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Vulvitis is inflammation of the vulva, the external female mammalian genitalia that include the labia majora, labia minora, clitoris, and introitus (the entrance to the vagina). It may co-occur as vulvovaginitis with vaginitis , inflammation of the vagina, and may have infectious or non-infectious causes.
The most common reason pre-pubertal females go to the gynecologist is concern about vaginal discharge and vaginal odor. [35] The causes of abnormal vaginal discharge in pre-pubertal girls are different than in adults and are usually related to lifestyle factors such as irritation from harsh soaps or tight clothing. [35]
Gynecologic hemorrhage represents excessive bleeding of the female reproductive system. [1] [2] Such bleeding could be visible or external, namely bleeding from the vagina, or it could be internal into the pelvic cavity or form a hematoma. Normal menstruation is not considered a gynecologic hemorrhage, as it is not excessive.
Of women with heavy menstrual bleeding, up to 20% will have a bleeding disorder. [24] Heavy menstrual bleeding since menarche is a common symptom for women with bleeding disorders, and in retrospective studies, bleeding disorders have been found in up to 62% of adolescents with heavy menstrual bleeding. [25]
Endometrial polyps usually occur in women in their 40s and 50s. [3] Endometrial polyps occur in up to 10% of women. [2] It is estimated that they are present in 25% of women with abnormal vaginal bleeding. [8]
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The labia minora sometimes change considerably in color, going from pink to red in lighter skinned women who have not borne a child, or red to dark red in those who have. During orgasm, rhythmic muscle contractions occur in the outer third of the vagina, as well as the uterus and anus. Contractions become less intense and more randomly spaced ...