<< Emergency Department Management Of Vaginal Bleeding In The Nonpregnant Patient

Special Circumstances

Compared to the prevalence of gynecologic disease in reproductive-age women, gynecologic disease in children is uncommon. Though a rare occurrence, vaginal bleeding in a premenarchal girl can herald serious underlying physical and social pathology. Vaginal bleeding may be seen as early as the first week of life secondary to maternal estrogen withdrawal.

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