What does the fusion of the labia look like. What is synechia of the labia in girls and how is this pathology treated?

Synechia - delicate matter concerning the intimate health of little girls. What is it, our article will tell.

Tell

Synechia, or fusion of the labia minora, is a fairly common disease among girls. Medical practice annually fixes from 0.5 to 3% of cases pathological change vulva in babies of the first two years of life, however, the disease can also affect older girls. The article will tell parents how to detect the disease in time and prevent the development of complications.

The origin of synechia of the labia in girls has not been thoroughly studied. Many physiologists agree that the pathology appears due to an insufficient amount of the hormone estrogen in the body of a newborn girl. This is also confirmed by clinical studies that have shown that fusion of the labia does not occur in girls whose blood contains a high concentration of estrogen from the mother's body. Moreover, when the girl in whom such a deviation was found grows up and an independent synthesis of estrogen begins in her body, more than 80% of even the most neglected cases pass without a trace.

Causes of synechia in girls

Experts believe that the following factors become the soil for the development of this pathology:

Too close attention of the mother to the intimate hygiene of the daughter. When a mother, in a fit of cleanliness, washes her child several times a day with soap, she can inadvertently injure the thin and very vulnerable mucous membrane of the girl's vulva. Chemical components of soap, friction, contact with a diaper are irritating factors for such a vulnerable part of the child's body as the external genitalia. During the regeneration of microscopic cracks and wounds, adhesion of the labia minora can occur - this is how synechia appears.
Insufficient intimate hygiene can also cause a deviation, which in this case will be based on the activity of pathogenic microorganisms.
Diseases of the genitourinary system of infectious origin. Some babies suffer from synechia due to the presence of an inflammatory process in the urinary tract and genitals. When harmful bacteria settle on the delicate mucous membrane of the vulva and begin to multiply there, inflammation develops very quickly, due to which the labia minora is fused. Most often, synechia is the main symptom of sluggish vulvovaginitis. It's hard to believe, but even small child a chronic sexual disease may occur, since the infection can be transmitted not only during intimate contact, but also in the household way. And in some cases, the mother herself infects the baby during childbirth. To prevent a child from becoming a source of a chronic infectious disease, his personal underwear should be washed separately from general clothes and, if possible, boiled and ironed with a hot iron. Also, the danger may lurk in someone else's washcloth or towel. When bathing a girl in a natural reservoir, the risk of “picking up” a fungus or genital infection becomes even bigger.
Allergic reactions. Most often, allergies in young children appear on the skin and almost always this process affects not only the skin, but also the mucous membranes located nearby. But parents, concerned about the treatment of a rash on the tummy or pope, may inadvertently not attach importance to the reddened vulva of the child. In fact, with the diagnosis of "exudative diathesis", it is necessary to take increased care not only about the girl's skin, but also about the mucous membrane of her external genital organs. With allergic reactions of a food nature, the risk of developing synechia in a baby is very high. There is also a high risk of pathology due to household allergies, in which the danger to the health of the child lies in diapers, washing powder, soap, cream, wet wipes.
Difficult pregnancy. In medical practice, there is evidence that fusion of the labia minora in newborn girls is most often observed if the woman had a difficult pregnancy (for example, due to intrauterine infection or due to the need to take hormonal drugs). If the girl's mother had to face problems of a similar nature during pregnancy, she should definitely visit a pediatric gynecologist as soon as her daughter turns 1 year old.

What do synechia look like in girls

If, speaking of synechias, we designate the problem in more accessible words, then such definitions as “adhesion”, “growth”, “fusion” are most suitable. They most fully reflect clinical picture pathology. As a rule, the labia minora are fused, however, the unnatural union of the labia majora with the minor ones is also possible. In this case, the accretion is divided into complete or partial.

To begin with, we will find out how to properly examine the baby for the presence of the disease. To do this, follow these recommendations:

wash your hands with soap;
make sure your nails are cut short and do not have sharp edges;
put your daughter on the back;
spread the baby's legs to the sides and examine her external genitalia;
gently open the baby's large labia with your fingers. If the child has synechia, the labia minora will be tightly pressed against each other and connected with a transparent film. Because of this, the vagina will be partially or completely covered. It is impossible to separate the labia - this will cause pain to the girl and she will start to cry. In the photo you see synechia and how girls should be normal.

