Urogenital Symptoms in Premenarchal Girls: Parents' and Girls' Perceptions and Associations with Irritants

DeLago, Cynthia; Finkel, Martin A.; Deblinger, Esther

doi:10.1016/j.jpag.2011.08.002

Cited by 9 publications

(7 citation statements)

References 26 publications

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“…In another study, the most common sources of vaginal irritation and discharge were respiratory bacteria which were manually transmitted to the perineum, local irritants induced by bubble bath or nylon underwear, and fecal contamination induced by poor perineal hygiene (1,5,24,30). Indeed, in our study, some of the microorganisms isolated from cultures were members of the intestinal flora.…”

Section: Discussionsupporting

confidence: 43%

“…These factors include introitus less protected by arrangement of the labia majora, irritation of the vaginal mucosa and low estrogen concentration leaving the patient susceptible to infection, exposure to irritants (bubble bath), poor hygiene and infection by specific pathogens. If symptoms such as vaginal discharge, dysuria, inflammation, itching and vulvar erythema are present, it is a case of vulvovaginitis (1)(2)(3)(4).…”

Section: A N U S C R I P Tmentioning

confidence: 99%

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Personal Hygiene and Vulvovaginitis in Prepubertal Children

Cemek

Odabaş²,

Şenel

et al. 2016

Journal of Pediatric and Adolescent Gynecology

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Section: Discussionsupporting

confidence: 43%

Section: A N U S C R I P Tmentioning

confidence: 99%

Personal Hygiene and Vulvovaginitis in Prepubertal Children

Cemek

Odabaş²,

Şenel

et al. 2016

Journal of Pediatric and Adolescent Gynecology

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“…Pure water was used for rinsing the vagina by 33% (n = 249). The use of irritants (perfumed soaps) has been proven to be a risk factor for inflammation of the genitals, and discomfort (Delago, Finkel, Deblinger, 2012;Cemek et al, 2016). A study by Delago, Finkel, Deblinger (2012) focused on analysis of symptoms in relation to exposure to irritants, and demonstrated an association between inadequate genital hygiene, tight clothing, and the use of toiletries with dysuria and genital discomfort (pain, itching) (p ˂ 0.05).…”

Section: Discussionmentioning

confidence: 99%

“…Vyas et al (2015) showering, sufficient drying, daily changing of underwear, changing of wet swimwear for dry, appropriate hygiene during menstruation (replacement pads and tampons, menstrual cups), and hygiene before and after SI. Literature describes evidence associating inadequate IH with the development of bacterial vulvovaginal infections, or genital discomfort (Low et al, 2006;Klebanoff et al, 2011;Delago, Finkel, Deblinger, 2012;Sevil et al 2013;Attieh et al, 2016;Cemek et al, 2016). Studies by Sevil et al (2013) have shown that the frequency of genital infections was higher in female students with inadequate IH (underwear, and hygiene during menstruation and after toilet visits were surveyed).…”

Section: Introductionmentioning

confidence: 99%

Examining the Determinants of Intimate Hygiene for Young Women With an Emphasis on Behavior Related to Risk of Vulvovaginal Infections

Kelčíková¹,

Mazúchová²,

Kaisová³

2017

Cent Eur J Nurs Midw

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Aim: The aim of the study was to identify risk determinants of intimate hygiene (IH) for young women (15-22 years) regarding the protection and promotion of their sexual health. Design: The study was designed as a descriptive cross-sectional study. Methods: A specially designed questionnaire was used -Cronbach alpha coefficient was 0.747. The questionnaire was distributed to a sample of female students (n = 360) aged 15-22 years. The response rate was 76% (n = 275). Data were analyzed by means of descriptive statistics and the Chi-square (χ2) test (p < 0.05). Results: We identified the determinants of IH in terms of risky behavior, namely: complete hair removal in the intimate area (favored by 94.75%), non-performance of hygiene before and after sexual intercourse (SI) (not performed prior to SI by 38.58%, and after SI by 34.36%), not changing a wet swimming costume for dry (not performed by 58.06%), and the wearing of unsuitable undergarments. We identified a statistically significant influence of education and age on certain determinants of IH: the use of special preparations to wash intimate areas while bathing, the wearing of thongs, the changing of wet swimsuits for dry, the frequency of changing tampons during menstruation, and the performance of IH before and after SI (p < 0.05). Younger respondents (15-18 years), and those with lower education demonstrated worse IH habits with respect to the study determinants, which may be associated with lower awareness. Conclusion: We identified possible risk determinants of IH that are associated with sexual health. Our study points toward the need to improve knowledge and habits regarding appropriate and safe IH, with special focus on the risk of vulvovaginal infections.

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“…However, in most cases, no abnormality is found, so only hygienic measures are advised, as well as the suspension of possible allergens or irritants. A miccional dysfunction is an important cause when considering the etiology of persistent vulvovaginitis (3,4,5) . Other causes of gynecological care during childhood and adolescence are: coalescence of the labia minora; genitourinary malformations; premature thelarche, adrenarche and puberty; breast changes, several menstrual changes, of flow volume, period time and cycle, being the latter part of the axis maturation; tumors (6) .…”

Section: Introductionmentioning

confidence: 99%

VulVoVaginitis in children and teens: releVance of clinical diagnosis

Nacif¹,

Júnior²,

Bravo³

et al. 2013

J Bras Doenças Sex Transm

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Introduction:Vaginal discharge is the most frequent complaint in Gynecology at any age. Pediatric and Adolescent Gynecology has specific features that differentiate it from gynecological care of women from other age groups. The search for a doctor, for children and adolescents, is generally accompanied by concern of parents and guardians. Objective: To evaluate the relevance of the clinical diagnosis face to the complaints suggestive of vulvovaginitis in children and adolescents. To identify symptoms, diagnoses, treatments, and outcomes in the study population. Subjects and Methods: Children and adolescents up to the of age of 15 years were selected for this retrospective study. They were looked after at the Pediatric and Adolescent Gynecology Ambulatory of the Hospital Universitário Antonio Pedro from 01/01/2002 to 31/12/2012. The following variables were studied: the city of origin of the patients, the way they were routed, age, status with or without menarche, complaints, while complaints, co morbidities, diagnosis, treatments performed, and outcome. Nonparametric test was used to verify the hypotheses established for the continuous variables. Results: From the pool of 203 patients included in the study, 46 had lack of hygiene care; 76, inappropriate clothing habits; 67, both; 11 patients were diagnosed with candidiasis; one was a carrier of the coalescence of the labia minora, and only two showed, vulvovaginitis. Conclusions: The relevance of the clinical diagnosis was proved, face to the complaints suggestive of vulvovaginitis, as 93.1 % of the study group did not show any kind of pathology.

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Urogenital Symptoms in Premenarchal Girls: Parents' and Girls' Perceptions and Associations with Irritants

Cited by 9 publications

References 26 publications

Personal Hygiene and Vulvovaginitis in Prepubertal Children

Personal Hygiene and Vulvovaginitis in Prepubertal Children

Examining the Determinants of Intimate Hygiene for Young Women With an Emphasis on Behavior Related to Risk of Vulvovaginal Infections

VulVoVaginitis in children and teens: releVance of clinical diagnosis

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