By Gary M. White, MD

Vulvovaginitis in prepubertal girls has been reported to occur secondary to a variety of causes including inadequate protective mechanisms, poor perineal hygiene, the presence of foreign bodies within the genitalia, sexual abuse, infection, and constipation [JAAD 2000;43;718]. Group A beta hemolytic Streptococcus may be cultured [PD 1993;10;366].

Young girls may develop vulvar pruritus just from poor hygiene. Children may rush bathroom visits and not wipe properly. An irritant dermatitis with inflammation and itching results.


There may be inflammation, redness, and itching.


Treatment for poor hygiene includes education, loose-fitting cotton underwear, and daily baths to make sure the genitalia are properly cleansed. A mild topical steroid may be prescribed.


Homepage | FAQs | Use of Images | Contact Dr. White

It is not the intention of to provide specific medical advice, diagnosis or treatment. only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.