A - normal, B - partial union, C - complete union

The clinical picture of synechia in a girl

When everything is in order with the child's vulva, the genital gap is large and the vagina can be easily examined, and the petals of the labia minora are clearly demarcated from the labia majora.

With pathology in the form of synechia, the picture is completely different:

due to the appearance of adhesions directly above the urethra, the child has problems with urination. Attempt to empty bladder causes pain - the girl pushes and cries. Relative relief comes only after the child goes "small". Because of this problem, the baby sleeps very restlessly and little;
the child's external genitalia are reddened, a small rash may be present;
when washing, the baby comes in crying;
during urination, the stream of urine rises up, as in boys;
there is a constant leakage of urine - the baby goes to the potty, however, the panties are always wet.

Fusion of the labia minora can occur from the first days of a child's life: first, a rash and peeling appear, then a dense adhesion appears. Even if, as a result of treatment, it was possible to get rid of the pathology, the mother should pay increased attention to the intimate health of her daughter, since up to 8 years the likelihood of an exacerbation of the disease remains. As the girl grows older, the mucous membrane of her vulva becomes denser and is no longer so susceptible to external irritating factors, so the labia minora does not grow together.

Diagnosis of synechia in girls

To understand what caused the fusion, the pediatric gynecologist, after examining the child, will prescribe the following tests to the little patient:

general analysis blood and urine;
smear on the vaginal flora;
feces on eggs of worms and dysbacteriosis;
scraping for helminthiasis;
tests for urogenital diseases (chlamydia, gardnerellosis, mycoplasmosis, etc.);
Ultrasound of the pelvic organs.

How to treat synechia in girls

The sooner a pathology is detected, the easier it is to correct it. At the initial stage of synechia in girls, the labia are connected by a thin and transparent film, which becomes very dense when they are completely fused. Complete fusion of the genital fissure is corrected only by surgical intervention.

There is an opinion that it is better not to touch synechia in its infancy, but to dilute the labia minora when the disease causes pain to the child. Regardless of the degree of development of the disease, with a problem you need to come to an appointment with a pediatric gynecologist.

The dissection of the fused labia minora is done with a scalpel, the operation lasts only a few moments. However, the procedure and the recovery period are quite painful, so for intimate hygiene girls mother should follow with special care. So that urination is not so painful, and the wound heals as soon as possible, the baby is shown sitz baths, lotions and antibiotics in the form of an ointment.

The operation, unfortunately, does not guarantee that the fusion will not occur again. An adhesion may again appear between the labia minora. Parents have the right to refuse surgical intervention, but if complete fusion prevents natural secretion urine, this method of treatment is fully justified.

The following recommendations will help prevent re-fusion:

forget about diapers;
use in daily care behind the child's vulva baby cream and oil;
regularly arrange air baths for the baby.

Treatment of synechia in girls at home

The option of treatment at home is possible if the child has a partial fusion without complications. In this case, the child is shown sitz baths made from chamomile, string, and marigolds. After the girl sits in the bath for 10 minutes, the problem area should be lubricated with olive or sea buckthorn oil.

If the problem worsens, the doctor prescribes a special hormonal cream for the child for a course of 2 weeks. After washing baby medicinal product inflict index finger dotted - on the site of fusion. Most often, Ovestin becomes such a medicine - if you strictly follow the recommendations of the attending physician, the hormonal drug has an effect on synechia without changing hormonal background child. Medicine effective not only in adhesions of the labia minora, but also in their fusion with the labia majora. The cream is used once a day - after evening water procedures. Treatment continues for 2 weeks. If necessary, the use of Ovestin can be continued after a 10-day break.

To increase the effect of a hormonal drug, on the recommendation of a doctor, complex therapy is used, connecting such ointments as Traumeel C, Contractubex, Malavit to the treatment. What is the point of using them?

For example, active ingredients Contractubex - onion extract, sodium heparin and allantoin - eliminate small scars and scars. Gel is applied thin layer to the fusion area. If parents are afraid to use hormonal preparations in the treatment of a girl, monotherapy in the form of Contractubex is possible. However, in this case positive result you will have to wait longer - the course of treatment lasts about 3 months.

