What synechiae looks like in girls: photos at the initial stage, treatment of labia fusion at home. Synechiae in girls Peach oil for synechiae

Synechiae in girls is very common. It is important to detect the disease in time to prevent complications.

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.

Sign indicating 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.

Synechia 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 genital mucosa 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 on initial stage there is no need to touch, but only need to be separated 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

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, calendula, 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 Traumeel S, cream-gel Malavit, Contractubex.

Does Contractubex help with synechiae in girls?

Contractubex 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 possible contractubex
This method requires more time and patience. The full course of treatment is 3 months . At correct use gives its results

Ovestin treatment of synechia in a girl

For successful treatment synechiae, a hormonal cream is prescribed.

IMPORTANT: Ovestin, when correct use, acts only on synechiae and does not affect the baby’s hormonal levels.

Use Ovestin once a day after evening washing.

Apply half a centimeter of cream to your finger
gently spread the labia majora
apply cream to the adhesion line
make light circular movements with the labia majora
You cannot put on a diaper immediately after the procedure; you must wait until the cream is absorbed
When applied Ovestin It is recommended to use only your finger. But, some doctors advise using a cotton swab and rubbing the cream into the commissure. This must be done carefully so as not to damage the girl’s genitals.
The course of treatment is 14 days . If the synechiae have not resolved or have resolved, but only partially, after a ten-day break you can continue treatment

Prevention of synechiae in girls

In order to prevent synechiae in girls, you need to:

wash properly, this is done every day under running water and from front to back to avoid infection
wash only with your hands, it is strictly forbidden to use a washcloth, as this can damage the delicate tissue of the labia
When washing, use soap only once a week; it should be baby soap without fragrances or dyes. Frequent use of soap dries out the mucous membrane and provokes synechiae. It's better to give up soap altogether
use diapers correctly, change them every three hours or more often
do air baths for the genitals, the longer the better
underwear choose only from natural fabrics and according to size, before putting it on the child, iron it
wash children's clothes separately from adults' clothes
If your child is allergic, closely monitor allergic reactions. In case of redness, generously lubricate the labia minora with unscented baby cream or use diaper rash cream
do not overuse herbal or potassium permanganate baths

IMPORTANT: It is imperative to examine the baby’s genitals. The earlier synechiae are diagnosed, the easier it is to treat them.

Most mothers and specialists speak positively about treatment with hormonal cream. When applied correctly, synechiae pass easily and painlessly
After dilating the labia minora, the adhesion site should be treated with additional non-hormonal ointments
The use of Ovestin is also justified in case of fusion of the labia minora with the labia majora. The cream is applied to the fusion site and the result will be visible in about a week

In the fight against synechiae:

Be sure to exclude allergens, both household and food. Otherwise, the mucous membrane will be irritated and re-growth may occur.
At viral infections take a closer look at the labia minora
Lubricate with baby cream or oil several times a day. Massage the perineum
If the fusion of the labia is partial and does not cause discomfort, carry out only observational tactics

Many mothers are worried about frequent relapses of synechiae. This means something was done wrong. We need to be patient. And, most importantly, remember that the girl will grow up, and the problem will go away on its own.

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

Video: Why synechiae occurs in girls - Dr. Komarovsky

Video: When to treat synechiae in girls - Dr. Komarovsky

Video: How to treat fusion of the labia - Dr. Komarovsky

Synechiae are fusions between adjacent surfaces or organs. But most often this disease is observed in little girls under the age of 6 years, who suffer from fusion of the labia minora (less often the labia minora and labia minora). Synechiae can be congenital or acquired.

Causes of synechia:

Estrogen (sex hormone) deficiency;
Availability inflammatory process in the vulva area, which provokes thinning of the mucous membrane;
Presence of infection in urinary tract or in the genitals;
Excessively frequent intimate hygiene (washing a girl with soap injures the mucous membranes and, as they heal, they form an adhesion);
Allergy and exudative diathesis (allergic reactions manifest themselves on mucous membranes);
Intestinal dysbiosis, as it provokes overdrying of the mucous membranes, after which they can “stick together”;
Pregnancy complicated by intrauterine infection;
In little girls, the causes of synechia may be incorrectly selected diapers, frequent colds, children's infectious diseases(rubella, chickenpox), use of antibiotics.

Symptoms of synechia

Symptoms of synechia can be any changes in the structure of the labia, as well as rashes, peeling, redness or discharge. In addition, if a child experiences discomfort or difficulty urinating, is capricious, cries or strains during almost every act of urination, you should immediately contact a pediatric gynecologist.

