Young female vulvovaginitis
Introduction
Introduction to vulvovaginitis in young women Young girls suffer from vaginitis and vulvitis. Due to poor development of the vulva of young girls, lack of estrogen, vaginal epithelial resistance is low, susceptible to infection. Common pathogens include Staphylococcus, Streptococcus, and Escherichia coli. Trichomonas or Candida can also cause infection. Pathogens can be transmitted through sick mothers, childcare workers, or children's clothing, bath tubs, and the like. It can also be caused by poor hygiene, unclean vulva, often contaminated by stool or directly exposed to dirt. Common pathogens include Staphylococcus, Streptococcus, and Escherichia coli. Trichomonas or Candida can also cause infection. Pathogens can be transmitted through clothing, baths, hands, etc. of sick mothers, childcare workers, or kindergarten children. basic knowledge The proportion of illness: 1% Susceptible people: women in early childhood Mode of infection: non-infectious Complications: urethritis
Cause
The cause of vulvovaginitis in young women
Anatomical factors (25%):
Anatomically, due to the lack of estrogen in young girls, the vulva develops immaturely, lacks the protection of the size of the labia fat and the defense of the pubic hair against the microorganisms, and the skin of the vulva is particularly thin and tender, so it is susceptible to pathogen invasion; it is sensitive to microbial infestation. Very vulnerable to trauma and scratches.
Pathogen infection (30%):
Common pathogens include Staphylococcus, Streptococcus, and Escherichia coli. Trichomonas or Candida can also cause infection. Pathogens can be transmitted through clothing, baths, hands, etc. of sick mothers, childcare workers, or kindergarten children.
Bad health habits (30%):
It can also be caused by poor hygiene, unclean vulva, frequent contamination of stools or direct contact with dirt. In addition, genital damage or scratches, especially when the mites are infected, cause inflammation.
Prevention
Prevention of vulvovaginitis in young women
prevention
Children with vulvovaginitis, first of all, pay attention to the vulva hygiene, regular bathing, change underwear, do not touch the vagina with hands or foreign objects, do not let the girl wearing open pants sit on the ground or crawl on the ground, the girl is best to wear after 2 years old Loose and easy to take off your trousers, don't share towels, baths, don't take your children to a crowded pool with crowded people.
Complication
Complications of vulvovaginitis in young women Complications urethritis
Can be complicated by vulvar redness, urethritis and so on.
Symptom
Vulvovaginitis symptoms in young women Common symptoms Vulvar swollen genital vulva burning... Infants and young children vulvar pain vaginal secretions increase vulvar burning stimulation
Caused by secretion stimulation caused by genital itching, burning pain, discomfort, child crying, irritability or hand grasping the vulva, urethra and vaginal mucosa congestion, edema, labia minora can be adhered, vaginal purulent secretion The amount can be more or less, can have odor, should be anal examination when examining the body to exclude vaginal foreign bodies and tumors.
Examine
Examination of vulvovaginitis in young women
Use a cotton swab to take vaginal secretions to check for trichomoniasis, mold, and at the same time pay attention to the vagina with or without foreign bodies, stool to check the eggs.
Vaginal secretion examination: vaginal secretions are liquids secreted by the female reproductive system, also known as vaginal discharge. The general trait check is to observe the color and traits of vaginal secretions. But in fact, vaginal discharge examination is routinely examined in the hospital, ie vaginal discharge. It is a common examination in gynecology. It is a physical examination about female physical hygiene through the five tests of vaginal PH value, vaginal cleanliness, vaginal microbe, amine test, and clue cell test to determine whether a woman has abnormal leucorrhea.
Diagnosis
Diagnosis and diagnosis of vulvovaginitis in young women
diagnosis:
A diagnosis can be confirmed based on clinical presentation and smear or culture examination of vaginal or urethral secretions.
Differential diagnosis :
Infants and young children vulvitis is a very common disease in female infants and young children. In the diagnosis, it is necessary to differentially diagnose trichomoniasis or fungal vulvitis, aphid vulvitis and acute gonorrhea in young girls.
1. Trichomonas or fungal vulvitis: Because the vaginal pH of infants and young children is alkaline and lacks glycogen, it is not suitable for the reproduction and growth of mold and trichomoniasis. Therefore, mold or trichomoniasis of infants and young children is extremely rare. Smear and culture of secretions can be made when clinical identification is required.
2, aphid vulvitis: inflammation of the vulva caused by intestinal aphids through the feces to the vulva, vagina. It is characterized by itching of the vulva and anus, and the amount of secretion is large, showing a thin yellow purulent. It can be identified by the examination of fecal eggs and the presence of aphids around the anus or vulva.
3, acute gonorrhea in young girls: characterized by local pain, dysuria, increased secretions during examination, vestibular, urethral, genital and even perianal, redness and swelling, secretion smear can find a typical kidney-shaped leather Langer-negative diplococcus.
