Vulvovaginitis in childhood and adolescence in a gynecologist practice

Abstract

Background. The study of the etiology and pathogenesis of vulvovaginitis in different age periods of girls in order to preserve their reproductive health. Objective. The aim of the study is — to identify risk factors for the development of vulvovaginitis at different girls age periods. Methods. Retrospective analysis of information from electronic medical records of 100 girls of various ages with inflammatory diseases of the vulva and vagina treated on an outpatient basis. Results. Risk factors identified: children in the period of neonatality and infancy this is an incorrect conduct of hygiene measures due to insufficient awareness of parents; in the period of neutral childhood — allergic reactions, somatic diseases, antibiotic treatment, enterobiosis and childhood masturbation, children in the period of acute respiratory viral infections, inability to take care of the genitals; in adolescent girls — the presence of chronic somatic inflammatory diseases, antibiotic therapy, early onset of sexual activity, lack of contraception, non-compliance with personal hygiene rules, violation of menstrual hygiene, belated access to a doctor. The main causative agents of vulvovaginitis in the period of neutral childhood were representatives of coccal flora and E. coli, in adolescence — Candida and microbial associations. Conclusion. Preventive conversations with patients and their parents about the identified risk factors for vulvovaginitis are necessary in order to prevent the development of inflammatory diseases of the genitals and to preserve reproductive health.