Gynecologic Examination of the Premenarchal Child

Abstract

Certain morbid conditions would be diagnosed more often if the genitalia were inspected routinely during examination of the premenarchal child. If obvious preliminary steps are taken and if the examiner exercises gentleness and patience uses a few specially designed instruments, the examination is seldom difficult. In addition to discussing the technic of such an examination and the auxiliary procedures to be used, the author describes the anatomic peculiarities of the immature genitalia and abnormalities which may be encountered.