A doctor knows the difference between a vulva and a vagina. One is external, the other internal. I would expect the average person to get that wrong, but not a physician. Most women can remember the first time they went to a GYN for a vaginal exam. It normally takes place at some point after the onset of menstruation and not routinely even then, only if the young woman (girl, really, since she's likely to be only about 11 years old) has complained of pain or some other unusual symptom that has her mother worried. Even for a girl that age, such an exam is a big deal. For a six-year-old? I can't even. And I realize that once upon a time, doctors may not have known this, but the worst thing you can do for a vaginal infection or UTI is sit in a bath, even in plain water bath; this can drive the infection deeper. I just have always had a bad feeling about this doctor. And I'm sorry, but any doctors receiving 27-33 visits by this child and her mother to his office in three years is so alarming. Why? Because she didn't wipe herself properly? Has anyone ever tried to determine why this was the case, as it appears to have been, given the testimony of others who were called upon to "Wipe!" when this little girl went to the toilet?