Labial adhesions are when the inner lips of the vulva become stuck together. This can completely or partially cover the vaginal opening. Labial adhesions are most common in girls ages 3 months to 6 years, before puberty begins.
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What are the signs and symptoms of labial adhesions?
Most children with labial adhesions have no symptoms. When symptoms do occur, they may include:
- Pain, irritation or itching around the vagina
- Frequent urinary tract infections
- Leaking or dribbling urine after urinating
What causes labial adhesions?
Experts think the low levels of estrogen in the body before puberty may play a role in causing labial adhesions. Other causes may include:
- Fecal soiling
- Irritation from diaper rash or soaps
How are labial adhesions treated?
If there are no symptoms, labial adhesions may not need any treatment. In many cases, the adhesions become unstuck during puberty, when the body starts making estrogen. If treatment is needed, your child’s doctor will discuss treatment options with you.
- Your child’s doctor may prescribe estrogen cream or other types of cream to help separate the adhesion.
- In rare cases, surgery may be needed if the adhesion is very thick and will not separate using topical cream. Our expert team of surgeons at Connecticut Children’s have specialized training in the gynecological needs of girls and young women of all ages.
Doctors at Connecticut Children’s can determine the right plan if your child requires treatment for labial adhesions.