Common prepubertal vulvar conditions. Issue 5 (October 2016)

• Record Type: Journal Article
• Authors: Vilano, Samantha E.; Robbins, Cynthia L.
• Is Part Of: Current opinion in obstetrics and gynecology. Volume 28:Issue 5(2016:Oct.)
• Publication Date: 2016-10
• Subjects: genital ulcers -- labial adhesions -- lichen sclerosus -- vulvovaginitis; Obstetrics -- Periodicals; Gynecology -- Periodicals; Genital Diseases, Female -- Indexes; Genital Diseases, Female -- Periodicals; Obstetrics -- Indexes; Obstetrics -- Periodicals; Review Literature -- Periodicals; 618.005
• DOI: 10.1097/GCO.0000000000000309
• Languages: English
• ISSNs: 1040-872X

Abstract

Abstract : Purpose of review: The purpose of this article is to provide an update for the GP on selected common vulvar concerns in prepubertal girls. Presentation, diagnostic criteria, and management of common vulvar conditions will be described. The following conditions are frequently encountered and may pose diagnostic or management challenges if unrecognized. Recent findings: The article is a review of current literature on pediatric vulvar conditions and was conducted through searching PubMed and published books on this topic. Areas of interest frequently encountered by providers are presented, including vulvovaginitis, genital ulcers, lichen sclerosus, and labial adhesions along with the most recent North American Society for Pediatric and Adolescent Gynecology recommendations for diagnosis and management. Summary: Vulvar complaints in prepubertal girls are common. Many present with nonspecific symptoms and consequently, the diagnosis may be missed or delayed. Prompt recognition improves long-term outcomes and importantly, provides a positive introduction to longitudinal women's health for young girls.