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Prepubertal Vaginal Bleeding: Etiology, Diagnostic Approach, and Management

Prepubertal Vaginal Bleeding: Etiology, Diagnostic Approach, and Management

Obstetrical and Gynecological Survey 71(4): 231-242

Prepubertal vaginal bleeding outside the neonatal period is always abnormal and is very alarming to parents. A variety of practitioners, including obstetrician-gynecologists and pediatricians, may be asked to see patients with this presenting complaint, yet many do not receive adequate training in pediatric gynecology. Review of the published literature in PubMed, focusing on the last 20 years, regarding the incidence, etiologies, diagnosis, and management strategies for the common causes of prepubertal vaginal bleeding. Careful history taking and pediatric-specific gynecological examination skills, including awareness of normal anatomy across the age spectrum and the ability to identify an estrogenized hymen, are keys to the appropriate assessment of this clinical problem. Prepubertal vaginal bleeding has many causes and requires a thorough targeted history and pediatric genitourinary examination, requiring knowledge of the variants of normal pediatric genitourinary anatomy. Most causes can be easily treated and are less likely to be due to sexual abuse or malignancy.

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Accession: 058609770

Download citation: RISBibTeXText

PMID: 27065069

DOI: 10.1097/OGX.0000000000000290

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