Leukorrhea in girls and adolescents: normal and pathology
The walls of the vagina and the womb is composed of mucous membrane, forming a secret – the liquid that gynecologists are called discharges. Girls aged 5 – 6 and 10 – 11 years old have a slight vaginal discharge, the color and number of which varies from the age and health of the child. It is important to note that such phenomena for the female body, even if not yet fully formed, identifitseerida a gynaecologist as the norm.
General information about vaginal secretions
The presence of beloeil (vaginal discharge) helps the body cope with a number of challenges:
- cleaning and moistening the vagina;
- the prevention and control of infections;
- natural protection of the microflora of the internal genital organs.
Color of normal vaginal secretions due to hormonal level in the body of the girl. Beli can be clear white or milky-white color, the consistency is thin, dense, viscous substance.
The amount of discharge can also vary depending on the overall health of the body. The number beloeil can be affected by stress, colds, kidney abnormalities, problems with the gastrointestinal tract, violation of cardiac activity of the child, the presence of diabetes.
It is very important to monitor changes in vaginal secretions. The following circumstances may indicate a problem in the girl’s body:
- change in odor (especially an unpleasant odor);
- the change in color (especially greenish, grayish);
- the texture change (e.g., frothy or look like cottage cheese discharge);
- vaginal itching, burning, swelling or redness;
- vaginal bleeding or spotting in girls before 10 – 11 years old.
Symptoms and diagnosis of vaginal discharge in the prepubertal period
Concern about whiter − the most common complaints of parents of girls in the age group of 6 to 10 – 11 years (before the first menstrual period). Anatomy of a child this period of life plays a major role in the etiology of vaginal discharge.
In the pre period labia girls have small, undeveloped, have no fat and pubic hair. The anus is very close to the vagina, so there is a risk of fecal contamination that lead to infection. In addition, the vulva and vaginal skin hypoestrogen, the epithelium almost unchanged, and pH skin neutral − all these factors make the vagina and vulva is especially susceptible to various infections.
The most common causes of vaginal discharge can be called vulvovaginitis, infectious diseases, the introduction of a child inside a foreign body, intestinal worms, tumors of the vulva and congenital anomalies of the genital organs.
- Vulvovaginitis: the most common disease in the age group of 6 to 10 years (62 – 92%). Selection can be transparent, yellow – green, smell of rotten fish. Upon inspection of the genital area, the skin around the vagina is reddened and inflamed up to the anus. Typically, the child complains of soreness, severe itching, and dysuria. This files most often is non-specific vulvovaginitis with mixed bacterial flora. Poor personal hygiene is a common triggering factor, since the onset of symptoms usually occurs when the girl is starting to attend kindergarten or elementary school and she is responsible for the cleanliness of the genitals after using the toilet. The basis for the prevention and treatment of vulvovaginitis is the careful observance of rules of hygiene.
Antibiotics should be used only when net growth of specific pathogenic organism has been clearly identified. The Clinician should be guided by the results of sensitivity to the drug.
- We should also highlight herpetic vulvovaginitis, with the presence of typical blisters and sores on the genitals girl. This, of course, not a typical children’s disease, but it has become increasingly diagnosed over the past five years. If the child’s parents suffer from cold sores, have frequent recurrences, if the child is prone to colds, it is recommended to be tested for the virus.
- Infectious causes. The most common pathogen in the prepubertal period, there are group a beta-hemolytic streptococci, which are epidemiologically associated with infection of the upper respiratory tract. The onset can be quite acute, with purulent discharge, painful urination and inflammation of the vulva. In such cases, are usually prescribed drugs streptococcal group A, with a sensitivity to penicillin, erythromycin is shown. Relapse usually occurs in one third of treated children.
- Very often little girls, learning her body, pushed inside of the vagina small items: beads, coins, small toys, etc. Foreign body in the vagina is a source of infection. In this case, purulent leucorrhoea, with unpleasant smell and bleeding. If there is suspicion of a foreign object, it should be vaginoscopy under General anesthesia. Removing foreign objects usually leads to complete disappearance of the whiter and discomfort.
- Worms, mainly pinworms, cause trouble at night. The child shows signs of scratching in the crotch, usually the girl complains of severe itching, worse in the evening. The positive effect gives a comprehensive treatment of anthelminthic drugs, such as mebendazole.
- Congenital anomalies and tumors of the genitals – severe disease, characterized by frequent spotting. Be sure to thorough clinical examination of the child. In some cases, the positive dynamics gives surgery. In other cases, prescribed long-term treatment.
- Most diseases children are prone to allergic reactions or often on antibiotics which weaken the natural barrier function of the body. The parents of the girls before using the product, be sure to consult with your pediatrician. Not to self-medicate.
- After swimming in open water or pool be sure to wash away the child with clean running water, definitely front to back (to prevent the ingress of bacteria from the anus).
- When washing children’s bed linen and underwear, it is important not to overdo it with the addition of chemical detergents. It is recommended to use a safe hypoallergenic means for washing children’s clothes.
- You need to wash your hands frequently. This is the most effective prevention against any infection. Always wash your hands before and after visiting the toilet.
- You need to control the campaign girls to the toilet during the day. The child is often too focused on the games, lays or too hastily visited the dressing-room, which causes the growth of infections and pathologies in the urogenital sphere. Special attention is paid to the process of defecation. Frequent constipation can lead to skin irritation around the genitals, the cause of candidiasis and occurrence of abnormal discharge.
Vaginal discharge in teenage girls
Immediately before the onset of the first menstruation vaginal secretions girls changing. An important feature is that the body’s production of hormone called “estrogen” which stimulates the growth of cells of the inner lining of the vagina. It increases the secretion of glycogen, which acts as a nutrient for lactic acid bacteria. As a result, the acidity of the internal genital organs is reduced from about 5.5 to 3.5, i.e. the environment becomes acidic. Low pH acts as a protection from infections.
After the onset of first menstruation in teenage girls with leucorrhoea become more abundant, the consistency is thicker, they can be compared with egg white. Normal allocation, without or with faint acidic odor.
After ovulation in adolescents occurs secretion of estrogen and progesterone, it is possible to change whiter, they turn yellow and become tougher. Now their texture can be compared to gelatin.
These changes are due to unstable hormonal status of teenagers. When menstruation will be regular with health of the child, the whiter color will be milky or transparent white.
Pathological allocation whiter vaginal discharge in puberty
As a rule, physiological vaginal discharge are asymptomatic. For pathology characterized by itching, burning, irritable vagina and vulva, unpleasant odor, and pain when urinating.
In addition to the above diseases of adolescence, you can add:
- Infection transmitted sexually, if the girl start an early sexual life or were abused. Treatment both medical and psychological, are appointed by the gynecologist. Educational work of parents and educational institutions also plays a big role in the prevention of early sexual relations.
- Emotional stress. The adolescent mind is extremely labile, which can not affect the sexual sphere. Problems in relationships with peers, parents, teachers affect the immune system of a teenager, hence the occurrence of infections and pathologies. Treatment usually appointed complex: anti-anxiety medications with anti-inflammatory drugs.
General recommendations for teenage girls are the same as for adult women: compulsory every six months, a visit to the gynecologist, accurate compliance with medical instructions and, if necessary, timely treatment.