Young girls may develop labial adhesions.


Synonyms: labial fusion, labial agglutination, synechai vulvae


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



(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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