Conclusion
The pattern of PAG issues at first clinical visit in China has seldom been reported in international journals. Our study helps to fill this gap by examining diagnoses at the first clinical visit over a 13-year period at a large PAG hospital in China. A major finding was that genital inflammation was the most common issue for pediatric and adolescent patients with gynecological problems. This is consistent with previous studies and the meta-analysis conducted as part of this study. The study also reveals an increased number of PAG patients in China over the decades, emphasizing the need for more healthcare services and epidemiologic research in this field.