The evaluation of vaginal bleeding in children begins with a history and physical exam.

The physical exam is usually normal in a female child with vaginal bleeding.

Physical findings in a child with vaginal bleeding may include:

• Abrasions to the labia or vagina
• Bruising of the labia or vagina
• Laceration to the labia or vagina
• Swelling of the labia or vagina
• Vaginal discharge
• Vaginal foreign body

Tests that may be used to evaluate vaginal bleeding in children include:

• Blood hormone testing
• Complete blood count
• Coagulation profile
• Pelvic ultrasound
• Vaginal culture