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Premenarchal vulvovaginitis involves various causes like infections and irritants. This review covers symptoms, diagnosis, and treatments for common conditions in premenarchal children.
Area of Science:
- Pediatrics
- Gynecology
- Infectious Diseases
Background:
- Vulvovaginitis is common in premenarchal children.
- Multiple etiologic agents can cause vulvovaginal inflammation and infections.
Purpose of the Study:
- To review the general subject of premenarchal vulvovaginitis.
- To discuss symptoms, diagnosis, and treatment of common causes.
Main Methods:
- Literature review of older and recent reports (last 10 years).
Main Results:
- Common causes include nonspecific infections, specific non-gonorrheal infections, gonorrhea, protozoal infestations, helminthiasis, mycotic infections, and physical, chemical, or allergenic irritants.
Conclusions:
- Comprehensive understanding of premenarchal vulvovaginitis requires knowledge of diverse etiologies.
- Effective management relies on accurate diagnosis and appropriate treatment tailored to the specific cause.
Abstract:
The general subject of premenarchal vulvovaginitis has been reviewed. Vulvovaginal inflammations and infections in the premenarchal child are caused by a large number of etiologic agents. The symptoms, diagnosis, and treatment of the most common of these, namely, nonspecific infections, specific nongonorrheal infections, gonorrhea, protozoal infestations, helminthiasis, mycotic infections, and inflammations due to physical, chemical, and allergenic agents, have been discussed. Reference has been made not only to the older literature but also to some of the pertinent reports published during the last 10 years.