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In sexual abuse cases, Neissesia gonorrhoeae has been estimated to be found in 3. The secretion of these hormones causes a girl to develop into a sexually mature woman. The fetus floats in amniotic pronounced: A blastocyst is about the size of a pinhead, and it's a hollow ball of cells with fluid inside. Gynecologic examination, infections, trauma, pelvic mass, precocious puberty. Sexually transmitted infections STI are a rare cause of vaginal discharge in pre-pubertal girls. Her physical examination in the PED was noteworthy for vulvar erythema and a copious, milky, yellow-green discharge.

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Textbook of Pediatric Emergency Medicine.

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Female Reproductive System

The zygote goes through a process of becoming an embryo and developing into a fetus. The secretion of these hormones causes a girl to develop into a sexually mature woman. If a female and male have sex within several days of the female's ovulation egg releasefertilization can occur. The contractions cause the cervix to widen and begin to open. Most women find their hymens have stretched or torn after their first sexual experience, and the hymen may bleed a little this usually causes little, if any, pain. On average, the monthly cycle for an adult woman is 28 days, but the range is from 23 to 35 days. We recommend that all pre-pubertal girls who present with a vaginal foreign body should be considered as possible victims of sexual abuse and should receive a sexual abuse history and testing for sexually transmitted infections.

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