Today, the diagnosis of synechia of the labia minora in girls is rarely discussed, as this is a very sensitive issue. However, Komarovsky discussed synechiae in girls more than once. This pathological condition is quite common in girls and therefore there are no irrelevant topics in terms of health. Parents need to know what synechiae of the labia minora is in order to properly monitor the state of their daughter’s intimate health. This pathology must be diagnosed in a timely manner and adequately treated to prevent the development of various complications.

Synechia of the labia minora is not a serious cause for concern, since it is largely a cosmetic defect that goes away on its own in girls aged 10-11 years. If synechiae of the labia minora leads to difficulty urinating, forming a kind of film, then it is necessary to carry out appropriate treatment. In order to choose the most optimal method of treating synechiae of the labia minora, you need to reliably know the causes of this pathology, its clinical manifestations and methods of prevention.

Anatomy of the labia minora

Anatomically, the labia minora as the girl's genital organs are presented in the form of two folds in a longitudinal direction, which are very well moisturized and contain a large number of glands that separate the sebaceous secretion. The labia minora are considered healthy if these folds fit tightly to each other in the lower position.

Etiology of synechiae of the labia minora

Synechia in girls is a peculiar defect of the vulva, which is characterized by fusion of the labia minora. In rare cases, fusion of the labia minora with the labia majora is observed. According to numerous observations, this pathological condition occurs in approximately 15% of girls around the world (every 5-6 girls on our planet). Most often, synechiae of the labia minora is observed in girls aged one to two years, but sometimes there are cases of detection of this pathology at a later age. Today, the incidence of this disease is increasing every year. That is, according to Komarovsky, synechiae is becoming an increasingly common childhood pathology in girls.

The most common causes of synechiae of the labia minora in girls

• Hereditary factor. Synechiae of the labia minora often occurs from generation to generation, as it is sometimes a congenital disease. Very often, this pathology is observed in those girls whose mothers have an insufficient amount of the female sex hormone - estrogen;
• Excessive washing of a girl's genitals. Naturally, parents need to approach the girl’s personal hygiene with full responsibility. It is necessary to know when to stop, since intensive and frequent washing can contribute to the formation of synechiae of the labia minora. Parents should be especially careful when using regular soap when caring for a small child, as it has a negative effect on the delicate skin of the vulva. This is due to the fact that any soap contains alkali, which, when in contact with water, can cause irritation and hyperemia of the external genitalia. After this condition, a period of healing begins, which leads to the formation of synechiae of the labia minora. To prevent this pathological process, you need to clearly know how many times a day and how to properly wash a little girl. You need to know what intimate hygiene products can be used to safely wash a girl;
• Artificial clothing, uncomfortable for girls. There are cases when synechiae of the labia minora is observed in girls aged 3 to 8 years, who often and for a long time wear synthetic clothing that constrains the genitals when worn. When wearing such clothing, compression of the genital organs and rubbing of the vulva is observed, which causes the development of such a pathological condition as synechia of the labia minora. This disease can occur in girls when wearing very tight-fitting clothes. This promotes increased activity of the sweat glands, which is clinically manifested by increased sweat production, and in addition, the disease can cause irritation of the labia. Also, doctors do not advise wearing underwear that is sewn carelessly from coarse fabric, as it can rub the girl’s intimate area;
• An infection localized in the urethra. The formation of synechiae of the labia minora can be caused by the presence of an infectious agent in the urethra. Sometimes this pathology can be asymptomatic (in a latent form) and at the onset of the disease is visualized as a small area of ​​hyperemia. If treatment was prescribed untimely or incorrectly, true synechiae of the labia minora may occur;
• Vulvovaginitis. This is a pathological condition that is more often observed in adult women. In turn, it can provoke the development of synechiae of the labia minora in girls. The primary development of inflammatory pathology in the genital organs, which gradually causes the formation of synechiae of the labia minora. The causative agents of this disease can be found in natural environmental conditions. As a result, a girl can become infected with these infectious agents when visiting natural bodies of water or using other people's towels and washcloths. A preventive measure to prevent the appearance of synechiae of the labia minora would be to inform the child that they need to use only their own personal hygiene items and wash their hands thoroughly. Also, the appearance of synechiae of the labia minora can be facilitated by the careless attitude of parents towards their child, which manifests itself in washing children's clothes together with adult clothes. One of the reasons for the occurrence of synechiae can be touching a girl’s genitals with dirty hands. Parents need to take the child’s hygiene seriously, namely, wash the child’s things separately from all other things. After drying, the girl’s clothes must be ironed;
• Allergic reactions. Synechia of the labia minora in a girl can occur as a manifestation of allergic reactions. This is due to the fact that the surface of the vulva is very sensitive to various irritating factors. She is susceptible to a variety of allergic reactions. Inflammatory reactions of the vulva without proper treatment can lead to the formation of synechiae of the labia minora.

