Vaginal discharge

doi:10.1017/CBO9780511527036.037

36 - Vaginal discharge

from Part III - Management of specific disorders

Published online by Cambridge University Press: 04 May 2010

Rosamund Cox and

Edited by

Jane MacDougall and

Rosamund Cox: Affiliation:
Kettering General Hospital, Kettering, UK
Paul Wood: Affiliation:
Kettering General Hospital, Kettering, UK
Adam H. Balen: Affiliation:
Leeds Teaching Hospitals, University Trust
Sarah M. Creighton: Affiliation:
University College London Hospitals
Melanie C. Davies: Affiliation:
University College London
Jane MacDougall: Affiliation:
Addenbrooke's Hospital, Cambridge
Richard Stanhope: Affiliation:
Great Ormond Street Hospital

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Summary

Vaginal discharge in childhood

Vaginal discharge is the most common gynaecological complaint in young girls. The majority are managed by general practitioners (primary care physicians) and referral to a gynaecologist tends to occur only if the patient fails to respond to treatment. It is, therefore, important that all those involved in the management of vaginal discharge in children understand the causes, so that the condition can be adequately investigated and treated.

History

The history is usually provided by the child's mother whose anxiety may be fuelled by concerns over the implications of abnormal vaginal discharge and the association with pelvic inflammatory disease (PID) recognized in older subjects. Such fears need to be allayed since there is no such proven association in prepubertal girls with vaginal discharge. Alternatively, family members may be concerned about a potential sexual abuse situation, although they perhaps will volunteer these fears less frequently. The child should be engaged in general conversation and asked questions about her complaints. In this way she can be involved in the consultation, can acknowledge that she is an important part of the process and can appreciate the need for an examination.

The duration, frequency and quantity of the discharge, its colour and associated odour need to be established along with details of previous treatments received. An offensive odour indicates anaerobic bacterial involvement.

Information

Type: Chapter
Information: Paediatric and Adolescent Gynaecology
A Multidisciplinary Approach
, pp. 473 - 491

DOI: https://doi.org/10.1017/CBO9780511527036.037 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2004

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