Abstract Vaginal bleeding is a rare presenting complaint in pre-pubertal girls which can cause a lot of anxiety in parents and carers. The differential diagnoses range from relatively simple conditions… Click to show full abstract
Abstract Vaginal bleeding is a rare presenting complaint in pre-pubertal girls which can cause a lot of anxiety in parents and carers. The differential diagnoses range from relatively simple conditions such as vulvovaginitis to more sinister conditions including malignant vulval tumours or child sex abuse. A detailed clinical review is required in making a diagnosis and planning treatment. This review article will provide an overview of the most likely differential diagnosis and suggests an approach to assessment and management for the general paediatrician.
               
Click one of the above tabs to view related content.