Current review of prepubertal vaginal bleeding

  title={Current review of prepubertal vaginal bleeding},
  author={Maggie Dwiggins and Veronica Gomez-Lobo},
  journal={Current Opinion in Obstetrics and Gynecology},
Purpose of review Prepubertal vaginal bleeding raises many concerns and evaluation and diagnosis may prove difficult for many providers. We aim to provide a comprehensive review and recent updates for those practitioners who care for these patients. Recent findings Prompt management in the case of prepubertal vaginal bleeding is indicated, especially to rule out malignancy or abuse. If a child is reluctant to undergo examination, or if the extent of injury or source of bleeding cannot be… 

Benign uterine neoplasm as a cause of prepubertal bleeding.

A case report and literature review of vaginal bleeding in prepubertal girl

A case of a 6‐year‐old girl brought to hospital when vaginal bleeding was noticed after defecation is reported, thought to result from ruptured small blood vessels or submucosal capillaries due to an increase in abdominal pressure.

Role of Hysteroscopy (HSY) in the Management of Abnormal Uterine Bleeding (AUB) in women with an Intact Hymen

Assessment of HSY's role in diagnosis & treatment of uterine pathology causing (AUB) in 17 unmarried patients with an intact hymen found all went smoothly, neither hymen nor cervix were injured, no uterine perforations were encountered.

Vaginal bleeding in pre-pubertal females.

Vaginal Bleeding and Otorrhea in a 6-year-old Girl

A previously healthy 6-year-old girl presents with 9 days of left ear pain, 4 days ofleft ear drainage and fevers, and 1 day of vaginal bleeding, with family history remarkable for a brother with short stature and hyponatremia requiring supplementation.

Small spherical foreign bodies in the genitourinary tract and their management

Minimally invasive endoscopy remains the first-line approach for the diagnosis and removal of genitourinary spherical FBs, which are clinically rare and sometimes difficult to detect by imaging examinations and can be easily overlooked.

Prepubertal Vulvovaginitis

Vulvovaginitis is a common gynecologic complaint in prepubertal girls. It typically presents with complaints of vulvovaginal itching, burning, irritation, discharge, or skin changes. Prepubertal

Gynecological Problems in Newborns and Infants

The most frequent gynecological issues in the neonatal period are discussed.

Association of a Pediatric Gynecology eLearning Module With Resident Knowledge and Clinical Skills: A Randomized Controlled Trial.

The authors' pediatric and adolescent gynecology eLearning module resulted in improved short-term resident knowledge and simulated clinical skills among obstetrics and Gynecology residents.



Prepubertal Vaginal Bleeding: Etiology, Diagnostic Approach, and Management

Careful history taking and pediatric-specific gynecological examination skills, including awareness of normal anatomy across the age spectrum and the ability to identify an estrogenized hymen, are keys to the appropriate assessment of this clinical problem.

Prepubertal girl with vaginal bleeding.

Vaginal foreign body: a delayed diagnosis.

Vaginal Bleeding in Prepubertal Girls: Etiology and Clinical Management.

Common prepubertal vulvar conditions

Presentation, diagnostic criteria, and management of common vulvar conditions will be described, 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.

Genital trauma and vaginal bleeding: is it a lapse of time issue? A case report of a prepubertal girl and review of the literature

A case of a 34-month-old child who was referred to the emergency room with a significant vaginal hemorrhage, originating from a wide laceration of the posterior fourchette, and a negative history for accidental trauma is reported.

Urethral mucosal prolapse in young girls: a report of nine cases in Cotonou.

Urethral prolapse is a disease of the prepubertal girls of low socio-economic group and the treatment of choice is surgical.

An unexpected cause of vaginal bleeding: the role of pelvic radiography

A case of excessive vaginal bleeding caused by a foreign body in a prepubertal girl with emphasis on the diagnostic challenges and pitfalls regarding imaging techniques is reported.