Causes of Vaginal Bleeding in Children
Age Group | Causes |
|---|---|
Infants | In utero endometrial stimulation by transplacental estrogens (causes minimal bleeding during the first 2 weeks of life) |
Older children | Vaginal foreign body Precocious puberty with premature menses Ectropion Lichen sclerosus Urethral prolapse Hemangioma Physical trauma (including from sexual abuse) Tumors (eg, sarcoma botryoides, endodermal sinus tumors) |
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