ABSTRACT Foreign body insertion into the vagina among adolescents, though uncommon, presents unique diagnostic and management challenges. In younger children, diagnosis is often challenging because they may be unable to recall or report foreign body insertion. In contrast, adolescents more frequently acknowledge insertion, making diagnosis comparatively less complex. Here, we discuss three cases of adolescents who inserted objects under the influence of social media content or emotional distress. Each patient reported persistent, nonspecific symptoms that led to delayed diagnosis. Ultrasound imaging and vaginoscopic evaluation under anesthesia were ultimately necessary for definitive identification and removal. Psychosocial assessment revealed underlying contributors such as sexual curiosity, low mood, and social media‐driven behaviors. These cases underscore the importance of a high index of suspicion for unexplained genitourinary complaints, prompt multidimensional evaluation including vaginoscopy, and a comprehensive team approach incorporating gynecological, pediatrics, psychological, and family support. In the era of evolving digital media influences, clinicians should remain vigilant about psychosocial factors contributing to adolescent risk‐taking behavior.
Keikha et al. (Thu,) studied this question.