Adolescent Vulvovaginitis

Vulvovaginitis is a common complaint in adolescents. There are specific and nonspecific causes. Specific causes include sexually transmitted infections and so it is important to take a sexual history in any adolescent presenting with vulvovaginal complaints. A sexual history should be taken in a sensitive and confidential manner. Diagnosis of vulvovaginitis requires an external genital examination and may require a pelvic examination based on other presenting symptoms. Microscopy is typically used to make a diagnosis. More sensitive or specific point of care tests are commercially available, but they can be cost prohibitive. Treatment of vulvovaginitis is based on underlying pathology and often a review of vaginal hygiene may be necessary.In special patient populations, extended or repeat treatment may be necessary. This review contains 3 figures, 2 tables, and 21 references. Key Words: adolescent, bacterial vaginosis, candidiasis, confidentiality, discharge, dysuria, sexually transmitted infections (STIs), trichomonas, vaginitis, wet prep