Prevention of synechia in girls

In order not to encounter a number of unpleasant diseases of the genital area, including synechia, the mother should pay Special attention daughter's intimate hygiene:

It is necessary to wash the child under running water and only from front to back, otherwise an incorrect hygiene procedure will lead to an infectious disease.
You can wash the girl only with your hands - no washcloths!
In such a delicate matter, soap should be used as little as possible, and ideally it is better to completely abandon it. Even if the soap is for children (without dyes and flavors), it can dry out the delicate mucous membrane of the girl's external genital organs.
The child should not be in the same diaper for more than 3 hours. In this case, it will be useful for the baby to take air baths(to be naked) several times a day.
A little girl's underwear should be made from natural fabric. Wash it with baby powder separately from adult clothes. Before putting on a child's panties, they are ironed with a hot iron.
If the girl is prone to allergies, the mother should take this issue more than seriously. When the slightest irritation appears in the genital area, it is necessary to lubricate the labia minora well with diaper rash cream.
Do not take baths on a decoction of herbs or potassium permanganate too often.

Many mothers simply do not find a place for themselves from anxiety, when, some time after the treatment of synechia and the girl's complete recovery, the pathology again makes itself felt. Do not lose heart if there is a relapse. You need to follow all the recommendations of doctors and remember that the problem will recede when the daughter grows up.

Synechia in girls. Video

Many are interested in what synechia 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 an ailment implies a adhesion of the labia, sometimes covering only the gap of the vagina, and in some cases also the urethra.

What is synechia in girls

This is a fairly common phenomenon that occurs mainly in a child. young age. A similar pathological condition is a fusion or adhesion of the labia.

According to statistics, to a certain extent, it occurs 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 large and small labia can fuse together. In this case, the entrance to the vagina is blocked and the outflow of urine is significantly complicated. Knowing what synechia is, for what reasons they occur and how to deal with it, you can achieve a very good result in treatment.

Causes

Synechia in a child occurs according to the most various reasons, the main of which is the presence of congenital pathologies. In addition, an insufficient content of the hormone estrogen in the body of a pregnant woman leads to the occurrence of such a defect. As already noted, the closure of the entrance to the vagina is considered synechia of the labia minora. The following factors lead to this:

too much frequent washing labia;
wearing uncomfortable clothes or underwear made of artificial fabrics;
the presence of an infection in the urethra;
vulvovaginitis;
allergy.

Of course, the hygiene of the girl's genitals must be monitored, but everything should be done in moderation, since frequent and too intensive washing can provoke sticking of the labia. It is especially harmful to use ordinary cosmetic soap to wash the 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. As a result of excessive pressure on the genitals, this pathology occurs. The fusion of the labia minora in girls also occurs due to the presence of a prolonged inflammatory process. It often flows into latent form and looks like a slight redness. If timely treatment is not carried out, a complication may occur.

It is necessary to treat the issue of hygiene of the child very responsibly, wash children's things 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 kinds of irritating factors and is easily damaged.

Main symptoms

The symptoms of synechia are quite pronounced, so they cannot be confused with other pathologies in a child. A girl may suffer from the problem of fused labia minora and labia majora. There may be an additional problem with urine outflow. In this case, the child experiences significant discomfort, pain in the lower abdomen and frequent urges to urination. If the disease has arisen due to allergies, then severe itching and burning can also be observed.

In the presence of pathology, there may be redness and irritation of the mucous membrane in a child. The girl becomes restless and complains of discomfort while walking. If there is any doubt about the presence of a problem in the baby, you need to 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 be started as early as possible, since the labia in girls are connected by an almost transparent and thin film, which becomes dense over time. In the presence of complete fusion, the correction is carried out only by surgical operation.

Diagnostics

Synechia of the labia minora is called their fusion with each other, which provokes the overlap of the vaginal fissure. The diagnosis is usually confirmed after an initial examination by a doctor. A child up to a year old is examined by a pediatrician, and older girls are examined by a pediatric gynecologist. If an infection is suspected, an additional examination may be ordered.

In this case, the following analyzes are carried out:

diagnostics by PCR;
smears for microflora;
bakposev;
ultrasound diagnostics.

