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Patients should address specific medical concerns with their physicians. Labial adhesion can develop as early as 6 to 8 weeks after birth. This type of adhesion happens most commonly in girls who are between 3 months to 6 years of age, and can persist until puberty. Reasons why treatment fails may include applying the cream all over the vulva, instead of focusing just on the adhesion area or not applying enough cream. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Related Studies Extra.

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Labial Adhesions Clinical Presentation

Related Content Types of Hymens. If your daughter is having symptoms such as pain, particularly when she is in a straddle position for example, while sitting on a riding toy , or having trouble passing urine, you may have discovered that her labia appears to be stuck together. Gynecology - Pediatrics Pages. Apply the estrogen cream sparingly. See Also Page Contents Vulvovaginitis. Image adapted with permission from Emans, Laufer, Goldstein. Measurement of the apparent transverse diameter of the vaginal opening was done in prepubertal girls as part of their routine health assessment.

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Gynecology in children and adolescents

Treatment is usually topical prescription medicine applied to the adhesion. A few girls who are treated with estrogen cream may develop temporary small breast buds or darkening of the labia. Some girls may have success with a short course of steroid ointment betamethasone 0. These adhesions may prevent drainage of normal vaginal secretions, as well as impair the flow of urine. If the labial adhesions come back, do not restart the estrogen cream again unless you have discussed this with her HCP.

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Description: Symptoms resolve after the treatment is discontinued. Labial adhesions can recur or come back, even after they open up. Content is updated monthly with systematic literature reviews and conferences. Sometimes this will cause urine to collect in the lower vagina, behind the adhesion, and can lead to irritation or dribbling of urine after your daughter stops urinating. Estrogen cream is the standard treatment for labial adhesions however Betamethasone 0. If she develops a fever, it will not be possible to collect a clean urine specimen to see if she has a urinary tract infection. It is not clear why some young girls develop labial adhesions and others do not. Gynecology - Pediatrics Pages.
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