Pediatric Surgery Specialist Prof. Dr. Feryal Gün Soysal explained genital lip adhesion and its treatment in girls.
Labial fusion is a condition in which the skin flaps (labia minora) on both sides of the opening in the vagina come together. It is sometimes called labial adhesion or agglutination. Labial fusion is common and in most cases there is no need for concern.
The fusion will usually separate on its own once your child reaches puberty. Treatment is usually not needed or recommended because it may cause your child pain and anxiety. There may also be a risk of the fusion returning if any treatment is given.
The exact cause of labial fusion is unknown, but it can sometimes occur due to inflammation of the labial area after a simple infection such as vulvovaginitis or after mild trauma to the area. Additionally, labial fusion can occur due to the influence of hormones passed from the mother.
What are the symptoms?
Labial fusion almost never occurs at birth and usually develops around one to two years of age. If your child has labial fusion instead of two separate labia, you may find that the labia are connected. Usually, no other symptoms may be observed.
There will usually be a small opening in the area where the labia are attached, which is sufficient for urine to drain. If you suspect your child has genital lip adhesion, you may need to consult a doctor.
What is the treatment?
Genital lip adhesion usually separates naturally when your child reaches puberty. This slow process is painless and your child does not notice it happening.
Treatment is usually not needed. However, if labial fusion causes significant problems such as trouble urinating, treatment options may include gentle massage or applying estrogen cream.
There is no relationship between labial fusion and other medical conditions. Labial fusion will not have any effect on your child having sexual intercourse or having babies in the future.
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