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

How is the treatment carried out

Many parents, concerned about the occurrence of adhesions of the labia in a child, are wondering how to treat synechia and what is best to do in such a situation. Usually, treatment is selected based on the primary cause of the pathology. If observed initial stage synechia without difficulty in the process of urination, then in this case the following are required:

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

If an infection of the genitourinary system is additionally attached, then a course of antibiotic therapy should be carried out, and probiotics and drugs that prevent the growth of fungi will also be required. If synechia occurs due to the presence of an allergy, then it is important to determine the cause of the problem in a timely manner. In this case, you need to apply a cream with estrogen and try to prevent relapses. In addition, the child may be given special diet which will help eliminate allergies.

If the pathology is serious enough 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 folk methods that can be treated. If a child has fusion of the labia and this causes some discomfort, then special warm baths with decoctions can help. medicinal herbs. They effectively eliminate puffiness and relax muscles.

You can also wash the girl from front to back with decoctions of medicinal herbs. After carrying out hygiene procedures, you need to lubricate the splice site 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 must be brewed, and then treated with a decoction of the adhesion of the labia.

Surgical intervention

In some cases, if the pathology is significant and causes great discomfort to the child, it remains only to resort to the surgical removal of synechiae. The operation is carried out using modern techniques which is why it is virtually painless. Nevertheless important role There is also a psychological aspect.

The incision is performed with a scalpel, and the operation itself lasts for only a few minutes. Recovery period quite painful, so at this time especially carefully you need to monitor hygiene. So that urination does not cause pain, and healing takes place quickly enough, the child is prescribed sitz baths with medicinal herbs, lotions and antibacterial ointments.

In connection with the experiences during the operations, the girl sometimes develops neurological disorders, which in the future may affect the quality of her sexual life. That's why doctors spend surgical intervention only in the most extreme cases.

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

Hygiene procedures

Very importance In the prevention of this pathology, proper personal hygiene plays. Therefore, mothers need to know how to wash the girl correctly. This should be done with warm running water, after thoroughly washing your hands. The anus and genitals need to be washed away different hands to prevent infection.

The jet of water should be directed to the vagina from front to back. Be sure to use only high-quality certified hygiene products, better for children. They must have a neutral pH, and they must also contain a complex of trace elements and at the same time be free of 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 sessions can be very useful. special massage. When carrying out a massage, you must first lubricate your hands with Bepanten ointment. For sitz baths, medicinal herbs such as:

sage;
chamomile;
calendula.

The duration of the procedure should not exceed 10 minutes. After that, you can lubricate the genitals of the child. It is best to use the oil without any additives. Massage involves light stroking with your fingers without pressure. However, the movements should be aimed at the gradual separation of 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 to similar procedures at home, it is possible 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 synechia is accompanied by certain discomfort and soreness, then the standard method of therapy involves the use of special ointments with estrogen or ordinary children's creams. Apply the ointment with your finger strictly along the adhesion line, trying not to touch the rest of the surface of the genital organs. Often, doctors 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, while the ointment is applied 1-2 times a day. Then the doctor evaluates the result and, if necessary, prescribes a second course of treatment.

Preventive actions

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

observe the basic rules of washing;
choose hygiene products without dyes and flavors;
prevent hitting a large number soaps on the mucous membrane of the vulva;
change diapers in a timely manner, using them only as needed;
purchase only high-quality underwear made from natural cotton;
wash the genitals without soap after each urination.

If the child has a pathology 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 genitals until puberty. If she first had a pathology, then you need to consult a doctor and only after that carry out treatment, according to the available prescriptions.

Possible Complications

Often, synechia in girls is small, which is why dangerous consequences for health are not available. Such a pathology can interfere with normal urination, but does not provoke discomfort. However, over time, the spike may increase, which will prevent normal development genital organs of the child, and in the future will lead to a violation of the reproductive function. In this case, it is imperative to closely monitor the health and development of the girl.

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 deplorable, since pathogens tend to spread throughout the body. That is why it is important to consult a doctor in a timely manner for comprehensive treatment.

When synechia occurs in girls, many doctors recommend not taking any independent action to eliminate the problem, however, the child must be under the supervision of a doctor at all times.

Synechia, or adhesions, in most cases are observed in little girls.

Most often, doctors make such a diagnosis at the age of 1 month to 3 years.

When symptoms of the disease appear, you should immediately contact a specialist. Thanks to this, the treatment of synechia in girls at home will be effective.

