Gynecologic examination of the prepubertal

Amanda M. Jacobs, Elizabeth M. Alderman

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

In summary, on the basis of strong evidence, (5) nonspecific or irritant vulvovaginitis is the most common cause of genital concerns in prepubertal girls. An empiric trial of hygiene and environmental measures should be used if nonspecific vaginitis is suspected. If the symptoms continue despite hygiene and environmental measures, bacterial cultures should be performed. On the basis of strong evidence, (7) if discharge with a foul odor is present, consider a foreign body and a knee-chest examination to visualize the inner vagina for the cause. If sexual abuse is suspected, careful evaluation and/or referral to a child protection specialist is warranted with testing for sexually transmitted infections. If there are physical signs that indicate another diagnosis, such as the appearance of lichen sclerosis, trauma, urethral prolapse, or labia adhesions, evaluation and management of these specific problems should be used as described above.

Original languageEnglish (US)
Pages (from-to)97-105
Number of pages9
JournalPediatrics in Review
Volume35
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Hygiene
Vulvovaginitis
Lichen Sclerosus et Atrophicus
Bacterial Vaginosis
Irritants
Prolapse
Sex Offenses
Vagina
Sexually Transmitted Diseases
Foreign Bodies
Knee
Thorax
Referral and Consultation
Wounds and Injuries
Odorants

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Gynecologic examination of the prepubertal. / Jacobs, Amanda M.; Alderman, Elizabeth M.

In: Pediatrics in Review, Vol. 35, No. 3, 2014, p. 97-105.

Research output: Contribution to journalArticle

Jacobs, Amanda M. ; Alderman, Elizabeth M. / Gynecologic examination of the prepubertal. In: Pediatrics in Review. 2014 ; Vol. 35, No. 3. pp. 97-105.
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