Jane Ussher does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment. Increasing numbers of Australian women are asking their doctors for a designer vagina. So many, in fact, that the government is reviewing whether such surgery should be publicly-funded via Medicare. Over the last ten years, claims through the medical benefit scheme MBS for labioplasty have increased from to over 1, per year. The Royal Australian and New Zealand College of Obstetricians and Gynaecologists strongly discourage labioplasty, unless there are compelling medical reasons. They cite a range of potential complications, including scarring, permanent disfigurement, infection, pain, and altered sexual sensations.
Vulval and vaginal problems in prepubertal females
Case study on prepubescent vaginal bleeding
Adolescent Gynaecology. The perineum is best examined either with the girl supine with heels together and knees flexed and hips abducted, or in the lateral position with knees drawn up to the chest. Mild vulvovaginitis, comprising itch, discharge, redness, and sometimes dysuria, is a very common problem. In mild cases, no investigations are necessary swabs, if taken, usually grow a mixture of perineal organisms.
Vaginal discharge in prepubertal children is mainly due to hypoestrogenic state of vaginal mucosa making it thin and alkaline leading to mucosal invasion by pathogen. In paediatric case persistent foul smelling, blood stained discharge not responding to medical therapy should arouse suspicion of foreign body. Authors report an interesting case of 2 years old child who presented with persistent vaginal discharge and was found to have a retained foreign body in the vaginaneonatal resuscitation in preeclampsia. Acute fetal distress in labour or neonatal nursery admission could not be predicted.
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