By this term, specialists understand the adhesion or fusion of the small or large labia. It can be observed throughout the perineum or affect only a third. In this case, there is no entrance to the vagina.

The labia are connected by a thin membrane. If complete fusion is observed, the opening of the urethra cannot be seen.

According to statistics, the peak of this violation falls on 2 age groups– 1-3 years and 7-8 years. In this case, the labia minora are most often fused. However, sometimes their connection with large ones is observed.

This condition can be easily identified by performing a detailed inspection:

the labia are connected by a light gray film;
when the lips are parted, the girl experiences pain, while the adhesion remains;
it is possible to visualize only part of the vagina or it is completely closed.

In the normal state, the gap between the labia during breeding is quite large. In this case, the vagina can be easily examined.

Pediatrician Plus - Synechia (fusion of the labia minora) in girls

Causes

Before treating this disease, it is necessary to determine the causes of its occurrence. The main factors include the following:

Symptoms

Synechia is accompanied not only by visual differences in the structure of the genital organs.

In addition, the following manifestations may occur:

In some cases, synechia is accompanied by symptoms of infection.. However, in most situations, the disease is asymptomatic. Therefore, parents often reveal it by chance during hygiene procedures.

Treatment

How to treat synechia in girls? This question worries many parents. In the absence of severe symptoms, specific therapy is not needed. With an increase in the content of estrogen in the body, the disease will go away on its own.

Hygiene

In simple cases of the disease, it is necessary to provide proper care girls genitals:

As an addition to hygiene procedures, herbal baths and massage are used. When performing it, be sure to apply Bepanten to the finger.

For sitz baths, they usually use such medicinal plants like sage, calendula and chamomile. The duration of each procedure should not exceed 10 minutes.

Then you should lubricate the genitals. Sea buckthorn or peach oil with synechia in girls will be an excellent option in this case..

When performing a massage, you need to make light strokes without pressure. In this case, movements should be directed to a neat separation of the labia.

To stimulate the recovery process, Bepanthen ointment should be used.. It is important to bear in mind that it will not be possible to achieve results immediately. Therefore, the movements should be as accurate as possible - this will help to avoid discomfort.

Synechia treatment folk remedies involves the use of simple recipes:

Squeeze the juice out of the potatoes, then soak in it 2 cotton pads. Wipe the area of localization of adhesions with them, gently stretching them to the sides.
Wash your hands well, take sunflower oil and dip your finger in it. Swipe in the soldering area, gently pressing on it. It is important that the child does not feel discomfort.

Such procedures can be done with a partial form of pathology, which is not accompanied by complications. Before using any product, you need to consider the risk of allergic reactions.

With intolerance to sea buckthorn or peach oil you can use olive oil.

When pain standard therapy should include the use of special estrogen ointments or regular baby creams.

The first category of drugs should not be used without medical advice, although they cause a minimum side effects. Apply the ointment clearly along the line of adhesions, trying not to touch the rest of the genital organs.

The standard duration of therapy is 2 weeks. In this case, the drugs are recommended to be used twice a day.

Then the doctor should evaluate the results and, if necessary, prescribe another course of therapy. However, in this case, the ointment is applied once a day.

In addition to ointments with estrogens, a regular baby cream is used.. They should treat the genitals of the child after bathing. good option will be Malavit cream-gel, which has a calming effect on the skin.

Most often, Ovestin ointment is used, which in most cases successfully copes with synechiae.. This drug is an analogue of estrogen.

Gradually, the drug is replaced with a regular cream containing lanolin, which will become a reliable prevention of the re-formation of adhesions.

Ovestin with synechia in girls is applied 1 time per day at bedtime. Therapy with this remedy has certain features that must be taken into account so as not to damage the mucous membranes of the genital organs:

It is forbidden to put pressure on the fused organs or try to separate them.
The ointment should be applied in a thin layer. To do this, 5 mm of funds are applied to a clean finger and the synechia is treated, performing gentle rubbing movements.
The drug is quickly absorbed and excreted after about 18 hours. Therefore, it is enough to apply it once a day.
After completion of therapy, the synechia will completely disperse. However, Ovestin should continue to be used for prevention.
The duration of treatment with this drug is 20 days. Then for 10 days you need to take a break.

