
TREATMENT OF GONORRHEAL VULVOVAGINITIS IN CHILDHOOD WITH THE OVARIAN FOLLICULAR HORMONESERIES OF CASES IN WHICH TREATMENT WAS UNSUCCESSFUL
J. THORNWELL WITHERSPOON, M.D.
Am J Dis Child. 1935;50(4):913-917.
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The treatment of gonorrheal vulvovaginitis in infants and young girls has always been an unsolved problem to the gynecologist, the pediatrician and the general practitioner. The various methods of therapy1—vaginal instillations and irrigations, antiseptic applications to the cervix, the application of heat, the use of suppositories, change of bacterial flora and the administration of vaccines—have offered so little encouragement in the eradication of this condition that many physicians consider that no treatment at all is of equal value. Therefore, it was with great enthusiasm and with a warm reception that those who came in contact with this disease welcomed the rational hormonal therapy first advanced by Lewis2 in 1933.
Lewis' method of therapy is based on logical clinical reasoning. Gonorrheal vulvovaginitis is usually limited to the prepuberal years. For reasons clearly explained by Schauffler and Kuhn3 on the basis of microscopic study, the immature vaginal
. . . [Full Text PDF of this Article]
Author Affiliations
NEW ORLEANS
Department of Gynecology, Tulane University, School of Medicine.
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