The structure of the labia in girls. What is synechia in girls: a photo of the initial stage of the disease, treatment with conservative therapy and surgery

Synechia in girls - a condition in which the labia minora are fused with each other or with the labia majora.

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

General information about the violation

What do synechias look like in a girl? A photo:

Most often small labia stick together, fusion of small and large labia is less common. In 3-10% of girls from one to two years old, this pathology was diagnosed.

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

Synechia does not carry a significant danger, may not be accompanied by severe symptoms, but can progress without treatment, which will lead to the development of complications that will make the girl's future life more difficult.

Reasons for the appearance

Factors that lead to sticking include:

Also, fusion can develop against the background, enterobiasis,.

At newborns In girls, adhesions are extremely rare, since the concentration of estrogen received from the mother is increased in their blood.

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

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

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Symptoms and stages

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

I degree. The length of the fusion does not exceed 5 mm, urination is not difficult, there is no pain. Synechia of the initial stage is easily cured by conservative methods and does not lead to complications.
II degree. The length of the union exceeds 5 mm, problems with urination and moderate soreness are possible.

If the pathology is not treated at this stage, the child may need surgery.

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 synechia:

Complications

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

Complications of synechia:

fused labia do not allow natural secretions to come out, which contributes to the development of severe vulvovaginitis;
if the treatment was started late, the girl has an increased risk of violations in the process of future pregnancies;
the long course of the pathology adversely affects the process of formation of the genital organs: they can be deformed.

Diagnostics

Diagnosis of synechia is not difficult: pediatrician or pediatric gynecologist determine the disease at the first examination.

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

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

taking a smear for microscopic and bacteriological examination;
PRC-diagnostics;
linked immunosorbent assay;
allergy tests;
clinical analysis of blood and urine;
determination of the concentration of glucose in the blood;
analysis of feces.

It may also be required consultation from an allergist and other specialists, depending on the symptoms.

Methods of treatment

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

If the illness continues progress, it will be revealed in time. Most often, synechiae are treated conservatively. The following medicines are used:

If the diagnosis showed that the occurrence of synechia is associated with allergic reactions, the child is protected from the allergen and antihistamines (Diprazine, Bravegil) are prescribed.

When diseases of the genital organs are detected, medications are prescribed: antimicrobials, antibiotics (only with 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 synechia, but it is important for parents who decide to try them to consult with the child's doctor and not to abandon the methods of treatment adopted by traditional medicine, otherwise the disease can start.

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

Examples folk methods treatment:

herbal baths with chamomile, string, calendula;
lubrication of 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 have not been effective, it is shown surgical intervention which is performed under local anesthesia or under acute anesthesia.

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

Komarovsky's opinion

Dr. Komarovsky reports:

synechia are not a disease, they should be considered an age feature;
they are extremely mild in most young girls, they are dangerous only pronounced contractions, 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 surgery anesthesia.

Forecast and prevention

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

Preventive measures:

less use of wet wipes, detergents with fragrances;
to wash children, it is enough to use water, you can also use special children's products;
do not use ordinary soap and other products that are not intended for washing;
avoid swimming in polluted rivers, lakes, do not allow a girl without underwear to sit on the floor, on sand or earth;
it is also important to choose comfortable underwear made from natural fabrics, devoid of coarse seams and prickly lace;
washing should be carried out in the morning, evening and after each act of defecation.

It is important to regularly examine the child's genitals. If redness, rash, abnormal discharge, signs of fusion are observed in the perineum, you should go to the hospital.

Doctor Komarovsky about synechia in girls in this video:

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Most parents do not even know about synechia of the labia minora in girls. In courses for expectant mothers, they do not talk about this. It is difficult for a mother, although a woman, to determine whether her daughter has synechia or not.

What does the synechia of the vagina, labia minora look like in girls?

Synechia, in simple terms, is an accretion. Synechia of the labia minora is the fusion of the labia minora in a girl. Perhaps the fusion of small labia with large. Fusion can be complete or partial.

