Micro-Hydrovaginoscopy in Examining Children

Hypercalciuria as a Cause of Genital Bleeding in a 6-Year-Old Girl

“…Vaginal foreign bodies may be missed during these examinations and examination under anesthesia with a vaginoscopy is required in cases of recurrent bleeding with no obvious etiology. 5 Our patient had no clinical evidence of precocious puberty, both clinically and biochemically. Other metabolic endocrine abnormalities, such as hypothyroidism and hyperprolactinemia, 6 can cause vaginal bleeding in this age group, but again this was eliminated through a normal TSH and prolactin.…”