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Clinical Characteristics of Gynecologic Problems During Childhood in the Korean Population
Haewon Choi1, Sung Eun Kim1, Nae Hyun Lee1
1Department of Obstetrics & Gynecology, Samsung Medical Center, Sungkyunkwan University of Medicine, Seoul, Korea.
Insights
Common gynecologic issues in Korean girls under ten include genital anomalies and vulvovaginitis. Labial adhesions were the most frequent diagnosis, often found during routine screenings.
Area of Science:
- Pediatric Gynecology
- Adolescent Gynecology
- Women's Health
Background:
- Analysis of common gynecologic problems in pediatric patients under ten years old in Korea.
- Focus on conditions affecting young female patients.
Purpose of the Study:
- To identify and analyze the most frequent gynecologic issues encountered in pediatric patients.
- To provide insights for primary care physicians on managing and referring pediatric gynecologic cases.
Main Methods:
- Retrospective analysis of medical records.
- Data collected from the Pediatric and Adolescent Gynecology Clinic at Samsung Medical Center (1995-2020).
- Inclusion criteria: patients under ten years old.
Main Results:
- 642 patients under ten years old analyzed from 6,605 clinic visitors.
- Most common chief complaint: genital anomalies, followed by vaginal discharge.
- Most frequent diagnosis: agglutination of the labia minora (often incidental).
- Second most common: vulvovaginitis (symptoms include discharge, pruritus, spotting).
- Other issues: vaginal bleeding, neoplasms.
- Referral sources: primary care (38.2%), direct clinic visits (27.4%), pediatric department (26.3%).
Conclusions:
- Provides essential data on prevalent gynecologic problems in pediatric populations.
- Offers guidance for primary care physicians regarding appropriate management and referral timing.
- Highlights the importance of specialized clinics for pediatric gynecologic care.
Background:
This study analyzed common gynecologic problems among Korean patients younger than ten years.
Methods:
We performed a retrospective analysis of medical records of patients younger than ten years who visited the Pediatric and Adolescent Gynecology Clinic at Samsung Medical Center between 1995 and 2020.
Results:
Among the 6,605 patients who visited the Pediatric and Adolescent Gynecology Clinic, data from 642 patients younger than ten years were analyzed in this study. The most common chief complaint was genital anomalies, followed by increased vaginal discharge and abnormal findings on clinical examinations. The most common disease entity was agglutination of the labia minora, which was commonly discovered incidentally during routine screenings. Vulvovaginitis, the second most common disease, was identified by symptoms of vaginal discharge, pruritus, and vaginal spotting. Neoplasm, issues with vaginal bleeding, and "other causes" were additional categories of gynecologic problems. 245 patients (38.2%) were referred from primary care sources, 175 patients (27.4%) sought care directly at the clinic, 169 patients (26.3%) were referrals from the institution's pediatric department, and the remainder were referrals from other departments.
Conclusion:
This study provides information about the gynecologic problems most frequently encountered in pediatric patients. The study provides helpful insight for primary care physicians into the proper management and timing of referrals for these gynecologic problems of pediatric patients.
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