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Re: ten and one half year old daughter's vaginal discharge and incontinence

From: Jean (anonymous@obgyn.net)
Mon, 27 Nov 2000 12:39:14 -0600 (CST)

I had very much the same thing when I was a small child, including constant yeast infections, from about 3 yrs old until 10 or 11. I remember the doctors gave me a general anaesthetic at 7yo to do the complete internal exam. They thought I had masturbated and inserted something, or had been sexually abused. They came up with nothing as far as I was ever told. (But since growing up, even though I have no memory of abuse, I have wondered why it all stopped when we moved away from my stepfather. I know as an adult, I only get these symptoms with an increased level of sexual activity.)

I still remember the whole thing as extremely traumatic, not the pelvic exam itself (as I was under g.a.) but it was awful being carted off to so many doctors and inspected between the legs. It sounds like you are being very careful with your daughter, but this is a tough situation. I remember the worst part, was that my mother felt the need to discuss this with her friends, my teachers, etc. I am 29 now, and still not over that! When you are a child, it's so hard to rationalise what's happening to you. Please spare your daughter's dignity as much as possible, because she will probably remember the humiliation more than the actual exam/s.

Also, there are special pediatric gynaecologists that would hopefully be best to deal with this. I wish my mother had taken me to a kid specialist.

At Fri, 24 Nov 2000, Kelly Shanahan, MD wrote: >
>At Fri, 24 Nov 2000, Susan wrote:
>>
>>My 10 1/2 year old daughter has been having a clear/yellowish discharge
>>for the past few days with moments of incontinence. The discharge is
>>not malodorous and there is no pain or itching involved. There is no
>>redness or irritation in the vulvar region. There has not been
>>insertion of any kind and I would hate to have her have a pelvic exam at
>>such a young age. We do not have a family physician as our previous one
>>has left his practice. I am asking around to find a new one
>>(particularly a female) with whom she will be more comfortable with in
>>the event she must have a pelvic. Do you have any suggestions or
>>opinions on this matter? Thank you so much..
>
>an infection is a possibility -- and are you sure your daughter has not
>been masterbating and may have inserted someithing into her vagina -- or
>that she may be being sexually abused?? She should see a gyn -- a full
>pelvic exam may not be necessary, if hte doctor sees no outward signs of
>a foreign body or ssexual abuse, but a small swab for cultures may be
>done. Sudden incontinence in a girl of this age is suggestive of other
>problems, assuming a urinary tract infection is ruled out
>
>--
>M. Kelly Shanahan, MD, FACOG
>South Lake Tahoe, CA
>
>This information is for educational purposes only and does not construe a doctor-patient relationship. It does not replace the need for you to consult your own doctor.
>
>***private e-mails will be deleted without reading. Please respect my family time
>



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