Vulvar, vaginal and perineal injuries

Injuries to the vagina, vulva and perineum vary in their severity and the impact the damage has on the pelvic structures. Injuries range from straddle injury to urethral damage to deep pelvic trauma.

Vulvovaginitis caused by Haemophilus influenzae in children

H. influenzae is a common cause of vulvovaginitis in children, but it may not be easily detected by a GP or standard cultures.

Gynaecology in children and babies

We briefly overview the vulva and vagina from a developmental perspective - what to expect.

Differences of Sexual Development (DSD)

DSD is the multitude of in-between typical male and female presentation we see in human bodies. The variations range from typically female with every physiological twist and turn to typically male.

5-alpha-reductase deficiency (5 ARD)

5 ARD is a genetic blip that blocks the conversion of testosterone to dihydrotestosterone (DHT) in a growing foetus. DHT is required for the penis and testicles to develop in a male foetus, resulting in ambiguous genitalia. People with 5 ARD may be brought up as girls or boys.

Understanding vaginoplasty surgery

Vaginoplasty refers to a group of surgical procedures designed to construct, reconstruct, or repair the vagina and its related structures. These surgeries serve a range of purposes, from addressing congenital conditions to repairing trauma or damage caused by cancer treatments, and for some, as part of gender-affirming care. Vaginoplasty is

Complete, mild, or partial androgen insensitivity syndrome (CAIS, MAIS, PAIS)

Androgen insensitivity syndromes mean babies born as genetic males have an androgen receptor problem that means they develop, more or less, into females, including gender identity, body shape, and sexual identity.

Variations in genitalia

Variations in genitalia can be seen on a new baby that don't match either a typical boy or girl, requiring further investigations.

Bladder exstrophy repair surgery

The surgical repair of a bladder exstrophy has two parts - the bladder repair and the pelvic bone repair.

Epispadias in girls

Epispadias is a birth defect in boys and girls whereby the genitals are improperly formed, affecting the urethra, and sometimes the bladder and other structures. Epispadias in girls looks quite different to boys, but the concept is the same.

Bladder exstrophy

Bladder exstrophy is a condition a child is born with whereby the bladder is on the outside of the body, and other pelvic structures are not properly formed.

High-tech mesh for pelvic prolapse

A prolapse-correcting mesh is being developed in Australia that integrates with human tissue to become part of the body.

How to use Hiprex (methenamine) to treat or prevent a UTI

Discover how Methenamine (Hiprex) effectively prevents and treats UTIs without bacteria developing resistance.

Aunt Vadge: has fingering ruined my vagina?

A little bleeding after rough fingering rarely means damage – cramping comes from the uterus. Reassurance, plus gentle ways to handle the anxiety.

PCOS (now PMOS): polyendocrine metabolic ovarian syndrome

Polycystic ovary syndrome (PCOS) – now polyendocrine metabolic ovarian syndrome (PMOS) – links insulin, androgen and ovulation imbalances.

Aunt Vadge: is this what sex is supposed to feel like?

First-time sex that felt like pressure, pain and a small tear is very normal – here's what to expect, why arousal is everything, and when to see a doctor.

Aunt Vadge: I slipped – will my clitoris be ok or should I go to the hospital?

Fell and hurt your clitoris or vulva, with swelling and trouble walking? Get it checked to rule out a haematoma – plus how to care for it while it heals.

Aunt Vadge: sticky, spotting – will I be ok?

A little spotting after fingering is usually a fingernail nick, the hymen, or a benign gland draining – here's how to tell, and when to get checked.

Vulvar or vestibular papillomatosis

Small fingerlike projections grow out from the vulva (labia minora or vestibule), which can be (but are not always) related to HPV infection.

Aunt Vadge: clitoral hood is disintegrating after a fingernail accident

Genital tissue that's breaking down over time is not a home-remedy situation – here's why this needs a doctor, and where to get seen.

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