Prepubertal vaginal discharge

Key content Vaginal discharge is the most common reason for referral of a prepubertal girl to a gynaecologist. Non‐specific bacterial vulvovaginitis is the most frequent cause; however, less common causes must be excluded. Associated symptoms include soreness and itching, which can be chronic and distressing. Vulval hygiene and the use of appropriate emollients form the cornerstone of successful management. Learning objectives To learn how to assess a child with vaginal discharge. To understand common and less common aetiologies. To be able to apply sensible and appropriate management. Ethical issues When should child sexual abuse be suspected? When should child protection be sought? Please cite this article as: Hayes L, Creighton SM. Prepubertal vaginal discharge. The Obstetrician & Gynaecologist 2007;9:159–163.