Labial fusion
Sometimes, this can completely close off the vaginal opening, leaving a tiny space at the front through which urine can pass.
It’s standard for girls under seven years old.
Causes
It is unknown what causes labial fusion, but it frequently results from vaginitis, an irritation or inflammation of the vaginal area.
The vulva’s inner lips may get sticky as a result of this. Before puberty, it’s very typical for the body to have an adequate amount of oestrogen, but without it, the lips can remain stuck together and eventually firmly unite. Girls rarely experience the issue once puberty sets in because this is when oestrogen production in girls starts.
Treatments
Usually, a labial fusion or adhesion separates independently without medical intervention. Treatment is unnecessary unless additional symptoms, dribbling after peeing, may be annoying or uncomfortable.
Treatment options include daily use of oestrogen cream or ointment or, very rarely, surgical separation.
Oestrogen cream
Apply a small quantity of the cream daily to the central line of the inner lips of the vulva. You should apply this for four to six weeks until the membrane dissolves and the labia separates. Stop using the cream when the membrane dissolves.
Surgery
Labial fusion condition very rarely requires surgery.
Consideration happens if;
- Oestrogen cream or ointment is ineffective
- When a fusion is exceptionally severe and thick
- Pee becomes stuck in the vagina and can leak out after urinating, causing vulval pain.
Labial fusions are generally simple to dissociate. Typically, they can get separated by hand or using a small, blunt probe.
Surgical separation can be quite painful and distressing, carried out under a general anesthetic where you are sleeping or a local anesthetic numbing the area.
Reviewed by – Dr. Priyanka, MBBS MD
Page last reviewed: 04 October 2022