Intimate irritations in young girls, often mistaken for fungal infections, require special attention. Dr. Jules Fougère, a medical professional known online as @ped.urg, explains how to identify and treat these common symptoms before puberty. On Instagram, Dr. Fougère reminds parents that a young girl who says "it itches" does not necessarily have a fungal infection. Before puberty, these symptoms often indicate irritative vulvitis, but certain signs should lead to a consultation with a healthcare provider. Vulvitis in young girls: why does it itch? In young girls, redness, itching, burning sensations, or discomfort when urinating may correspond to vulvitis, which is an irritation of the vulva, the external part of the intimate area. Dr. Jules Fougère emphasizes an important point: before puberty, this area is more fragile, as it has not yet developed all its natural defenses. This makes it more susceptible to irritation from everyday factors such as soaps, detergents, or even tight clothing. The parents' reflex is often to think of an infection, or even a fungal infection. However, the available data aligns with the main message of Dr. Fougère's video: in prepubescent girls, many vulvovaginitis cases are described as non-specific or irritative. A synthesis published in the CMAJ estimates that 70 to 80% of cases are due to non-specific causes, with mainly gentle hygiene measures and reassurance being effective treatments. However, it is important to note that "most often irritative" does not mean "never infectious". Germs coming from the anal area, or other sources, can also be responsible. In such cases, a healthcare provider may recommend targeted treatment. Dr. Fougère encourages parents to observe their child's symptoms carefully and seek professional advice when necessary to ensure proper care.