What is Vulvovaginitis?
Vulvovaginitis refers to local irritation of the vagina and the surrounding area. Lack of labial development in pre-pubertal children makes them more prone to vulvovaginitis. Other contributing factors in include:
Poor bathroom hygiene
Use of tight clothing such as tights, leggings or jeans
Bubble baths
Other irritants such as scented detergents and fabric softeners
Volvovaginitis can look a lot like a urinary tract infection. Symptoms can include:
Vaginal discharge
Small amount of bleeding
Foul smell
Itching
Redness and swelling
Pain with urination, urinary urgency or frequency
Vulvovaginitis Diagnosis & Treatment
Diagnosis of vulvovaginitis can almost always be made based on a good history and physical exam.
Treatment is supportive.
Soothing the area
With cold compresses
Use vaseline as a barrier cream
Allow the area open to the air whenever possible
Clothing
Avoid tight clothing
Don’t wear a wet bathing suit for too long
Use a nightgown or loose fitting pajamas
Bathing
Avoid bubble baths
Do not directly wash the genitals with soap
Rinse with fresh water
Pat dry or use a blow dryer on the cool setting
Bathroom hygiene
Make sure your child is wiping front to back
Wet wipes rather than toilet paper may be less irritating
If a fungal infection is suspected, an antifungal cream might be recommended.
See a Doctor in Person If…
Irritation and redness does not improve or worsens
There is continuous or worsening pain with urination
Development of stomach or flank pain
A fever develops
You have concern for a foreign body