Labial adhesion is when the inner lips of the vagina have become stuck together. The labia is usually separated but in rare cases they grow together to block the opening partial or completely. This may occur in the early months of life and rarely later on in life if there is constant irritation and inflammation in this area. This irritation may result from diapers ,contact with harsh detergents and underwear made from synthetic fabric.

This condition is usually asymptomatic however it  causes difficulty urinating and increases the girl’s risk of urinary tract infection. In cases of significant blockage , it will cause urine and vaginal secretions to build up behind the obstruction.

How is labial adhesion treated ?

If you think your child  has this condition, contact your pediatrician. He will examine your child and suggest the necessary treatment. Most labial adhesions resolve  as the child get older and no treatment is required.

First of all, your doctor will try to gently separate the labia. If the connecting tissue is weak, the mild pressure may expose the opening. However in cases when the connective tissue is very strong,  the doctor may prescribe a cream, that contains the female hormone estrogen to apply to the area as you gently and gradually separate the labia. You will need to apply the cream for a short while ( about 3 to 5 days) after the labia is separated until both  sides heal completely.

Occasionally the adhesion may come back after you discontinue the use of cream , however this disappears in early  childhood.

In rare cases, the adhesions are so thick that they may need to be separated by a specialist  such as pediatric urologist.