I. Wachter, SUCCESS OF THERAPY WITH LOCAL ESTRIOL OIN TMENT FOR VULVO-VAGINITIS IN CHILDREN, Monatsschrift fur Kinderheilkunde, 145(3), 1997, pp. 266-268
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.