Vaginal Bleeding Before Puberty: A Specialist’s Practical Tips on Evaluation and Care

Vaginal bleeding in very young patients has a broad range of causes – from minor injuries and foreign bodies to bleeding disorders and precocious puberty – so it’s essential to have a firm grasp of possible diagnoses, how to perform the physical exam and how to take a meaningful history. Gynecologist Sloane Berger-Chen, MD, whose focus is pediatric patients, explains her experience-based evaluation process as well as when lavage is appropriate, how to assess heavy bleeding and how to counsel on hygiene. Bonus: educational websites and other resources for patients.

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UCSF Pediatrics

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Sloane Berger-Chen, MD

Sloane Berger-Chen, MD

Obstetrician and Gynecologist

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