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Diagnosis of vulvovaginitis
Last reviewed: 03.07.2025
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Diagnosis of vulvovaginitis in girls is based on the characteristic symptoms of the disease:
- discharge from the genital tract:
- purulent;
- mixed with blood;
- purulent-bloody;
- curdy;
- creamy.
- hyperemia and swelling of the vulva;
- discomfort (pain, burning, etc.);
- soreness of the vulva;
- dysuria;
- itching of the vulva and vagina.
Acute vulvovaginitis in girls occurs with pronounced symptoms, while chronic vulvovaginitis has an erased clinical picture.
There are no specific features of the clinical course of vulvovaginitis in different age groups.
[ Laboratory and instrumental diagnostics of vulvovaginitis in girls
- complete clinical examination, including clinical blood test, general urine analysis, urine analysis according to Nechiporenko;
- gynecological examination;
- vaginoscopy;
- rectoabdominal examination;
- ultrasound;
- visual assessment of discharge from the genital tract;
- microscopic examination of vaginal discharge;
- microbiological examination of discharge and vaginal contents with determination of flora sensitivity to antibiotics and bacteriophages;
- PCR diagnostics of sexually transmitted infections;
- serological testing;
- examination of scrapings from perianal folds for enterobiasis and feces for helminth eggs.