5 common issues little girls might have ‘down there’ and what you can do

little girl being changed

When it comes to little vaginas there’s not too much you need to worry about. That said, they can get itchy, sore, irritated and infected from time to time so it’s good to know how to identify, treat and prevent these issues – especially because babies won’t be able to tell you what’s wrong. Here are five problems to look out for down below.

1. Vulvovaginitis

Vulvovaginitis is when the vagina and vulva are inflamed which can be pretty painful and uncomfortable. It’s pretty common in very young girls because the lining of their vagina and vulva is quite thin which means it can easily be irritated. Many things can cause this, such as moisture and dampness in the area, being overweight, tight nappies or clothing, soaps and threadworms.

Other signs your child might have vulvovaginitis include redness on the outside vaginal area, pain during or after she urinates, itchiness in the area and discharge from the vagina. When vulvovaginitis is mild, it can be treated by putting them in loose clothing and avoiding things like bubble baths and soaps. Adding some white vinegar to the tub and using nappy rash cream can also help soothe symptoms. If there is any blood, or your child seems very distressed, take them to the doctor.

2. Urine infection

While it’s prevalent for young children in nappies (both boys and girls) to get a Urinary Tract Infection (UTI), it is essential to attend to one immediately. If left untreated, it can cause kidney damage. Signs of a UTI include having a fever, and they appear to be in pain when urinating, vomiting, they generally seem unwell, their urine is smelly or discoloured, they have pain in their lower abdomen and is attempting to urinate more frequently than usual.

A urine infection occurs when bacteria get into the urethra or bladder, usually from poo or bowel germs after wearing a nappy. If you suspect a UTI, take your daughter to the doctor immediately for a urine test. If positive, your child will be required to have antibiotics, possibly an ultrasound and a brief hospital stay. She will need a lot of rest and fluids once she is back at home. Ways to prevent a UTI include wiping from front to back when changing your child’s nappy or helping them on the toilet, avoid leaving them in a dirty nappy for long periods of time and steer clear of soaps and other irritants. 


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3. Worms

The most common intestinal worm that children get is threadworm (also called pinworm). They look like tiny white threads (hence the name) and come out of the anus to lay eggs at night, which is why kids get very itchy bottoms especially in the evenings. In little girls, though, the worms often travel into the vagina as well, which can lead to scratching, causing redness and irritation. Not only are worms itchy and uncomfortable for children, but they will also interfere with their sleep and can cause a low appetite. Threadworms spread very easily (usually via scratching and the eggs transferring to their fingernails and then the mouth), so the whole family will need to be treated quickly, even if they have no symptoms.

To treat worms, buy the medicinal worm chocolate squares from the chemist and give them to your child. Ensure she has a shower (not a bath) before bed, thoroughly cleaning her bottom and genitals. As for the rest of the house, vacuum carpets, clean surfaces including door handles and wash all bedding and towels in hot water to kill any eggs. To prevent worms, encourage good hygiene with your child by washing her hands regularly (especially after toilet visits), keeping fingernails kept short and not letting her eat food that’s been on the floor.

baby girl nappy change

4. Labia fusion

Also called labia adhesion, this is when the labia (outer lips of the vagina) become stuck together with a very thin membrane. It usually occurs between the ages of one and two and is most likely caused by a previous infection. If you’re worried, please speak to a doctor; however, in most cases, it usually rectifies itself over time without any treatment or surgery.

5. Hymenal skin tags

Vaginal or hymenal skin tags occur in about ten percent of all female newborns. Caused by a swollen hymen due to oestrogen passed down from the mother. They will look like a small, smooth pink tissue coming out of the vagina and will usually disappear after about two to four weeks on their own with no treatment required. 

Vaginal care tips

While things beyond our control cause some of the above conditions, when it comes to infections, prevention is the key. Here are some vaginal care tips to remember for keeping your child’s genitals healthy.

  • Wipe front to back – to prevent bacteria spreading, check all crevices for poo, and also tell them what you’re doing so when they’re old enough to go to the toilet themselves they will wipe correctly.
  • Change nappies frequently – ensure they’re also not too tight and use nappy rash cream liberally.
  • Avoid irritants to their genitals – such as bubble baths and harsh soaps, use baby-friendly washes and creams, and apply shampoo last, so they’re not sitting in the suds.
  • Wash their hands regularly – using soap, especially after going to the toilet, and keep their fingernails short to avoid dirt, bacteria and worms spreading.
  • Keep the vaginal area dry – after washing or swimming, pat down the area thoroughly to avoid moisture becoming trapped.
  • Ensure their diet is healthy – lots of fluids will help prevent and treat a UTI and be sure their weight is in a normal range for their age.
  • Avoid tight clothing – once they are toilet trained, be sure to put them in cotton, breathable undies and eventually no undies at night.
  • Encourage good wee habits – once toilet trained, get your child to go for a wee when they need to and not ‘hang on’ instead, and buy unscented, soft toilet paper.

If you are at all concerned about a vaginal issue your child might have or suspect a UTI, please speak to your doctor.

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