Characterized by inflammation of the vulva and/or vagina with the appearance of vaginal discharge.
It is a common gynecological problem in prepubescent girls between the ages of 9 and 15, with a second peak between the ages of 20 and 40.
Factors that may predispose individuals to this condition include poor vulvar or perianal hygiene, tight clothing, irritating chemical agents (soaps), and use of antibiotics.
Symptoms include the presence of whitish or yellowish-greenish vaginal discharge, sometimes with a fishy odor, redness or inflammation of the vulvar and/or vaginal area, burning or stinging during urination, and/or itching in the vulvar area.
Diagnosis is based on the patient's history and physical examination.
For mild cases, treatment involves hygienic measures, including proper cleansing techniques, wearing cotton underwear, and avoiding tight clothing and perfumed or irritating soaps. For infections with persistent or worsening symptoms, oral or vaginal antifungals/antibiotics may be prescribed.
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- Zuckerman A, Romano M. Clinical Recommendation: Vulvovaginitis.J Pediatr Adolesc Gynecol. 2016 Dec;29(6):673-679.
- Goje O, Munoz JL. Vulvovaginitis: Find the cause to treat it.Cleve Clin J Med. 2017 Mar;84(3):215-224.
- Vilano SE, Robbins CL. Common prepuberal vulvar conditions.Curr Opin Obstet Gynecol. 2016 Oct;28(5):359-65.
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