GynaecologyFree in the app
Children and adolescents
Labial adhesions, vulvovaginitis and congenital conditions.
Source: BritSPAG · standard teaching| Labial adhesions | 3 months–6 years. Most resolve. Oestrogen cream twice daily 2–6 weeks only if symptomatic. Never force apart. |
|---|---|
| Vulvovaginitis | Commonest paediatric gynae complaint. Hygiene advice, cotton underwear. Bloody or persistent: foreign body. STI found: safeguarding. |
| MRKH | 46,XX, absent uterus and upper vagina, normal ovaries. Primary amenorrhoea. Check kidneys. Dilators first. |
| Turner syndrome | 45,X. Short, streak ovaries, coarctation, horseshoe kidney. Growth hormone, oestrogen from 11–12 years, cardiology. |
| Complete androgen insensitivity | 46,XY, female, no uterus, testes inside. Gonadectomy after puberty, then HRT. |
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.