Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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Menstrual-like vaginal bleeding in prepubertal girls: an unexplained condition

M. Merckx1, S. Weyers2, R. Santegoeds3, J. De Schepper4

1 Division of Pediatric Gynaecology, University Hospital St Pieter and Erasmus Brussels & ICRH Ghent Belgium.
2 Department of Obstetrics and Gynaecology, Ghent University Hospital & ICRH Ghent Belgium.
3 Medical Master student, KUL Leuven Belgium.
4 Division of Pediatric Endocrinology, Department of Pediatrics, University Hospital Brussels and Ghent University Hospital Belgium.

Correspondence at: mireillemerckx@gmail.com

Keywords:

Prepubertal vaginal bleeding, menarche, telarche, isolated menses, environment


Published online: Jan 05 2012

Abstract

Unexplained menstrual-like cyclic vaginal bleeding, lasting for several days and without any uterine and vaginal anomaly, is a rare condition in prepubertal girls. Only small series (containing four to eleven cases) have been described in literature. We report our in nine girls presenting with vaginal bleeding without any abnormality at gynaecological, hormonal and echographic examination.