Classification of synechiae of the labia minora

Synechiae of the labia minora can be incomplete or complete. Incomplete synechiae of the labia minora is a fusion of the labia minora when a girl has a slight deformity affecting only the internal part of the organ. Complete synechia of the labia minora is often observed. In cases where this pathology occurs at the site of the urethra, the girl experiences pain when going to the toilet. Against the background of this pathology, there is a violation of the natural flow of urine, as a result of which it can enter the vaginal cavity and remain between the labia for a long period of time. This causes irritation in the intimate area. What synechiae looks like in girls can be seen in the specialized literature on pediatric surgery.

Clinical symptoms of synechiae of the labia minora in girls

At the initial stage of development of this pathology, the girl does not feel synechia of the labia minora (she does not feel pain or discomfort). With the formation of complete or partial synechia of the labia minora, when there is difficulty in passing urine, the child may feel sharp pain.

Synechia of the labia minora in girls with the development of an allergic or inflammatory reaction manifests itself as a rash and hyperemia in the labia area. Pathological vaginal discharge in the form of leucorrhoea may also be observed. When urine passes, its remains can stain the child’s underwear and lower abdomen, resulting in the development of a pathological condition such as diaper dermatitis.

Treatment of synechiae of the labia minora in girls

Synechia of the labia minora in girls should be treated only after examining the child by a specialist who will identify the causes of the development of the disease. Initially, synechiae of the labia minora responds very well to treatment. At this stage, the doctor prescribes only a special local ointment that contains estrogens. This medicine should be applied daily in the evenings for a week.

Many parents are concerned about the question of what treatment for synechiae of the labia minora can be used for a child if ointments are ineffective. In such situations, it is necessary to resort to surgical treatment, during which the synechiae of the labia minora are dissected. This manipulation is performed under general anesthesia. In the postoperative period, doctors prescribe healing procedures.

Most often, ointments such as Ovestin, Traumeel and many others are used to treat synechiae of the labia minora in girls. These ointments must be applied very carefully with your fingers, without using cotton wool or other means. As a rule, these ointments are prescribed in combination.

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Many people are interested in what synechiae is, how to cope with this disease and whether it is possible to achieve a good result in the treatment. This problem occurs in girls under the age of 6-8 years. Such a disease involves adhesions of the labia, sometimes covering only the vaginal slit, and in some cases also the urethra.

What is synechiae in girls

This is a fairly common phenomenon that occurs mainly in young children. This pathological condition is a fusion or sticking together of the labia.

According to statistics, it occurs to a certain extent in 3% of female children, but it can occur much more often. The thing is that such a pathology does not always bother the child, which is why parents often do not attach importance to it. Synechia means that the labia majora and minora can grow together. In this case, the entrance to the vagina is blocked and the outflow of urine is significantly complicated. Knowing what synechiae are, for what reasons they occur and how to deal with it, you can achieve very good results in treatment.

Causes

Synechiae in a child occurs for a variety of reasons, the main one of which is considered to be the presence of congenital pathologies. In addition, an insufficient level of the hormone estrogen in the body of a pregnant woman leads to the occurrence of such a defect. As already noted, synechiae of the labia minora is considered to be a closure of the vaginal opening. The following factors lead to this:

• washing the labia too often;
• wearing uncomfortable clothes or underwear made from artificial fabrics;
• the presence of infection in the urethra;
• vulvovaginitis;
• allergy.

Of course, the hygiene of the girl’s genital organs must be monitored, but everything should be done in moderation, since frequent and too intense washing can cause the labia to stick together. It is especially harmful to use ordinary cosmetic soap to wash a girl, as this leads to tissue damage.

Synechia of the labia minora can occur not only in newborns, but also in older girls, for example, from 3 to 8 years. This happens mainly due to wearing too tight and uncomfortable underwear made from artificial fabrics. This pathology occurs as a result of excessive pressure on the genitals. Fusion of the labia minora in girls also occurs due to the presence of a prolonged inflammatory process. Often it occurs in a hidden form and looks like minor redness. If treatment is not carried out in a timely manner, complications may occur.

