Vaginal Discharge in Children and Adolescents

Abstract

Vaginal discharge is one of the most common gynecologic problems en countered in the pediatric and adolescent populations and may have many causes. A useful way of approaching the diagnosis of a discharge is by categoriz ing the patient as being prepubertal or postpubertal. In the prepubertal age group, discharge is generally associated with vulvovaginitis. In the post pubertal age group, discharge may be physiologic, or may associated with cervicitis or vaginitis. In each group, gonorrhea and sexual abuse must be ruled out. A practical approach to therapy is outlined.