Vulvovaginal Complaints

Abstract

Teaching patients the proper vulvar care is the first, and arguably the most important, aspect of treating vulvovaginal complaints in the pediatric population. Other treatments, which will be discussed in this chapter, will be less effective with a high risk of recurring symptoms if the patient and her parents do not adopt good vulvar care habits. Vulvovaginitis usually can be managed with conservative measures, including proper hygiene and education on vulvar care guidelines. These include avoiding chemical irritants and excessive hygiene, wearing white cotton underwear, avoiding dryer sheets, wiping from front to back, and limiting tight-fitting clothing. Additionally, it is important to discuss bathing, including recommending showers or baths without soaps and bubble products. If both the child and the parents follow these simple rules, the vast majority of vulvovaginal complaints will dramatically improve. Consistently following the vulvar care guidelines will not only help relieve the symptoms of itching and irritation but will also aid in the healing and treatment of vulvovaginitis. If the girl is infected with a specific organism, the treatment should be directed at that organism, and the girl should be educated on proper vulvar care. Finally, any condition that requires topical steroid ointment or simple barrier creams will be treated more quickly and effectively when good vulvar hygiene is added to the treatment regimen.