Types of synechia

Doctors also identify intrauterine synechiae, or Asherman's syndrome. They represent partial or complete fusion of the uterine cavity.

In girls there are:

1 Complete synechiae;
2 Incomplete - if a small area of the labia is captured.

For synechia in girls, doctors most often prescribe diet No. 5. In accordance with it, you need to eat in portions 5-6 times a day. In this case, the food must be warm, otherwise there will be no benefit from such a diet.

It is important to remember that, having diagnosed this disease, the doctor will definitely refer the child for a urine test to exclude or confirm the presence of oxalates in it. They indicate the formation of kidney stones. Only then will dietary recommendations be finalized.

When treating synechia, it is useful to eat soups: vegetable, cereal and pasta, as they regulate intestinal function and diversify the menu. Thus, they prevent the development of dysbiosis. In this case, you can use any cereal, although oatmeal and buckwheat should be a priority. In addition to soups, you can eat porridge.
Even if there are oxalates in the urine, there is no need to deprive the child of fish, which is a source of calcium. It is better to prefer low-fat fish (hake, pollock) boiled or baked and give it to the child in moderation, as it contains phosphorus, easily digestible protein, and polyunsaturated fatty acids necessary for a growing child’s body.
Also recommended is the use of kefir, low-fat cottage cheese, cottage cheese casseroles, sour cream, but in moderation, especially with an increased content of oxalates in the urine.
You can eat non-acidic fruits, for example: non-acidic plums, raw, boiled or baked. You can also cook jelly and compotes, jelly, marmalade, and jam from them. However, it is necessary to ensure that this food is not too sweet and does not cause intestinal dysbiosis.
It is also allowed to consume non-acidic vegetables (non-acidic sauerkraut boiled, raw or stewed).
You can eat day-old rye or wheat bread and products made from soft dough, as they are sources of carbohydrates.
Some doctors advise adding foods containing vitamin A to your diet, as it helps improve immunity and increases the body's resistance to infections. To do this, you need to eat low-fat liver (chicken, beef), low-fat cottage cheese and sour cream, sweet potatoes, egg yolks (no more than 1 yolk per day).
If you have synechia, it is important to drink at least 1.5 liters of fluid per day. In this case, it is better to give preference to dried fruit compote, various types tea, mineral water. This is due to the fact that, in addition to drug treatment It is also necessary to observe the urination regime (put the child on the potty every hour).

Folk remedies for treating synechia

If synechia is detected, you should immediately consult a doctor. He will prescribe the basic treatment, which can be supplemented with traditional methods.

1 After separation of the synechiae, you can artificially create a protective layer on the vulvar mucosa to prevent recurrence of the disease and prevent the penetration of infection by instilling vegetable (not essential!) pumpkin oil, almond oil, grape seed oil or avocado oil every day. To do this, use 2 fingers to separate the outer labia and drip a couple of drops of oil. It is important not to touch the mucous membrane. It is not recommended to use sea buckthorn oil, as it can cause allergies in some children.
2 Also, the site of synechiae can be treated with internal pork fat (it is closest in structure to human fat). To do this, you need to melt it in a frying pan over low heat so that the cracklings do not begin to brown, and pour into a clean bowl. Keep refrigerated.
3 Twice a day you can make herbal baths with chamomile (1 tablespoon of herb per 1 liter of water). It is also better to wash your child with this decoction without using soap.
4 In addition, if you have synechia, you can apply lotions with calendula tincture at night.

Dangerous and harmful products for synechia

The very first thing that parents of a girl who has been diagnosed with synechia need to do is to completely eliminate allergens: chocolate, sour vegetables and fruits, berries, mushrooms, since allergies are one of the causes of this disease.
If the child is still found high content oxalates in the urine, you should exclude foods high in vitamin C, as it will have a positive effect on their growth. It's red bell pepper, black currants, strawberries, green cabbage (broccoli, Brussels sprouts, Savoy), kiwi, rose hips, mango, grapefruit, orange, persimmon, tomatoes, carrots, apricots.
For the same reason, doctors recommend eliminating foods containing calcium. These include: whole milk, full-fat cheese and cottage cheese, legumes, seeds and nuts, fish and seafood, herbs and some vegetables (basil, parsley, White cabbage and Savoy).
For this disease, experts advise limiting or at least reducing consumption. fatty foods(fatty meats and fish, caviar, lard, soups with fatty meat broths), fried, spicy or pickled, as it causes heaviness in the intestines. In addition, it can provoke dysbacteriosis.
It is not recommended to give cocoa and whole milk as drinks, as they can cause allergies.

