachel Hudson, MRCGPमूल रूप से प्रकाशित 25 Feb 2023
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Paediatric vulvovaginitis is a common cause of soreness or irritation of the genital area of young girls before puberty. It is usually caused by a combination of a natural lack of oestrogen and not wiping properly after going to the toilet. It can usually be alleviated by some simple hygiene and bathing changes.
See the separate leaflets called Vulval Problems और Vulvitis (in adults).
एक नजर में
Paediatric vulvovaginitis is inflammation of the vulva or vagina in young girls before puberty.
Symptoms include soreness, itching, pain when urinating, and sometimes vaginal discharge.
Low oestrogen levels make the skin prone to irritation and infection in this age group.
Avoiding irritants like bubble bath and ensuring good hygiene can help.
See a doctor if there is bleeding, home treatments are not helping, or you are worried.
इस लेख में:
के लिए वीडियो चयन अन्य स्थितियाँ
नीचे पढ़ना जारी रखें
What is paediatric vulvovaginitis?
Paediatric vulvovaginitis is inflammation of the vulva and/or vagina in young girls who have not yet reached puberty.
What are the different types of paediatric vulvovaginitis?
सामग्री पर वापस जाएंNonspecific vulvovaginitis
The most common type, caused by a combination of factors.
Yeast vulvovaginitis
Yeast infections - eg, thrush - are rare in younger girls and not usually the cause of vulvovaginitis in this age group.
नीचे पढ़ना जारी रखें
What does paediatric vulvovaginitis look like?
सामग्री पर वापस जाएंThe external genital area can often look red and sometimes slightly swollen. There can be a discharge which may be yellow or green.
What causes paediatric vulvovaginitis?
सामग्री पर वापस जाएंBefore girls reach puberty, the levels of oestrogen in the genital area are low. This causes the skin and vaginal lining to be quite thin and easily irritated by bacteria from the anus, as it is close to the vagina.. The area is also less acidic before puberty, so bacteria can grow more easily. Irritants can include products such a soap and bubble bath, and also urine and faeces if the area is not wiped properly after toileting.
Rare causes for similar symptoms are a foreign body inside the vagina, and sexual abuse.
नीचे पढ़ना जारी रखें
What are the symptoms of paediatric vulvovaginitis?
सामग्री पर वापस जाएंSymptoms include soreness, itching, hurting to pass urine and sometimes a vaginal discharge.
Similar symptoms including vulval pain and itching, particularly at night, may also be caused by threadworms.
How is paediatric vulvovaginitis diagnosed?
सामग्री पर वापस जाएंA doctor can diagnose it by listening to the symptoms and performing an external examination. Sometimes a swab is taken to check for bacterial infections.
How is paediatric vulvovaginitis treated?
सामग्री पर वापस जाएंVulvovaginitis can usually be treated at home with the following measures:
Warm baths to soothe itching.
Loose-fitting cotton underwear.
Not wearing pants in bed.
Avoiding bubble bath and soap on the genital area, especially perfumed.
After bathing, patting the area dry with a soft towel.
Nappy rash creams such as Bepanthen® may soothe the discomfort and protect the skin.
Good toilet hygiene - part the legs while passing urine and wipe front to back.
Rinse with warm water after passing urine or opening bowels.
Antifungal creams, such as Canesten®, are not usually helpful in this age group.
When to see a doctor
If there is any bleeding.
The above measures are not helping.
You are worried about other causes.
How to prevent paediatric vulvovaginitis
सामग्री पर वापस जाएंWear loose-fitting cotton underwear.
Avoid tight clothing - eg, tight jeans.
Wipe from front to back.
Consider rinsing after wiping.
Avoid bubble bath and soap - wash with warm water.
Pass urine with the legs parted.
Avoid wearing pants in bed.
Can paediatric vulvovaginitis cause long-term problems?
सामग्री पर वापस जाएंNo, the symptoms usually resolve as girls reach puberty.
रोगी के लिए चयन अन्य स्थितियाँ
बच्चों का स्वास्थ्य
Kawasaki disease
Kawasaki disease is a rare condition that affects small to medium-sized blood vessels in the body. Kawasaki disease causes the the walls of the blood vessels to become inflamed and swollen (vasculitis). Kawasaki disease mainly affects children less than 5 years old. The exact cause of Kawasaki disease remains unknown. Kawasaki disease causes a high temperature (fever), a rash, and other typical symptoms (listed below). The most serious complication of Kawasaki disease occurs when the arteries supplying the heart (coronary arteries) are affected. This occurs in about 1 in 4 children with untreated Kawasaki disease. Treatment with intravenous immunoglobulin and aspirin has greatly reduced the proportion of children with Kawasaki disease who develop coronary artery problems. The outcome for children diagnosed with Kawasaki disease is mainly based on the extent and severity of coronary artery involvement. Kawasaki disease is fatal in less than 1 in 500 of those affected.
