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Author: Vanessa Ngan, Staff Writer, 2002.
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Vulvalandvaginalproblems in young girls often result inpruritusvulvae(itch affecting the femalegenitalarea). Causes and treatments differ slightly between prepubertal females and mature women.
The prepubertalvulvais thin, delicate, and has a neutralpH, meaning it is easily irritated. Older women are somewhat protected byoestrogen-inducedlabialfat pads, thickening of the skin, and pubichair.
在青春期前的f外阴瘙痒的主要原因emales iscontactirritantdermatitisdue to the presence of chemical and/or mechanicalirritants.
Prepubertal pruritus vulvae may also be asymptomof othervulvaror vaginal problems. These include:
Often several factors are present, and it can be difficult to determine the exact cause.
Mostly the diagnosis is made by careful history and clinical examination by an experienced doctor. The doctor will need to examine the affected area and take swabs for microbiological examination. Other areas of the skin will be examined to determine the likelihood of a morewidespreadskin disorder being the cause.
Sometimes, askinbiopsyis necessary to determine the exact nature of the skin condition.
Prepubertal vulval and vaginal problems can be treated and prevented by instituting good hygiene measures and by avoiding things that may cause irritation or infection. Some basic practices include:
Blandemollientssuch as sorbolene and glycerinecreamor petrolatum can be used.Hydrocortisonecream is generally safe, but if it seems to irritate, discontinue its use and seek advice. Dermatological or infectious causes may be treated with medicines prescribed by a doctor.
Vulvovaginal Disorders: an algorithm for basic adult diagnosis and treatment — ISSVD
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