A 5-year-old girl is experiencing abnormal vaginal discharge, with dried traces on her underwear. There is no pain or itching. Hospital examination reveals a mycoplasma infection and an abnormal white blood cell count. The doctor prescribed metronidazole tablets, instructing them to be ground into powder and then washed and sprinkled into the girl’s vaginal opening. However, after use, the girl experiences severe pain, which subsides when the medication is not used. Is this pain normal? Should the medication continue to be used?

Newborn girls have an innate ability to clean their genitals, so there’s no need for early cleaning or to pull back the labia.

Explore the possible causes of a 15-year-old female developing an Adam’s apple-like bulge and recommend medical examinations for diagnosis.