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GIRLS’S VAGINAL DISCHARGE: SIGNS, CARE, PRECAUTION AND TREATMENT


Signs and symptoms

Vaginal discharge that occurs during puberty and is not irritating or foul-smelling is normal. Vaginal discharge that is puslike, irritating, foul-smelling, or bloody is not normal. The cause of the problem usually must be determined by your doctor.

Home care

Some of the simple causes of abnormal vaginal discharge can be prevented. Have your daughter avoid using vaginal sprays or chemicals in bath water, wear cotton rather than synthetic underpants, and wipe herself from front to back after going to the bathroom. Look for signs of threadworms or urinary tract infections. Taking sitz baths in a tub of water to which a cup of vinegar has been added may be helpful.

Precaution

Girls whose mothers received the drug diethylstilbesterol (DES) while pregnant may have a deformity of the vagina (adenosis) that causes vaginal discharge. Such girls should be examined by a gynecologist at the beginning of puberty whether or not they have vaginal discharge. Although the medical profession originally overestimated the chances of a girl whose mother took DES getting cancer, the possibility does exist. Any girl with adenosis of the vagina should be carefully monitored.

Medical treatment

Your doctor will take a detailed health history and conduct a physical (including rectal) examination. The doctor may require a culture of the discharge, and sometimes an X ray of the pelvis. Your doctor may also order urine tests.

Treatment depends upon the cause of the problem, but it may involve the use of antibiotics, worm medicine, fungicides, medicated suppositories, or hormone ointments.

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