डॉ. कॉलिन टिडी, MRCGP द्वारा
बच्चों का स्वास्थ्य
शिशुओं में हाइड्रोसील
A hydrocele is a collection of fluid in the scrotum, sometimes found in newborn boys. Most hydroceles go down within the first few months of life in babies and so do not need treatment. If a hydrocele persists then a small operation can usually cure the problem.
डॉ टोनी हैज़ल, MRCGP द्वारा
अक्सर पूछे जाने वाले प्रश्न
My daughter has some redness and discharge, but it's not thrush. Is this normal for vulvovaginitis?
Yes, yeast infections like thrush are uncommon in young girls. The most common type of paediatric vulvovaginitis is non-specific, caused by a combination of factors. The external genital area can look red and sometimes slightly swollen, and there might be a yellow or green discharge.
Why are young girls more prone to vulvovaginitis compared to adult women?
Before puberty, girls have low levels of oestrogen in the genital area. This makes the skin and vaginal lining thin and easily irritated by bacteria from the anus, which is close by. The area is also less acidic before puberty, creating an environment where bacteria can grow more easily.
Could my daughter's symptoms be caused by something else, even if it seems like vulvovaginitis?
While irritation is the most common cause, similar symptoms of vulval pain and itching, especially at night, can also be caused by threadworms. In rare cases, a foreign body inside the vagina or sexual abuse can present with similar symptoms.
What kind of soaps and bubble baths should we avoid to prevent irritation?
It's best to avoid all bubble baths and soaps on the genital area, especially perfumed ones, as these can act as irritants. Washing the area with warm water is recommended instead.
My daughter is experiencing soreness when she urinates. Is this a common symptom of vulvovaginitis?
Yes, hurting to pass urine is a common symptom of paediatric vulvovaginitis, along with soreness, itching, and sometimes a vaginal discharge.
If we've tried the home treatments, but they don't seem to be working, what should we do next?
If the home measures suggested are not helping, or if you notice any bleeding, or if you are worried about other potential causes for your daughter's symptoms, you should see a doctor.
Are antifungal creams, like Canesten, helpful for this condition?
Antifungal creams, such as Canesten®, are generally not helpful for paediatric vulvovaginitis in this age group, as yeast infections are rarely the cause.
अधिक पठन और संदर्भ
- Joishy M, Ashtekar CS, Jain A, et al; Do we need to treat vulvovaginitis in prepubertal girls? BMJ. 2005 Jan 22;330(7484):186-8.
- Jayasinghe Y, Garland SM; Genital warts in children: what do they mean? Arch Dis Child. 2006 Aug;91(8):696-700. Epub 2006 May 2.
- Brander EPA, McQuillan SK; Prepubertal vulvovaginitis. CMAJ. 2018 Jul 3;190(26):E800. doi: 10.1503/cmaj.180004.
- Candida - female genital; NICE CKS, October 2023 (UK access only)
नीचे पढ़ना जारी रखें
लेखक के बारे मेंपूरा जीवन परिचय देखें
Dr Rachel Hudson, MRCGP
General Practitioner and Medical Author
MBChB, MRCGP (2008), BSc (Medical Science), DFSRH, DRCOG, DCH
Dr Rachel Hudson, is an NHS GP working in the North West of England.
समीक्षक के बारे मेंपूरा जीवन परिचय देखें
Dr Doug McKechnie, MRCGP
Medical Writer
MA, MBBS, MSc, DRCOG, MRCP(UK), MRCGP(2021), FHEA
Dr Doug McKechnie is an NHS GP working in London. He works full-time clinically and is also the Deputy Lead for the Clinical and Professional Practice module at University College London Medical School.
लेख का इतिहास
इस पृष्ठ पर दी गई जानकारी योग्य चिकित्सकों द्वारा लिखी और सहकर्मी समीक्षा की गई है।.
Next review due: 24 Feb 2028
25 Feb 2023 | मूल रूप से प्रकाशित
द्वारा लिखित:
Dr Rachel Hudson, MRCGPद्वारा सहकर्मी समीक्षा की गई
Dr Doug McKechnie, MRCGP
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