You need to treat the issue of child hygiene very responsibly, wash children's clothes separately from everyone else, and also carefully iron them. Synechia of the labia minora can also occur in the presence of allergies, since the vulvar mucosa is very susceptible to various irritating factors and is easily damaged.

Main symptoms

The symptoms of synechiae are quite pronounced, so they cannot be confused with other pathologies in the child. A girl may suffer from the problem of fused labia minora and labia majora. There may also be a problem with urine flow. In this case, the child experiences significant discomfort, pain in the lower abdomen and a frequent urge to urinate. If the disease occurs due to allergies, then severe itching and burning may also occur.

If there is pathology, there may be redness and irritation of the child’s mucous membranes. The girl becomes restless and complains of discomfort while walking. If you have any doubts about whether your baby has a problem, you should visit a pediatric gynecologist. He will be able to make the correct diagnosis and determine what exactly needs to be done to prevent injury and infectious processes.

Treatment should begin as early as possible, since the labia in girls are connected by an almost transparent and thin film, which becomes dense over time. If there is complete fusion, correction is carried out only through surgery.

Diagnostics

Synechia of the labia minora is the fusion of the labia minora with each other, which provokes the closure of the vaginal slit. The diagnosis is usually confirmed after an initial examination by a doctor. A child up to one year old is examined by a pediatrician, and older girls are examined by a pediatric gynecologist. If an infectious process is suspected, additional examination may be prescribed.

In this case, the following tests are performed:

• diagnostics by PCR method;
• microflora smears;
• bacterial sowing;
• ultrasound diagnostics.

After a comprehensive examination, the doctor prescribes competent treatment using various techniques.

How is the treatment carried out?

Many parents, concerned about the adhesion of the labia in a child, are wondering how to treat synechiae and what is the best thing to do in such a situation. Typically, treatment is selected based on the primary cause of the pathology. If the initial stage of synechiae is observed without difficulty urinating, then in this case the following is required:

• massage and regular spreading of the labia;
• compliance with hygiene rules;
• application of ointment with estrogen along the splice line.

If an infection of the genitourinary system is additionally added, then a course of antibacterial therapy will be necessary, and probiotics and drugs that prevent the growth of fungi will be required. If synechiae occurs due to allergies, then it is important to promptly determine the cause of the problem. In this case, you need to use estrogen cream and try to prevent relapses. In addition, the child may be prescribed a special diet that will help eliminate allergies.

If the pathology is quite serious and there is a problem with urination, as well as discomfort, then doctors recommend dissecting the synechiae.

The use of folk remedies

There are also traditional methods by which treatment can be carried out. If a child experiences fusion of the labia and this causes some discomfort, then special warm baths with decoctions of medicinal herbs can help. They effectively eliminate swelling and relax muscles.

You can also wash the girl from front to back with decoctions of medicinal herbs. After carrying out hygienic procedures, you need to lubricate the splice area with sea buckthorn oil. However, moderation must be observed, since too frequent and intense hygiene procedures can also cause injury to the child.

In very severe cases, herbs with a hormonal effect are used, which need to be brewed, and then the decoction is used to treat the areas where the labia stick together.

Surgical intervention

In some cases, if the pathology is significant and causes great discomfort to the child, all that remains is to resort to surgical removal of synechiae. The operation is carried out using modern techniques, which is why it is practically painless. However, the psychological aspect also plays an important role.

The dissection is performed with a scalpel, and the operation itself lasts only a few minutes. The recovery period is quite painful, so during this time you need to be especially careful about hygiene. To ensure that urination does not cause pain and healing occurs quickly enough, the child is prescribed sitz baths with medicinal herbs, lotions and antibacterial ointments.

Due to the stress during operations, the girl sometimes develops neurological disorders, which can subsequently affect the quality of her sex life. That is why doctors perform surgery only in the most extreme cases.

However, surgery does not guarantee that fusion will not occur again. Adhesions may again occur between the labia. Parents, of course, are not required to agree to the operation, but sometimes it is simply necessary.

Hygiene procedures

Proper personal hygiene plays a very important role in the prevention of this pathology. Therefore, mothers need to know how to wash their little girl correctly. This should be done with warm running water, after thoroughly washing your hands. The anus and genitals should be washed with different hands to prevent infection.

