Vaginal discharge is caused by infection, inflammation, or changes in the vaginal flora.
Vaginal discharge in the prepubertal child can be caused by infection, congenital abnormalities, trauma, or dermatologic conditions.
Nonspecific vaginitis is the most common gynecologic problem in the prepubertal child.
Prepubertal hypoestrogenic tissues are more susceptible to local irritants, foreign bodies, and infections.
Most common causes of vaginitis in postpubertal women are bacterial vaginosis and vaginal candidiasis (Candida vulvovaginitis).
Laboratory documentation of etiology of vaginal discharge is mandatory prior to treatment.
Target treatment to etiology.