<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> avoid vaginal examinations and swabs - if persistent refer to a paediatric gynaecologist Most newborn girls have some mucoid white vaginal discharge - disappears by 3/12 ''Vulvovaginitis'' commonest gynaecological disorder in girls risk factors include poor hygiene, tight clothing, lack of labial fat pads protecting vaginal orifice and lack of protective acid secretion found in the reproductive years bacterial (such as Gardnerella and Bacteroides) or fungal organisms may be responsible sexual abuse may occasionally present as vulvovaginitis if bloody discharge consider foreign body ''Management'' advise about hygiene soothing creams may be useful topical antibiotics/antifungals oestrogen cream in resistant cases