For people who are afraid to use hormonal ointments, the doctor can choose alternative remedies. Contractubex with synechia in girls should be mixed with Traumeel.

These substances are taken in the same ratio and applied to adhesions. Treatment should be continued for 3 months. For the same purposes, Methyluracil ointment can be prescribed.

Prevention

This question worries many parents. Prevention of this violation includes the following components:

If a girl has synechia more than 1 time per year and is accompanied by redness, itching or discharge, it is very important to take a bacteriological culture or vaginal smear. Thanks to timely therapy, it will be possible to prevent the recurrence of pathology.

Synechia is considered a fairly common problem that can cause girls early age serious discomfort.

To avoid such problems, you should consult a doctor in a timely manner, who will select adequate therapy. As an addition to traditional treatment you can use folk remedies.

Synechia in girls - fusion of the labia minora. The cause of the disorder is a lack of estrogen. It also occurs in adult women and is rare as a consequence of radiation therapy, surgery, or menopause.

This condition often does not produce any significant symptoms. With synechia, local conservative treatment is used with ointments with estrogens or steroids.

What is synechia

The fusion of the labia minora is a disease affecting little girls who have delicate organs covered with a thin, dry epithelium, devoid of the protective effect of estrogens. If they are exposed to various kinds of irritating factors (mechanical, infectious, etc.), then the epithelium is damaged. The mucous membranes of the labia adjacent to each other stick together due to the presence of inflammatory exudate in them, and then during the healing process they coalesce. Low estrogen levels change the acidity of the vaginal secretion to alkaline, which can cause irritation and local inflammation.

Bonding and atresia of the labia can be:

partial (only in a certain area);
full, leaving only a small opening below the clitoris through which urine flows.

It happens that after gluing, a closed space (pocket) is formed, in which urine and secretions from the genital tract accumulate. It is an excellent place for the habitat and development of bacteria.

Reasons for fusion

The factor that is most often responsible for the occurrence of synechia is prolonged contact with urine and feces in young girls wearing diapers. Often in such children it comes to the occurrence of diaper rash - an inflammatory process that develops as a result of contact of the child's skin with a diaper. Including reddening of the skin, pustules on the labia majora appear, which, in turn, provoke gluing and fusion of the small ones.

Other causes of sticking may be:

mechanical irritations, for example, poor-quality diapers;
chemical irritations (use of unsuitable intimate hygiene products: products with low pH, intimate hygiene products for adults, cause irritation in young girls);
infectious factor.

Gluing and fusion of the labia can lead to excessive dryness intimate areas caused by improper intimate hygiene: the use of napkins instead of washing intimate areas with water, the lack of moisturizing intimate areas with cream, the use of powder.

At what age does the problem most often appear?

It is estimated that synechia is a problem that appears in about 1-2% of girls (there is an increasing trend in the prevalence of this problem). Most often found in young patients aged 1 month to 3 years, i.e. at the age when the child has not yet acquired the skill of conscious urination and defecation, and needs to use diapers.

From point of view female anatomy, labia minora are the most delicate and thinnest folds of skin. They are located under the labia majora and serve as a cover for the vagina. Absence of mucous membrane, adipose tissue and the presence of sebaceous glands, as well as a closed state and a moist, and even warm environment at the junction of the labia minora gives excellent opportunity for inflammatory processes, as a result of which, often, fusion begins.

The fusion of the labia happens different nature: complete or incomplete. If not full synechia (small length adhesions) does not cause any discomfort and when correcting the girl's hygiene, you can get rid of them yourself, then complete adhesions are much more dangerous. They can cause outflow obstruction. urinary fluid, cause inflammation of the tissues of the external genital organs, provoke damage to the internal ones, and also negatively affect the functioning of the urinary system.

The fusion of the labia is essentially a natural process of healing healthy tissues in order to protect them from any aggressive influence, something like how a wound heals during an injury, forming small adhesions. In the case of the labia minora, as a result of infections and the development of other adverse conditions, which we will discuss later, the body begins to fuse the labia minora in order to protect them from aggressive influences.

Fusion signs.

