SUCCESS OF THERAPY WITH LOCAL ESTRIOL OIN TMENT FOR VULVO-VAGINITIS IN CHILDREN

In one third of the little girls coming to the outpatient clinic for p ediatric gynecology, a vulvovaginitis can be diagnosed. Etiologic fact ors are poor perineal hygiene, foreign bodies in the vagina and respir atory or skin infections. The microbiologic investigation often reveal s staphylococci, streptococci, E. coli, and in case of chronical-recur rent discharge also B. fragilis and peptostreptococci. The symptoms ar e itching, burning, dysuria, discharge and rubor of the vulva. A syste mic application of antibiotics is not necessary, a local treatment wit h antibiotic solutions is contraindicated and the usual vaginal suppos itories are unsuitable for girls. A desinfection often irritates the v ulvovaginal region of little girls so that for years we use estriol oi ntment only which is tolerated. Excellently, a single-dose application being sufficient; burning, itching and discharge disappear and the va ginal epithelium gets more resistant because of the estrogen influence , so that the healing process is accelerated.