Prepubertal vaginal discharge

Key content• Vaginal discharge is the most common reason for referral of a prepubertal girl to a gynaecologist. • Non‐specific bacterial vulvovaginitis is the most frequent cause; however, less common causes must be excluded. • Associated symptoms include soreness and itching, which can be chronic and distressing. • Vulval hygiene and the use of appropriate emollients form the cornerstone of successful management.Learning objectives• To learn how to assess a child with vaginal discharge. • To understand common and less common aetiologies. • To be able to apply sensible and appropriate management.Ethical issues• When should child sexual abuse be suspected? • When should child protection be sought?Please cite this article as: Hayes L, Creighton SM. Prepubertal vaginal discharge. The Obstetrician & Gynaecologist 2007;9:159–163.