Isolated Vaginal Bleeding Before the Onset of Puberty

• Natalie G. Allen ^[1] ; Paul B. Kaplowitz ^[2]
  1. [1] Department of Pediatrics, Division of Endocrinology and Diabetes, Penn State Health Milton S. Hershey Medical Center, Penn State Health, 12 Briarcrest Square, Hershey, PA 17033, USA.
  2. [2] Division of Endocrinology, Children's National Hospital, 111 Michigan Avenue Northwest, Washington, DC 20010, USA.
• Localización: Endocrinology and metabolism clinics of North America, ISSN 0889-8529, Vol. 53, Nº. 2, 2024, págs. 211-216
• Idioma: inglés
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• Resumen

  • Isolated vaginal bleeding before the onset of puberty is a rare presentation of isosexual precocity. In most cases, isolated vaginal bleeding without an abnormal genital examination is self-limited with resolution usually within 1 to 3 episodes. Watchful waiting is appropriate in most patients who do not have persistent bleeding, other signs of puberty, or signs/symptoms of an underlying etiology. Workup for patients with concerning features may include puberty hormone levels and/or transabdominal and transperineal ultrasound.