To examine the daughter for the presence of synechia, it is necessary :

· wash your hands well with soap

· nails should be cut short

· put baby on back

· gently spread the legs and carefully examine the genitals

Having opened the labia majora, the mother will see that the labia minora are tightly pressed against 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 you try to separate the sponges, nothing happens. This brings pain to the baby and the child begins to cry.

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

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, push. Relief comes only after urination. The situation escalates in the evenings. The baby can hardly sleep.

signpointing to possible appearance synechia, there are:

· redness of the genitals in a baby, the presence of a small rash

· when washing, there may be pain, the girl will cry

· synechia is also indicated by the fact that when urinating, urine rises in a trickle upwards, as in boys

· constant leakage of urine, the child went to the pot, but the panties are wet all the time

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.

Synechia in infant girls

Practically from the first days of life, the genital lips can grow together in girls. It is believed that The cause of this disease is a low content 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. Growing up, in a girl, the genital mucosa becomes less susceptible to external stimuli and more dense. And almost does not grow together.

Causes of synechia in girls

The reasons that can provoke synechia are:

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

· household allergies can occur on diapers, powder, cream, soap, wipes, oil

· insufficient washing

· washing too often

· soap washing use

· improper washing

· urinary tract infections

· hormonal drugs taken during the carrying of the baby by the mother

dysbacteriosis

worms

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

· swabs from the vagina

· blood and urine test

· feces for dysbacteriosis and eggs of worms

· scraping for enterobiasis

Breeding synechia in girls

IMPORTANT: The sooner synechiae are detected, the easier it is to breed them. At the very beginning of the disease, the film is thin and transparent. And with complete fusion, it becomes dense, the body perceives the genital gap as a wound, and without surgical intervention, do not get divorced.

· 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 synechia at the initial stage should not be touched, but it is necessary to breed only when fusion brings discomfort to the baby

Treatment of synechia, dissection of synechia in girls

· The dissection of synechia in girls is done by a pediatric gynecologist. This procedure is performed with a scalpel and takes a few seconds. Manipulation is painful and requires special care for the baby's genitals

· Sitz baths, lotions and antibacterial ointments are recommended to relieve painful urination and heal the wound.

IMPORTANT: Dissection does not insure against repeated relapses. The labia minora may grow back together. Parents have the right to refuse such a method of treatment, but with complete accretion, when urination is disturbed, only in this way can the girl be helped.

· give up diapers

· carefully monitor the personal hygiene of the baby

· lubricate with baby cream and vegetable oil labia

· do air baths as often as possible.

How to treat synechia in girls at home?

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

The duration of the procedure is 10 minutes. After that, it is recommended to lubricate the fusion site with sea buckthorn, olive or peach oil. The oil must be clean, free of impurities.

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

Cream for synechia in girls

· If the synechia progresses and causes discomfort to the baby, a specialist prescribes special hormonal creams

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

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

Ointment for synechia in girls

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

Does Contractubex help with synechia in girls?

· ContractubexThis is an anti-scar gel. Used as an adjunct in the treatment of synechia 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 onlycontractubex

· This method requires more time and patience. The full course of treatment is 3 months. Properly applied, gives results.

Treatment of synechia with Ovestin in a girl

For the successful treatment of synechia, a hormonal cream is prescribed.

Alice asks:

I feel pain when inserting the penis and even a finger. Not a virgin. I felt a bumpy outgrowth (1-2 cm from the entrance) on the anterior wall of the vagina, against which the finger rests. It is he who hurts when pressed. Could this be the remains of a hymen? The rupture of the hymen occurred on back wall. The gynecologist says that everything is fine and there are no problems

Answers:

Alice, I can only admit the possibility that the growth on the front wall of your vagina is really the remnants of the hymen. But only an examination by a gynecologist can objectively assess the situation. If he did not find these remains during the examination, then this possibility is excluded. But since you have complaints, the doctor should not have concluded “that everything is fine and there are no problems,” because you have problems, and you need to find and solve them. It makes sense to turn to another, more attentive and responsible gynecologist

Katya asks:

Hello. So I don't understand little girl come out of the clitoris