The water stream should be directed towards the vagina from front to back. It is imperative to use only high-quality certified hygiene products, preferably for children. They must have a neutral pH, and must also contain a complex of microelements and be free from allergens. It is not recommended to use hygiene products for adults. Knowing how to wash a girl, you can avoid many different problems.

Therapeutic massage and special baths

Baths with the addition of medicinal herbs and special massage sessions can be very useful. When performing a massage, you must first lubricate your hands with Bepanten ointment. Medicinal herbs that are well suited for sitz baths include:

• sage;
• chamomile;
• calendula.

The duration of the procedure should not exceed 10 minutes. After this, you can lubricate the child’s genitals. It is best to use oil without any additives. Massage involves light stroking with your fingers without pressure. However, the movements should be aimed at gradually separating the labia. The result will not be noticeable immediately, for this reason you need to try not to cause pain to the girl.

It must be remembered that such procedures can be carried out at home only if there is a partial form of synechia that occurs without complications. Before using medicinal herbs and oils, you need to consider the possibility of allergies.

The use of special ointments

If synechiae is accompanied by a certain discomfort and pain, then the standard method of therapy involves the use of special ointments with estrogen or ordinary baby creams. You need to apply the ointment with your finger strictly along the commissure line, trying not to touch the rest of the surface of the genital organs. Doctors often prescribe Traumeel or Ovestin for this purpose. Most often, these drugs are used in combination with other drugs.

The duration of therapy is approximately 2 weeks, with the ointment applied 1-2 times a day. Then the doctor evaluates the result obtained and, if necessary, prescribes a second course of treatment.

Preventive measures

Preventing the appearance of synechia in girls is quite simple. To do this, you must adhere to the following preventive measures:

• follow the basic rules of washing;
• choose hygiene products without dyes and fragrances;
• do not allow large amounts of soap to come into contact with the vulvar mucosa;
• change diapers in a timely manner, using them only as needed;
• purchase only high-quality underwear made from natural cotton;
• After each urination, wash your genitals without soap.

If a child’s pathology resolves on its own, then preventive measures must still be observed, since there is a high probability of a relapse. It is very important to monitor the condition of the girl’s genital organs until puberty. If she has a pathology for the first time, then she needs to see a doctor and only then carry out treatment according to existing prescriptions.

Possible complications

Often, synechiae in girls are small in size, which is why there are no dangerous health consequences. Such a pathology may interfere with normal urination, but not cause discomfort. However, over time, the adhesions may increase, which will interfere with the normal development of the child’s genital organs, and in the future will lead to impaired reproductive function. In this case, it is imperative to closely monitor the girl’s health and development.

In more dangerous cases, the space between the labia remains closed, which creates favorable conditions for the spread of the infectious process. In this case, the consequences can be very dire, since pathogenic microorganisms tend to spread throughout the body. That is why it is important to contact a doctor in a timely manner for comprehensive treatment.

If synechiae occurs in girls, many doctors recommend not to take any independent action to eliminate the problem, but the child should be under the supervision of a doctor at all times.

Synechia in girls, a condition in which the labia minora fuse with each other or with the labia majora.

It is observed in little girls due to anatomical features and hormonal levels: low estrogen levels in combination with sensitive, vulnerable skin of the genitals create conditions for sticking together, and allergies and uncomfortable underwear give rise to pathology.

General information about the violation

What do synechiae look like in a girl? Photo:

The labia minora most often stick together, fusion of the labia minora and labia majora is less common. 3-10% of girls aged one to two years were diagnosed with this pathology.

The process of fusion lasts in different ways: the pathology can develop in a few days, or it can slowly progress over months.

Synechia does not pose a significant danger; it may not be accompanied by severe symptoms, but can progress without treatment, which will lead to the development of complications that will complicate the girl’s future life.

Reasons for appearance

Factors that lead to adhesion include:

Fusion can also develop against the background of enterobiasis.

U newborns In girls, unions are observed extremely rarely, since their blood contains an increased concentration of estrogen received from the mother.

But gradually their level drops, and the risk of sticking increases.

The pathology is most often diagnosed in girls from six months to six to eight years, further, the likelihood of occurrence decreases, as the skin and mucous membranes of the genital organs strengthen and become more resistant to damage.

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Symptoms and stages

Features of symptoms depend on the degree of fusion of the labia.

