Pre-pubertal vaginal bleeding
ICD-10 N93.1 is a billable code used to indicate a diagnosis of pre-pubertal vaginal bleeding.
Pre-pubertal vaginal bleeding refers to any vaginal bleeding that occurs in girls who have not yet reached puberty, typically defined as before the age of 9. This condition can arise from various causes, including hormonal imbalances, trauma, infections, or anatomical abnormalities. In pre-pubertal girls, the absence of menstrual cycles complicates the evaluation of vaginal bleeding, necessitating a thorough clinical assessment to determine the underlying etiology. Common causes include foreign bodies, vulvovaginitis, and, in rare cases, precocious puberty or tumors. The clinical approach often involves a detailed history, physical examination, and possibly imaging or laboratory tests to rule out serious conditions. Accurate diagnosis is crucial, as some causes may require immediate intervention. Understanding the implications of pre-pubertal vaginal bleeding is essential for pediatricians and gynecologists, as it can impact the child's physical and emotional well-being.
Detailed history of the bleeding episode, including onset, duration, and associated symptoms.
Evaluation of a young girl presenting with unexplained vaginal bleeding, often following a history of trauma or infection.
Consideration of developmental milestones and psychosocial factors affecting the child.
Comprehensive gynecological history and physical examination findings.
Management of pre-pubertal girls with recurrent vaginal bleeding or those with anatomical concerns.
Need for sensitivity in discussing reproductive health with young patients and their guardians.
Used when evaluating a pre-pubertal girl with vaginal bleeding.
Document the reason for the visit, findings, and any treatment provided.
Pediatricians should ensure age-appropriate language is used in documentation.
Common causes include trauma, infections like vulvovaginitis, foreign bodies, and, in rare cases, precocious puberty or tumors.
