Clinical features: acquired fusion of the labia minora
Mechanism: uncertain. One theory suggests vulvovaginitis. Another implicates low estrogen levels.
Risk factors:
(1) poor hygiene
(2) young age (< 5 years of age)
Differential diagnosis:
(1) congenital atresia
Complications:
(1) discomfort
(2) urinary obstruction with dysuria and/or urinary tract infection
(3) vulvar erythema
Topical application of estrogen cream has been suggested for therapy. Others have used topical betamethasone cream. In more severe cases surgery may be necessary to separate the adhesions.
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