Labial Adhesions

Labial adhesions  are frequently seen in infants beyond 3 months age and incidence peaks  in the second year of life and onset rarely seen beyond 3 years age.

Inflammation of the labia minora combined with low estrogen in prepubertal girls provides a possible explanation for adhesions, especially in the setting of poor perineal hygiene, trauma & vaginal infection.

Exposure to Strong detergents, Bubble baths, Harsh chemicals like Dettol are risk factors for labial adhesions

Labial adhesions are diagnosed on a routine genital examination. It may be asymptomatic or cause a pulling sensation, difficulty with urination, vaginal pain or discharge, recurrent urinary tract infections, or recurrent vaginal infections.

No treatment is necessary if the adhesions are asymptomatic as the adhesions may resolve when estrogen production increases at puberty

Management of Symptomatic Labial Adhesions

Labial adhesions should be treated if they are associated with recurrent infections or pain.

Initial treatment of symptomatic labial adhesions with topical medications (eg, estrogen, estradiol (0.01%) cream(EVALON*) or betamethasone 0.05% cream) is desirable. It should be applied twice or thrice  daily using a fingertip  at the point of midline fusion where there is a thin white line. Frequency is decreased once separation starts and is continued for few weeks. Once labia separate, an Emollient is applied 3-5 times daily for several months for a complete healing and to minimize the chances of recurrence.

If medical care does not help, then a manual or surgical separation may be considered by a Pediatric Surgeon/Urologist.

*Disclaimer “All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them” 

Post Pic credits Sick Kids Hospital

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.