1. I degree. The length of the fusion does not exceed 5 mm, urination is not difficult, and there is no pain. Initial stage synechiae can be easily cured with conservative methods and do not lead to complications.
2. II degree. The length of the fusion exceeds 5 mm, problems with urination and moderate pain are possible.

If treatment for the pathology is not started at this stage, the child may require surgery.

3. III degree. Complete adhesion of the labia, urination is extremely difficult, the child feels pain, the release of natural secretions is also difficult, which leads to the development of inflammatory reactions.

The main signs of synechiae:

Complications

If the pathology was diagnosed in the early stages and the girl received treatment, the likelihood of complications is minimal.

Complications of synechiae:

• fused labia do not allow natural discharge to escape, which contributes to the development of severe vulvovaginitis;
• if treatment was started late, the girl has an increased risk of problems during future pregnancies;
• the long course of the pathology adversely affects the process of formation of the genital organs: they can become deformed.

Diagnostics

Diagnosis of synechiae is not difficult: pediatrician or pediatric gynecologist The disease will be determined at the first examination.

During the examination, the gynecologist may also use a vulvoscope to take a closer look at the external genitalia.

Further diagnostics are aimed at identifying the causes of the pathology. The following diagnostic measures:

• taking a smear for microscopic and bacteriological examination;
• PRC diagnostics;
• enzyme immunoassay;
• allergy tests;
• clinical blood and urine analysis;
• determination of blood glucose concentration;
• analysis of stool.

You may also need consultation see an allergist and other specialists, depending on the symptoms.

Treatment options

If the pathology is extremely mild, the attending physician may decide do not start treatment. He will give the child’s parents a number of recommendations, and periodically the girl will need to undergo preventive examinations.

If the disease continues progress, this will be revealed in time. Most often, synechiae is treated conservatively. The following medications are used:

If diagnostics have shown that the occurrence of synechiae is associated with allergic reactions, the child is protected from the allergen and antihistamines are prescribed (Diprazine, Bravegil).

When diseases of the genital organs are detected, medications are prescribed: antimicrobial agents, antibiotics (only for bacterial damage), antimycotics (if fungi were found in the smear). The most commonly prescribed drugs are: Viferon, Erythromycin, Sumamed.

Traditional medicine also offers its own methods of treating synechiae, but for parents who decide to try them, it is important to consult with the child’s attending physician and not abandon the treatment methods adopted by traditional medicine, otherwise the disease may develop.

In addition, many traditional methods can seriously harm a child: cause an allergic reaction, chemical burns.

Examples of traditional methods of treatment:

• herbal baths with chamomile, string, calendula;
• lubricating the fusion area with a small amount of potato juice applied to a cotton swab.

If the disease is in an extremely advanced state, and conservative methods were not effective, it is indicated surgery which is performed using local anesthesia or acute anesthesia.

To prevent re-union, after surgery you need to treat the labia with hormonal ointment.

Komarovsky's opinion

Dr. Komarovsky reports:

• synechiae are not a disease, they should be considered an age-related feature;
• they occur in an extremely weak degree in most little girls, they pose a danger only pronounced adhesions, which are rarely observed;
• if, in the presence of adhesions, the child has no discomfort and urination is not difficult, they should not be treated;
• surgical intervention is carried out if the use of ointments was not effective;
• should always be used during surgical interventions anesthesia.

Prognosis and prevention

In most cases, synechiae are successfully cured, and if parents carefully follow the doctors’ recommendations after treatment, the likelihood of relapse is extremely low.

Preventive measures:

• You should use wet wipes and detergents with fragrances less often;
• To wash children, it is enough to use water; you can also use special baby products;
• do not use regular soap or other products not intended for this purpose for washing;
• avoid swimming in polluted rivers, lakes, do not allow a girl without underwear to sit on the floor, on the sand or ground;
• it is also important to choose comfortable underwear made from natural fabrics, free of rough seams and prickly lace;
• Washing should be done in the morning, evening and after each act of defecation.

It is important to regularly examine your child's genitals. If redness, rash, pathological discharge, or signs of adhesions are observed in the perineal area, you should go to the hospital.

Doctor Komarovsky about synechiae in girls in this video:

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Most parents are not even aware of synechiae of the labia minora in girls. They don’t talk about this in courses for expectant mothers. It is difficult for a mother, even a woman, to determine whether her daughter has synechiae or not.

What do synechiae of the vagina and labia minora look like in girls?

