Labial Adhesions Treatment - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
I am trying to find information about treatment of fused labia. My daughter is 2.5 and has labial adhesions. Her pediatrician doesn't like the idea of using hormone cream at such a young age. I'm uncertain about doing "lysis"(spelling?) it seems pretty traumatizing. She has had zero health problems due to the fusion. Last year I used the cream consistently for a period of 2 weeks and she opened up about 1/2 way. I guess I should have checked more diligently but she now almost 100% closed again. I am having a difficult time finding information regarding this condition. Does it have a more technical name? I would appreciate any information you could give me.
Answer
Labial adhesions are due to chronic inflammation of the labia such as diaper rash, irritants, infection etc. The adhesions often resolve spontaneously. When labial adhesions persist, the estrogen surge at puberty often corrects the problem. Though estrogen creams for 3 weeks are used for the treatment, some girls are prone to forming adhesions no matter how careful the parents are. If the adhesions do not subside, surgical lysis is advised only if the child is symptomatic in the form of repeated infections, obstruction. Back to All Questions

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