Vulva in girls

It is sad to say it, but women's issues await the girl since her birth. Vulvitis in girls occupy the top line in the list of gynecological diseases, and reach 70%. The most vulnerable girls by this disease are girls aged 1 - 9 years. This pathology requires immediate treatment because it does not only deliver a lot of inconvenience and anxiety a child, but also threatens the development of serious complications, which may affect future sexual and reproductive functions.

Under the vulva refers to the external genitalia, which include small and large labia, the external opening of the urethra, clitoris, and the vestibule. In the case of inflammation of the vulva say vulva clomid 50mg. Vulvitis rarely occurs as an independent disease and is often associated with inflammatory processes of the vagina, so this pathology is known as vulvovaginal.

The high probability of developing the disease in girls due to anatomical and physiological characteristics of the vulva. At the moment of birth and a few hours after the child's vagina is sterile and only 5 - 7 day of life populated conditionally pathogenic microflora. Reaction vaginal contents girls before puberty is alkaline or neutral, since no lactobacillus vaginal microflora producing lactic acid.

Absence of lactic acid in the vaginal content reduces local protection against infectious agents, and reduced the amount of sweat and sebaceous glands in the skin of the vulva, incomplete closure of the gender gap, tender and vulnerable skin of the external genitalia increase the risk of inflammation of the vulva.

Primary non-specific vulvitis

Primary reason for non-specific vulvitis is opportunistic microorganisms that live in small numbers in the vagina (protozoa and yeasts, anaerobes, Proteus, etc.).

Clinical picture

Acute vulvitis develops when the damaged mucosa (intertrigo or mechanical impact, thermal or chemical burns) or by wetting the external genitalia infected urine, as well as existing foreign body in the vagina fall infectious agents. It is noted that the inflammation of the vulva and / or vagina noninfectious etiology there briefly, as occurs in the near future colonization by microorganisms primary lesions of non-infectious process.

The main symptoms of vulvitis include itching and burning of large and small labia, vaginal discharge from mucopurulent, in severe cases purulent discharge. Described symptoms significantly impair the general condition of the child, a girl becomes whiny and irritable, she is disturbed sleep and appetite. In severe cases, the body temperature rises, join abdominal pain, and palpation of regional lymph nodes (inguinal).

Put the correct diagnosis allows the inspection of the external genitalia. In the case of acute inflammation of the vulva clearly visible redness and swelling of the large and small labia, which may spread to the perineum and even the inner thighs.

The constant outflow of purulent discharge from the vagina leads to maceration (vulvar tissues soften, swell and disintegrate) mucosa, exacerbating the condition of the girl. Patognomichnym sign are whites who have typical symptoms for each type of agent, and help make a differential diagnosis.

Thus, in the case of inflammation occur Trichomonas vulvar itching, swelling of the vulva and vagina, as well as liquid and foamy yellow highlight. About Candida nature of the disease shows significant vulvar itching, redness, and its friability or cheesy white discharge, tightly welded with mucous. In the case of inflammation of the vulva, caused by E. coli appear viscous discharge yellow-green in color, with an unpleasant odor (smell of faeces). Severe inflammation, significant itching and burning leads to the appearance of the vulva on the punctate hemorrhages and ulcerations. The child tends to comb the affected area, which triggers the formation of a considerable size and appearance of ulcers sanies.

If left untreated for a long time and there is a critical process, he goes into a chronic stage that is characterized by a pathological belyami in a small amount and the weakening of the subjective symptoms.

Diagnostics

Diagnosing the disease begins with the collection of medical history and complaints.

Carefully study the medical condition of the child and the factors that create the background for activation of conditionally pathogenic microflora and development of vulvitis / vulvovaginal (obesity and exudative diathesis, metabolic disorders, allergies to food and non-food agents, improper or lack of hygiene, and so on. D.).

Gynecological examination is carried out, during which revealed swelling and redness of the external genitalia, their maceration and ulceration, beli purulent, cheesy, or bloody foamy type with an unpleasant odor.

Rektoabdominalnoe study provides palpable foreign body in the vagina.

It is mandatory held Vaginoscopy (examination of the vaginal walls through the intact hymen), if necessary, during the treatment of vaginal foreign bodies removed.

Because the disease is often associated with inflammation of the urinary tract, urine is shown (general analysis, urine on Nechiporenko and urine for bacteriological culture).

Also appointed by the general analysis of blood, feces on eggs of helminths and pelvic ultrasound.

To determine the type of pathogen fence made smears on the microflora of the vagina and the urethra and vaginal fluid bacteriological crop on sensitivity to antibiotics.

If you suspect an inflammation of the vulva specific etiology is assigned to PCR and serology sexual infections.

Also shown is determination of blood sugar.

Where indicated appointed consulting specialists: children's allergist, endocrinologist, gastroenterologist, and others.