Prepubertal vulvovaginopathies.

  title={Prepubertal vulvovaginopathies.},
  author={Susan F. Pokorny},
  journal={Obstetrics and gynecology clinics of North America},
  volume={19 1},
The vast majority of prepubertal gynecologic problems fall into three categories. The most serious category includes those "things that bleed": sarcoma botryoides, trauma (including sexual abuse), vaginal foreign objects, condylomata, urethral prolapse, and single organism vaginitis. Very rarely, the clinician will see precocious menarche, metastatic Crohn's disease, vascular vulvar lesions, and factitious cases. The next category contains entities that have an abnormal appearance: ambiguous… CONTINUE READING