Vulvovaginitis in adolescents

Agana, Marisha; Ryali, Brindi; Patel, Dilip R.

doi:10.21037/pm.2019.09.04

Cited by 1 publication

(1 citation statement)

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“…Vulvovaginitis is primarily caused by Trichomonas vaginalis (TV) infection, Candida infection and bacterial vaginosis. While only TV is classed as an STI, all three are associated with increased sexual behaviour 49 . As most STIs are asymptomatic, condom use, vaccinations, opportunistic screening programmes and awareness of the need for regular self‐checks is crucial for this age group.…”

Section: Anogenital Warts and Sexually Transmitted Infections In Paed...mentioning

confidence: 99%

Vulval disorders in paediatric and adolescent patients and their management

Idle,

Coles,

Johns

2023

The Obstetric & Gynaecologis

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Key content Vulval disorders are one of the commonest complaints in the paediatric and adolescent population. They present with acute‐on‐chronic symptoms such as pruritus, vaginal discharge and vulval soreness. History‐taking and examination of young patients requires a sensitive approach and age‐appropriate use of language. The hypoestrogenic, exposed and neutral pH of the vulva in the paediatric patient is more susceptible to nonspecific inflammation and injury. Adolescents are more likely to present with dermatoses, thrush and infection caused by common pathogens such as Escherichia coli, group A streptococcus and sexually transmitted infections. A conservative approach with reassurance and follow‐up is required in most vulval disorders. Learning objectives To appreciate the different gynaecological history and examination techniques required for paediatric and adolescent patients. To understand the common presentations and conditions of vulval pathology in these groups of patients. To gain confidence in managing common, non‐malignant vulval pathology in young patients. Ethical issues Reassurance of normal vulval anatomy should be provided for young patients requesting labial reduction surgery.

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Section: Anogenital Warts and Sexually Transmitted Infections In Paed...mentioning

confidence: 99%