Vaginal bleeding in girls before their first period (menarche) can be caused by several factors. It's crucial to seek medical attention to determine the underlying cause. Common reasons include:
Common Causes of Premenarchal Vaginal Bleeding
-
Vaginitis: This is an inflammation or infection of the vagina. Irritants, such as soaps or wipes, can cause irritation and bleeding. See Cleveland Clinic's information on vulvovaginitis in toddlers.
-
Foreign Bodies: Objects like toilet paper, small toys, or other items can get lodged in the vagina, causing bleeding. This is a frequently cited cause in several sources. (https://www.nationwidechildrens.org/conditions/prepubertal-vaginal-bleeding) (https://www.childrens.com/specialties-services/conditions/pre-pubertal-vaginal-bleeding)
-
Trauma: Injuries from falls, accidents, or even rough play can lead to bleeding. Straddle injuries are a common example. Trauma is frequently mentioned as a cause. (https://www.childrens.com/specialties-services/conditions/pre-pubertal-vaginal-bleeding)
Less Common, But Serious Causes Requiring Immediate Medical Attention:
-
Sexual Abuse: This is a serious possibility that requires immediate investigation and reporting to the appropriate authorities.
-
Cancer: Although rare, it is essential to rule out any cancerous growths.
-
Precocious Puberty: This refers to the early onset of puberty, which can manifest as vaginal bleeding.
-
Urethral Prolapse: This is a condition where the lining of the urethra protrudes, causing bleeding. This is mentioned as a potential cause.
-
Other Conditions: Other less common causes include dermatologic conditions affecting the vulva, tumors, and ovarian issues. These are included in various sources. (https://www.msdmanuals.com/home/women-s-health-issues/symptoms-of-gynecologic-disorders/vaginal-bleeding-in-infants-and-children)
Important Note: Any unexplained vaginal bleeding in a child requires prompt medical evaluation. A doctor can perform a thorough examination to determine the cause and provide appropriate treatment. Early diagnosis and intervention are crucial, especially in cases of serious underlying conditions.
