Gynaecological problems in children

Question 1

Should vaginal examinations and vaginal swabs be carried out in children?

Answer 1

no refer to paediatric gynaecologist

Question 2

Is white vaginal discharge in newborn girls normal?

Answer 2

yes

Question 3

When does white vaginal discharge disappear in babies?

Answer 3

By 3 months

Question 4

What is the most common gynaecological disorder in girls?

Answer 4

Vulvovaginitis

Question 5

Risk factors of vulvovaginitis

Answer 5

poor hygiene,

tight clothing,

lack of labial fat pads protecting vaginal orifice

and lack of protective acid secretion found in the reproductive years

Question 6

causing organisms of vulvovaginitis

Answer 6

bacterial (such as Gardnerella and Bacteroides)

or

fungal organisms

Question 7

what should you consider if there is bloody discharge?

Answer 7

foreign body

Question 8

what else concerning may present as vulvovaginitis?

Answer 8

sexual abuse

Question 9

Mx of vulvovaginitis

Answer 9

advise about hygiene

soothing creams may be useful

topical antibiotics/antifungals

oestrogen cream in resistant cases