In the Table various clinical details relating to these 12 patients are given. The age of onset of vaginal bleeding varied between 9 months and 9 years. The duration of the regular bleeding was similarly variable, between 1 and 6 years. In each case bleeding had stopped by age 10 years and had restarted between 3 and 11 years later, after the appearance of other signs of secondary sexual develo...

The cause of vaginal bleeding in girls of 10 years and under is reviewed. Of the 52 patients seen, in 28 (54%) bleeding was caused by a local lesion and 11 (21%) of these had malignant genital tumours. Eleven (21%) children presented with some form of precocious puberty, and in 13 (25%) patients no cause could be found.