Common Gynecologic Problems in Prepubertal Girls

The article reviewed the challenges pediatricians faced in assessing gynecologic symptoms in prepubertal girls, noting a lack of training in examination techniques and understanding of normal findings and pathologies. It emphasized that most genital symptoms were due to normal variants or nontraumatic disorders, rather than child sexual abuse. The document discussed common conditions like labial adhesions, imperforate hymen, urethral prolapse, and lichen sclerosus et atrophicus, highlighting the importance of distinguishing normal anatomical variations from signs of abuse. It also addressed the causes of vaginal bleeding and discharge, stressing the need for careful examination to identify foreign bodies or signs of abuse, and recommended evaluation for early pubic hair development in certain cases. The article underscored the importance of sensitive handling to avoid misinterpretation as signs of sexual abuse.