The Vulval and vaginal conditions CPG is a new CPG developed by the CPG Committee and endorsed by the Paediatric Improvement Collaborative (December 2022). Covering a range of conditions which cause vulval and vaginal pain and bleeding, including vulvodynia, this new CPG supersedes the previous Prepubescent gynaecology CPG. 

CPG key points  

1. Vulvovaginitis is common and will usually resolve with simple measures 
2. Pinworms should be considered when pre-pubertal children present with distressing nocturnal vaginal or perineal pain and/or itch 
3. Children with recurrent urinary tract infection symptoms but negative cultures should be assessed for vulvodynia 
4. Do not perform an internal vaginal examination or take internal vaginal swabs in prepubescent children