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Vulvovaginitis is infection or inflammation of the vagina
or vulva in infants or young girls. It involves Vagina; vulva (vaginal lips) and skin
around the genitals.
- Itching, redness and pain around the genital area
- Vaginal discharge, which may or may not smell bad
- Pain/ discomfort while urinating
- Bleeding from the affected area (sometimes).
- Infections caused by bacteria; worms including pinworms; and
fungi; or viruses
- Allergies to synthetic fabrics, soap or other items in
contact with the genitals
- Scratches, abrasions or genital injury from insertion of
foreign bodies in the vagina by the child or a playmate
- Genital injury from sexual abuse (you will be surprised to
know how common this is. Beware of leaving your girl child alone with a male servant,
whatever faith you may have in him).
- Sprinkling too much of talc on vagina, it caking with urine
causing excoriation of skin underneath
- Leaving wet diapers on
- Infrequent bathing or unsanitary living conditions.
- While toilet training - Teach the child to wipe from the
vagina toward the anus, after every stool
- Don't let the child sit around in wet clothing
- Don't use
- Provide the child with cotton panties or nylon panties with
a cotton crotch--not panties made of non-ventilating materials
- If antibiotics are prescribed for any reason, curd may help
reduce risk by preventing vaginal yeast infections
- Teach your child to resist and report any attempted sexual
contact by an older person.
- Repeated symptoms
- History and exam by a doctor
- Laboratory culture and microscopic exam of the discharge
Psychological trauma if the condition is caused by sexual abuse.
Usually curable in 10 days with treatment.
- Follow suggestions under How to Prevent
- Remove the source of any irritation or allergy, such as soap
- Don't try to remove a foreign object from the vagina. This
may be painful or cause further injury. Take your child to the doctor for removal
- If urinating causes burning, the child may urinate while
bathing or urinate through a toilet-paper roll or plastic cup with the end cut out. This
prevents urine from stinging inflamed skin.
Your doctor may prescribe:
- Medication appropriate for the infection, including
antibiotics, antifungal or deworming drugs
- Topical ointments / lotions to relieve pain and itching
- Your child has symptoms of vulvovaginitis
- You suspect your child has been sexually abused
- Symptoms don't improve in 7 to 10 days or symptoms worsen,
- Unusual vaginal bleeding or swelling develops.