To determine the appearance of synechia, you can independently carefully examine the children's external genitalia. The presence of a thin white-gray film connecting in different places small labia - and there is a sign of their fusion. In addition, signs of the formation of synechia in a child can also serve as: pain during urination, small discharge from the vagina and irritation in the vulva. If you notice a similar picture in your daughter - do not panic and do not try to make a diagnosis on your own, and even more so, treat it. Contact a pediatric gynecologist, because only a specialist can prescribe tests in order to find the cause of adhesions, and then recommend a treatment method. As a rule, you will need to do a complete blood and urine test. It will be necessary to donate blood for sugar, feces for worm eggs, dysbacteriosis and enterobiasis, as well as make a number of smears for the presence of inflammatory processes.

Reasons for fusion.

In addition to infections that have entered the genital organs, under adverse conditions and aggressive means, the girl's body can accept soap, detergents and cosmetical tools, which dry the skin and negatively affect it. To prevent these processes, the body begins to produce healing substances, which fuse the labia minora, suggesting that this is a traumatic impulse.

Too tight, God forbid, also synthetic underwear also injure the mucous membrane, and provokes the formation of synechia.

The same applies to diapers. Wearing them too often overheats the girl's genitals, and diaper rash is another step towards the onset of inflammation and fusion.

The conditions for such an fusion can also be a metabolic disorder.

Allergic reactions, which appear mainly on the skin, often affect the mucous membranes. Therefore, if you have an allergic girl, you should be careful about the redness of her genitals.

Various infections urinary tract, intestinal diseases and clay infestations.

Complications in a woman during pregnancy are also a reason for the formation of a synechia of a born child. It is especially worth being attentive to those whose pregnancy was difficult: there was severe toxicosis and had intrauterine infections.

But the most important factor for starting the fusion process is the low level, in a little girl, of estrogens - female sex hormones. For this reason, the fusion of the labia occurs precisely during the period of hormonal dormancy. female body- up to 6 years. It should be noted that congenital synechia is extremely rare. Basically, this is an acquired problem, and only the labia minora are fused.

Treatment.

After passing all the tests and making a diagnosis of "fusion of the genital organs", you should start treating your daughter as soon as possible. Depending on the length and severity of synechia, the treatment process can be conservative, medical or surgical.

1. Conservative methods of treatment.

They are used only with incomplete fusion and in the absence of inflammatory processes.

Proper hygiene procedures. Washing in the morning, in the evening, and also after each defecation process, warm clean water only with the help of hands without various flavors and antiseptics. Do not constantly use soap and a sponge.
The genitals should always be clean and dry.
Refusal to use wet sanitary napkins, as well as powders and various waxed creams.
Replacing colored synthetic underwear with colorless cotton underwear.
Bathing the baby in water containing a solution of potassium permanganate, St. John's wort or chamomile.
Daily short-term massage with light pressing semicircular movements using baby cream.

This kind of treatment is, first of all, the prevention of fusion of the labia minora in little girls. Compliance with such recommendations will allow you to get rid of small synechia in a week or two. However, remember that even if you have never experienced synechia, girls under 6 years of age need a periodic visit to a pediatric gynecologist - at least once a year! Well, if there have already been adhesions - at least once a month, because relapses of synechia are a very common occurrence.

2. Medical methods of treatment.

They are used in case of complete fusion, the presence of inflammation and with difficulty urinating. It is the use of special creams, such as "Ovestin" and estrogen-containing drugs, such as " Kolpotrofin”, as well as other medicines prescribed only by a specialist. The application method plays an important role in this case. medications. They should not be applied to all the genitals of the girl, but only to the nasinechia. Moreover, this should be done by slightly pressing, and pushing the labia minora apart.

3. Surgical method of treatment.

Despite the fact that today this method can be absolutely painless, thanks to the use of general painkillers, it is still used extremely rarely - in the case of complete fusion and if it is impossible to use medications.

The question of solving the problem, in what way to treat the fusion of the labia, lies, of course, on the shoulders of the parents. Only they, and only after consultation with a pediatric gynecologist, should draw final conclusions. If you find even a small fusion of the labia in your daughter, immediately begin to act, because synechia, if left untreated, can be very dangerous. external discomfort, infectious diseases, improper formation of the perineum, serious violations of the reproductive function in the future - all this can be easily and quickly avoided if you do not neglect the rules of hygiene, be attentive to your child, regularly undergo scheduled checkups and timely diagnose the problem.