Synechia, simply put, is a fusion. Synechia of the labia minora is the fusion of the labia minora in a girl. Possible fusion of the labia minora with the labia majora. Fusion can be complete or partial.

To examine your daughter for the presence of synechia, you need to :

· wash your hands well with soap

· nails should be cut short

· put the baby on her back

· Gently spread your legs and carefully examine the genitals

Having opened the labia majora, the mother will see that the labia minora are tightly pressed to each other and a film has formed between them. The vagina is not visible at all, or only part of it can be seen. When I try to separate the jaws, nothing happens. This brings pain to the baby and the child begins to cry.

IMPORTANT: With a normal structure of the labia minora, the gap is large, the vagina is clearly visible. The labia minora look like petals and are separate from the labia majora.

Signs of synechia in girls

IMPORTANT: The main sign of the presence of synechia in a girl will be problems with urination. The child will cry and strain. Relief comes only after urination. The situation worsens in the evenings. The baby practically cannot sleep.

Signindicating the possible appearance of synechia are:

· redness of the baby's genitals, the presence of a small rash

· When washing, there may be painful sensations, the girl will cry

· Synechia is also indicated by the fact that when urinating, urine rises in a stream upward, like in boys

· constant leakage of urine, the child went to the potty, but his panties were always wet

Synechia in girls, photo

The first photo shows the normal structure of the genital organs. The second photo clearly shows the complete fusion of the labia minora.

Synechiae in infant girls

Almost from the first days of life, girls can have fused labia. It is believed that The cause of this disease is low levels of sex hormones. This should not alarm parents. Since the absence of sex hormones before puberty is the norm.

Up to about 8 years of age, relapses of the disease are possible. As a girl grows up, the mucous membrane of the genital organs becomes less susceptible to external irritants and more dense. And it hardly grows together.

Causes of synechia in girls

The reasons that can provoke synechiae are:

· food allergies in a child to certain foods in the diet of a baby or mother who is breastfeeding

· household allergies can occur to diapers, powder, cream, soap, napkins, oil

· insufficient washing

· washing too often

· use when washing soap

· improper washing

· genitourinary system infections

· hormonal medications taken by the mother while the baby is pregnant

· dysbacteriosis

· worms

In order to find the cause of the formation of synechiae,the specialist will prescribe a series of tests :

· vaginal smears

· blood and urine test

· feces for dysbacteriosis and worm eggs

· scraping for enterobiasis

Breeding synechiae in girls

IMPORTANT: The earlier synechiae are detected, the easier it is to breed them. At the very beginning of the disease, the film is thin and transparent. And when completely fused, it becomes dense, the body perceives the genital gap as a wound, and without surgical intervention it cannot be separated.

· You cannot do this on your own; you can only harm the child. If you suspect synechia, you should seek help from a pediatric gynecologist.

· It is believed that synechiae should not be touched at the initial stage, but should be diluted only when the fusion brings discomfort to the baby

Treatment of synechiae, dissection of synechiae in girls

· The dissection of synechiae in girls is done by a pediatric gynecologist. This procedure is performed using a scalpel and takes a few seconds. The manipulation is painful and requires special care for the baby’s genitals

· To relieve painful urination and wound healing, sitz baths, lotions and antibacterial ointments are recommended

IMPORTANT: Dissection does not protect against repeated relapses. The labia minora may grow back together. Parents have the right to refuse this method of treatment, but with complete fusion, when urination is impaired, this is the only way to help the girl.

· give up diapers

· carefully monitor your baby’s personal hygiene

· lubricate the labia with baby cream and vegetable oil

· do air baths as often as possible.

How to treat synechiae in girls at home?

Treatment of synechiae at home is possible only with partial and uncomplicated fusion. To do this, use warm sitz baths with the addition of medicinal herbs such as chamomile, string.

The procedure takes 10 minutes. After this, it is recommended to lubricate the fusion site with sea buckthorn, olive or peach oil. The oil must be clean, without impurities.

IMPORTANT: before use, you must check if your child is allergic to the selected type of oil.

Cream for synechia in girls

· If synechiae progresses and causes discomfort to the baby, a specialist will prescribe special hormonal creams

· They can be used only in strictly specified quantities and once a day. Apply such creams with a clean index finger, strictly to the area of ​​adhesion. The course of treatment is 14 days

· After a course of treatment with hormonal cream, the area of ​​the labia minora is treated with baby cream without fragrances. Apply cream after washing

Ointment for synechia in girls

To improve the effect of using hormonal cream, ointments are prescribed. They are applied to the adhesion zone in the morning, after washing. These ointments include, cream-gel Malavit, .

