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There are no known predisposing causes. The woman beyond the undergrowth that shielded her from sight was possibly the most attractive person that Laura had ever seen. Xporn After the breakup, Lisa and I Summary points Vulvovaginitis is the commonest gynaecological problem in prepubertal girls The hypo-oestrogenic hormonal milieu in a such girls increases the susceptibility of the vaginal mucosa to infection Vaginal microflora have not been well studied in normal prepubertal girls, making it difficult to decide whether bacteria isolated from a patient's vaginal secretions are part of the normal microflora or are the cause of symptoms of vulvovaginitis Current evidence suggests that in prepubertal girls with clinical features of vulvovaginitis, antibiotics should be used only if a pure or predominant growth of a pathogen is identified Isolating an organism associated with sexual transmission should prompt a careful evaluation for sexual abuse.

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