Vaginitis in Teens
What is vaginitis in teens?
Vaginitis is any inflammation or infection of the vagina. It is a common problem in girls and women of all ages. It develops when the walls of the vagina become inflamed because of an infection or irritant.
What causes vaginitis in a teen?
Bacteria, yeast, viruses, and chemicals can cause vaginitis. The most common types are:
- Yeast infection. This is caused by one of the many species of fungus known as candida. These normally live in the vagina in small numbers. Candida may also be in the mouth and digestive tract in both boys and girls. Infection happens when something in upsets the normal balance. For example, antibiotics can kill bacteria that normally balances the amount of yeast in the vagina. Too much yeast grows, causing an infection. Another cause can be pregnancy, which changes hormone levels. Diabetes can also be a cause because of too much sugar in the urine.
- Bacterial vaginosis. This infection is caused when certain types of normal vaginal bacteria grow out of control and cause inflammation.
- Trichomoniasis (trich). This is a sexually transmitted infection caused by a parasite. This parasite passes between partners during sexual intercourse. Most boys don’t have symptoms with trichomoniasis. So the infection is often not diagnosed until a girl has vaginitis symptoms.
- Viral vaginitis. Viruses are a common cause of vaginitis. Most are spread through sexual contact. The herpes simplex virus (HSV) can cause viral vaginitis. The human papillomavirus (HPV) can also cause viral vaginitis. Both of these are spread through sexual contact.
- Noninfectious vaginitis. This is vaginal irritation without an infection. It’s most often caused by an allergic reaction or irritation. Chemicals in vaginal sprays, douches, or spermicidal products can cause it. It may also be caused by perfumed soaps, detergents, or fabric softeners. Even chemicals in clothing can cause symptoms.
Which teens are at risk for vaginitis?
A girl is more at risk for vaginitis if she:
- Has recently taken antibiotics
- Is pregnant
- Has diabetes that is not well-controlled
- Has HIV
- Is using an immunosuppressant medicine
- Is using high-estrogen contraceptives
- Is having corticosteroid therapy, which weakens the immune system
What are the symptoms of vaginitis in a teen?
Symptoms can occur a bit differently in each girl.
The symptoms of a yeast infection can include:
- A thick, white, odorless vaginal discharge that is like cottage cheese
- Itching and redness of the vulva and vagina
- Pain with urination or sex
The symptoms of bacterial vaginosis can include:
- A thin, white fluid from the vagina
- A thick, gray or green fluid from the vagina
- Fishy smell to the fluid
The symptoms of trichomoniasis can include:
- Frothy, greenish-yellow fluid from the vagina that smells musty
- Itching or burning in and around the vagina and vulva
- Swelling or redness at the opening of the vagina
- Light bleeding, especially after sex
- Burning during urination
- Pain in the lower belly (abdomen)
- Pain during sex
- No symptoms, in some cases
The symptoms of viral vaginitis can include:
- Pain in the genital area from sores, if the cause is HSV
- Painless warts on the vagina, rectum, vulva, or groin, if the cause is HPV. But a girl may have the virus without visible warts.
The symptoms of noninfectious vaginitis can include:
- Vaginal itching or burning
- Fluid from the vagina
- Pelvic pain, especially during sex
The symptoms of vaginitis can be like other health conditions. Make sure your teen sees her healthcare provider for a diagnosis.
How is vaginitis diagnosed in a teen?
The healthcare provider will ask about your pre-teen or teen’s symptoms and health history. He or she will give your child a physical exam. The physical exam may include a pelvic exam. Your child may also have tests, such as:
- Pap test. A cotton swab is wiped on the cervix. The swab is sent to a lab and tested for signs of virus, bacteria, or other problems.
- Exam of vaginal fluid. The fluid may be checked with a microscope for bacteria and other problems.
How is vaginitis treated in a teen?
Treatment will depend on your teen’s symptoms, age, and general health. It will also depend on the cause and how severe the condition is.
Treatment may include:
- Antifungal vaginal creams and suppositories
- Vaginal tablets
- Antifungal medicines that are taken by mouth (oral)
Treatment is done with antibiotics.
Treatment is done with oral antibiotics. All sexual partners need to be treated. This is to prevent the infection occurring again.
Treatment depends on the cause:
- This virus can be treated with antiviral medicine. These include acyclovir, valacyclovir, and famciclovir. These medicines don’t kill the virus. But they can decrease the pain and shorten the length of the outbreak.
- Most HPV infections go away within 6 to 12 months. Some infections last and can lead to cancer of the vulva, vagina, or anus.
Treatment is done by finding out what caused the reaction or irritation, and removing it from use.
Talk with your teen’s healthcare providers about the risks, benefits, and possible side effects of all medicines.
What are the possible complications of vaginitis in a teen?
HPV is the main cause of cervical cancer in women.
How can I help prevent vaginitis in my teen?
An HPV vaccine can prevent infection by the types of HPV that cause most cervical cancers. The vaccine also helps prevent genital warts as well as some cancers of the vulva, vagina, and anus. The vaccine is given to children and young adults ages 9 to 26, ideally before they become sexually active. Ask your teen’s healthcare provider for more information.
When should I call my teen’s healthcare provider?
Call the healthcare provider if your teen has:
- Symptoms that don’t get better, or get worse
- New symptoms
Key points about vaginitis in teens
- Vaginitis is any inflammation or infection of the vagina. It is a common problem in girls and women of all ages. It develops when the walls of the vagina become inflamed because of an infection or irritant.
- Bacteria, yeast, viruses, and chemicals can cause vaginitis.
- The symptoms of vaginitis can include pain, itching, burning, sores, fluid from the vagina, and other problems.
- Your teen may have a Pap test. A cotton swab is wiped on the cervix. The swab is sent to a lab and tested for signs of virus, bacteria, or other problems.
- Treatment may include medicines. The type of medicine depends on the cause.
- An HPV vaccine can prevent infection by the types of HPV that cause most cervical cancers.
Tips to help you get the most from a visit to your child’s healthcare provider:
- Know the reason for the visit and what you want to happen.
- Before your visit, write down questions you want answered.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you for your child.
- Know why a new medicine or treatment is prescribed and how it will help your child. Also know what the side effects are.
- Ask if your child’s condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if your child does not take the medicine or have the test or procedure.
- If your child has a follow-up appointment, write down the date, time, and purpose for that visit.
- Know how you can contact your child’s provider after office hours. This is important if your child becomes ill and you have questions or need advice.
December 09, 2017
Bacterial vaginosis. UpToDate, Candida vulvovaginitis. UpToDate, Epidemiology of human papillomaavirus infections, Up To Date, Evaluation of women with symptoms of vaginitis. UpToDate, The life cycle, natural history, and immunology of human papillomaviruses, Up To Date, Trichomonas vaginalis. UpToDate
Cunningham, Louise, RN,Freeborn, Donna, PhD, CNM, FNP,Sacks, Daniel, MD, FACOG