Does Contractubex help with synechiae in girls?

· Contractubex- This is an anti-scar gel. Used as an additional remedy in the treatment of synechiae in girls

· Apply a thin layer to the adhesion site twice a day. If the doctor or parents do not want to use hormonal creams, treatment is only possiblecontractubex

· This method requires more time and patience. The full course of treatment is 3 months. When used correctly it gives results

Ovestin treatment of synechia in a girl

For successful treatment of synechiae, a hormonal cream is prescribed.

The adhesion of the labia in girls, which is most often easily determined visually, in pediatric gynecology is called “fusion of the labia in girls, or synechia.” The pathology is common among newborns, but is most often diagnosed at the age of 1–2 years, although the age range is much wider: from 6 months to 6–7 years.

Synechia: what is it?

The disease is manifested by the adhesion of the labia minora (usually the labia minora, but there are cases of fusion of both the labia majora and the labia majora with the labia minora) above the urethra, which can complicate the process of urination and bring discomfort to the child. The exact causes of the occurrence and development of the pathology have not been established, but there are a number of circumstances that can lead to this.

Many parents do not suspect that synechiae of the labia (fusion from the posterior adhesions) can occur in children, and the absence of symptoms leads to the fact that the process goes unnoticed by the parents and the child. In rare cases, a girl may experience pain.

Intrauterine synechiae are pathologies in the uterine cavity (fusion from the posterior commissures to the clitoris), which are more often diagnosed in girls and women of childbearing age. In newborns and girls of preschool age, sticking of the labia is more common.

How dangerous is the disease?

Any pathology of the natural structure and functioning of any body system has certain consequences. The same applies to synechiae in infants and older girls. Fusion or adhesion cannot be considered a normal process, but its occurrence should not frighten parents.

Consequences and complications of labia convergence:

• Partial and complete fusion, as a rule, does not pose a serious danger, but it creates a closed space that can serve as good “soil” for the development of infections.
• Fusion of the labia minora (posterior synechiae in girls) can become chronic and progress, which, with further maturation and formation of the perineum, can cause impaired reproductive function and contribute to the development of side diseases and pathologies.

To avoid unpleasant consequences and cure the pathology, it is necessary to bring the child to a specialist.

Symptoms of synechiae

As already mentioned, in most cases the disease has no symptoms, does not cause any complaints in the child, and, accordingly, parents have no reason to worry. However, there are signs, and in some cases, pronounced symptoms, that indicate sticking of the labia in a girl.

First of all, you need to pay attention to the child’s behavior. If a girl refuses to go to the toilet for a long time or is capricious when she needs to do it, and pushes harder than usual, this already indicates abnormal functioning of the genitourinary system.

What other signs indicate the presence of synechiae in girls?

Changes in the structure of the child’s genital organs are the main symptom that parents can see with the naked eye.

• Difficulty urinating (including changes in the child’s behavior every time he needs to go to the toilet).
• Redness, rashes, and peeling may also indicate fusion.

The child may also complain of itching and discomfort in the perineum. Careful observation of the child's behavior and periodic self-examination (when washing or changing a diaper) can prevent sticking of the genitals.

Causes of synechiae

There can be one or several reasons for the development of synechiae; you can establish them yourself or in consultation with a specialist in pediatric gynecological problems, who will also prescribe a course of treatment and prevention for you:

• Excessive hygiene. Too frequent hygiene procedures can lead to fusion, especially if the child is frequently washed with soap or when using sponges and washcloths.
• Wearing inappropriate clothing: underwear that is too tight, diapers that fit too tightly, synthetic underwear and clothes that do not allow air to pass through, etc.
• Infections and diseases in the external genital area or urinary tract. The infection can be transmitted through household means through linen or a towel, as well as through the dirty hands of parents, or through non-domestic means during childbirth, when the infection is transmitted from the mother.
• Lack of the female sex hormone estrogen.
• The presence of an inflammatory process - vulvovaginitis.
• Allergic reactions to care products, food or even clothing.

If you notice signs of pathology or are concerned about persistent redness/flaking on the child’s genitals, then consulting a doctor would be the best solution in this case. Because if everything is in order and this is a common reaction to deviations in care, the doctor will give recommendations on proper care. If this is synechia, then a course of treatment will be prescribed depending on the degree of development of the disease and the child’s health condition.

