Reproduction and Pain

Abstract

Children under 14 years of age rarely present with lower abdominal or pelvic pain of gynaecological origin. Those who do will be suffering from one of a comparatively small group of diseases. Infection is the most likely and is limited to the vulva and vagina; although theoretically infection can ascend to involve the peritoneal cavity, this rarely happens. Infections are more common with poor hygiene and the presence of parasitic infestations. Congenital malformation of the vulva or vagina, particularly with fistula formation, prolapse of the urethral mucosa or an ectopic ureteric orifice into the vaginal vault, will predispose or mimic vaginal infections. Also the vulval and vaginal mucosae are less resistant to infection until physical maturity is achieved.