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Diagnosis of vulvovaginitis

Medical expert of the article

Gynecologist
, medical expert
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.

trusted-source[1], [2], [3], [4], [5]

Indications for consultation of other specialists

If the girl has a chronic nonspecific bacterial vulvovaginitis, it is necessary to consult the following doctors: pediatrician, otorhinolaryngologist, dentist and nephrologist.

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.

Differential diagnosis of vulvovaginitis in girls

Differential diagnosis of vulvovaginitis in girls is performed with cervical disease and vaginal developmental malformation.

trusted-source[6], [7], [8], [9], [10], [11], [12], [13]


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