The order and stages of treatment of synechiae in girls

There are two key areas of treatment for the disease. Long-term and serious treatment is required if synechia has already become chronic or if the disease makes urination difficult and causes severe discomfort to the child, as well as if there is a pronounced urinary tract infection.

A simpler option is observation and preventive measures, as well as regular visits to a specialist according to an individual plan. The doctors of the medical institution will draw up such a plan for you; They will also conduct an examination and prescribe a course of treatment.

Synechiae: diagnosis at the initial appointment

The initial appointment is a consultation and examination, as well as collecting anamnesis and ordering examinations depending on the stage of development of the disease and the child’s health condition. The treatment plan, as well as the plan for individual visits, is prescribed by the doctor for each specific clinical case.

Diagnosis of synechia includes:

• examination by a specialist of the structure of the child’s genital organs for the presence of anomalies (correct placement of the labia minora and majora, which should not block the entrance to the vagina and urethra);
• the presence of redness, peeling or irritation on the genitals;
• tests for blood and urine infections;
• other laboratory tests and diagnostic examinations.

If a boy is suspected of having synechia, the doctor conducts a thorough examination of the foreskin and penis and prescribes treatment, just as for synechia in the uterine cavity in adult women. Typically, only an examination is required to make a diagnosis. Any other studies are prescribed if the disease is chronic or complicated, for example, by infections.

Treatment: methods and recovery schemes

Treatment depends on the stage of development of the pathology:

• If partial or slight adhesion occurs, the doctor may order monitoring of the condition of the child’s genital organs and adjust care and hygiene, which will lead to an independent resolution of the problem.
• If the synechia in an infant or an older child is extensive, that is, the outflow of urine is obstructed and there are infections, then the doctor will prescribe conservative, surgical, or a combination of treatment.
• If the process is chronic, then, as a rule, combined treatment is required to cure concomitant diseases.

What can be prescribed for the conservative treatment of fusion (synechia) of the labia minora?

• Topical application of creams with estrogen (female sex hormone).
• Avoid any items of clothing that injure the baby’s delicate skin in the perineum.
• Exclusion of any perfumes.

What is surgical separation of synechiae in girls?

The procedure is performed by a doctor who chooses a specific tactic for each case. Usually the procedure takes up to several minutes and does not cause harm or discomfort to the child.

The course of conservative treatment is prescribed individually, at the same time the doctor will tell you in detail and show you the technique of applying the cream. Surgical intervention (dilution or division of synechia) is required in particularly difficult cases and in the absence of response to cream therapy. With any method, strict hygiene is prescribed throughout the course of treatment.

Repeated appointment

A repeat appointment is scheduled according to the drawn up treatment plan so that the doctor can evaluate how effective the chosen course and selected medications are. If there are no results, then additional examinations may be prescribed and a new course of treatment for synechia and recovery may be selected.

Control reception

A follow-up appointment is required for everyone, which is necessary to assess the child’s condition and possibly prescribe physical therapy and restore the microflora of the genital organs. The timing of the control appointment is determined individually.

Treatment result

The disease sometimes cures on its own, but more often with a conservative treatment method and compliance with preventive measures. You should not self-medicate: only a doctor knows how to treat synechiae.

Prevention

If the pathology is not complicated in any way, then prevention consists mainly of observing the rules of hygiene, using high-quality (non-synthetic and non-rough) underwear and independent periodic examination of the child.

• Hygiene includes washing two to three times a day without rubbing or using force, only with clean, warm water. As a washing product, baby soap is recommended (but not often) without fragrances and other synthetic impurities. Parents' hands should be clean; they can be washed with the same baby soap. Do not use washcloths, sponges or rags.
• For washing or bathing, it is also possible to use decoctions and infusions of medicinal herbs, but in this regard it is necessary to consult a doctor so as not to aggravate the situation.
• Underwear for a child should be cotton and selected in size so as not to restrict movement and protect the child.

Periodic monitoring of the condition of the child’s genital organs and preventive examinations by a specialist will help avoid many problems, not only synechiae, but also other diseases.

For consultation and examination of your child, you can make an appointment with any of the center’s specialists at a time convenient for you. If you would also like to be examined for intrauterine synechiae (in the uterine cavity), please contact one of our specialists. To make an appointment, you can use the special online form on the website or call the phone number listed on the page.