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Diagnosis of vulvovaginitis
Medical expert of the article
Last reviewed: 23.04.2024
Diagnosis of vulvovaginitis in girls is based on the characteristic symptoms of the disease:
- discharge from the genital tract:
- spongy;
- with an admixture of blood;
- purulent-bloody;
- curdled;
- creamy.
- hyperemia and swelling of the vulva;
- discomfort (rezi, burning and the like);
- soreness of the vulva;
- dysuria;
- itching of the vulva and vagina.
Acute vulvovaginitis in girls occurs with pronounced symptoms, chronic - with an erased clinical picture.
There are no peculiarities of the clinical course of vulvovaginitis in different age groups.
[Laboratory and instrumental diagnostics of vulvovaginitis in girls
- complete clinical examination, including clinical blood test, general urinalysis, urine analysis according to Nechiporenko;
- gynecological examination;
- Vaginoscopy;
- recto-abdominal examination;
- Ultrasound;
- visual assessment of secretions from the genital tract;
- microscopic examination of the vaginal discharge;
- microbiological examination of the separated and vaginal contents with the determination of the flora sensitivity to antibiotics and bacteriophages;
- PCR diagnosis of sexually transmitted infections;
- serological examination;
- study of scrapings from perianal folds to enterobiasis and feces on eggs of worms.