In mild cases, treatment is reduced to massage, the use of special baths and hygiene. Baths are used using herbs (sage, chamomile) or baking soda. The massage is carried out easily, without much effort, and is aimed at separating the fused areas.

Treatment of synechia with special ointments

Special hormonal ointments are also prescribed by a pediatric gynecologist in cases where surgical intervention is not required. Hormonal ointments are used after hygiene procedures, they are applied to the child’s clean skin, directly to the damaged tissue. Application is done by hand, no need to use cotton pads.

If the use of ointments does not bring the desired effect, then you need to check whether the child has allergies. The allergic reaction manifests itself as a red stripe from the genitals to the anus. If an allergy occurs, the child’s diet is changed, eliminating all potential allergens. In this case, treatment is not interrupted. Before prescribing hormonal ointment, the doctor may prescribe the use of herbal baths. If the baths do not help, move on to ointments. On average, treatment takes about a month.

Surgery – when and why?

This type of treatment is used as a last resort. A direct indication for it is problems with urination. If it is very difficult, then it is better not to postpone the operation. If hormonal ointments do not help, then surgical separation will be the right decision. This will relieve the child of discomfort and reduce the risk of inflammatory processes.

The operation is painless, modern means help carry out all procedures without scaring the child. After surgery, there is immediate relief from urination. If the doctor prescribes surgery, then it must be performed. To prevent the disease from happening again, the child’s perineum after surgery is lubricated with a solution of vitamin A.

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Causes of synechia:

Estrogen (sex hormone) deficiency;
The presence of an inflammatory process in the vulva area, which provokes thinning of the mucosa;
Presence of infection in the urinary tract or genitals;
Excessively frequent intimate hygiene (washing a girl with soap injures the mucous membranes and, as they heal, they form an adhesion);
Allergy and exudative diathesis (allergic reactions manifest themselves on mucous membranes);
Intestinal dysbiosis, as it provokes overdrying of the mucous membranes, after which they can “stick together”;
Pregnancy complicated by intrauterine infection;
In little girls, the causes of synechia may be incorrectly selected diapers, frequent colds, childhood infectious diseases (rubella, chickenpox), and the use of antibiotics.

Symptoms of synechia

Types of synechia

Doctors also identify intrauterine synechiae, or Asherman's syndrome. They represent partial or complete fusion of the uterine cavity.

In girls there are:

1 Complete synechiae;
2 Incomplete - if a small area of the labia is captured.

Useful products for synechia

When treating synechia, it is useful to eat soups: vegetable, cereal and pasta, as they regulate intestinal function and diversify the menu. Thus, they prevent the development of dysbiosis. In this case, you can use any cereal, although oatmeal and buckwheat should be a priority. In addition to soups, you can eat porridge.
Even if there are oxalates in the urine, there is no need to deprive the child of fish, which is a source of calcium. It is better to prefer low-fat fish (hake, pollock) boiled or baked and give it to the child in moderation, as it contains phosphorus, easily digestible protein, and polyunsaturated fatty acids necessary for a growing child's body.
The use of kefir, low-fat cottage cheese, cottage cheese casseroles, and sour cream is also recommended, but in moderation, especially with an increased content of oxalates in the urine.
You can eat non-acidic fruits, for example: non-acidic apples, plums, raw, boiled or baked. You can also cook jelly and compotes, jelly, marmalade, and jam from them. However, it is necessary to ensure that this food is not too sweet and does not cause intestinal dysbiosis.
It is also allowed to eat non-acidic vegetables (non-acidic sauerkraut, boiled, raw or stewed).
You can eat day-old rye or wheat bread and products made from soft dough, as they are sources of carbohydrates.
Some doctors advise adding foods containing vitamin A to your diet, as it helps improve immunity and increases the body's resistance to infections. To do this, you need to eat low-fat liver (chicken, beef), low-fat cottage cheese and sour cream, sweet potatoes, egg yolks (no more than 1 yolk per day).
If you have synechia, it is important to drink at least 1.5 liters of fluid per day. In this case, it is better to give preference to dried fruit compote, various types of tea, and mineral water. This is due to the fact that in addition to drug treatment, it is also necessary to observe the urination regime (put the child on the potty every hour).

Folk remedies for treating synechia

If synechia is detected, you should immediately consult a doctor. He will prescribe the basic treatment, which can be supplemented with traditional methods.

1 After separation of the synechiae, you can artificially create a protective layer on the vulvar mucosa to prevent recurrence of the disease and prevent the penetration of infection by instilling vegetable (not essential!) pumpkin oil, almond oil, grape seed oil or avocado oil every day. To do this, use 2 fingers to separate the outer labia and drip a couple of drops of oil. It is important not to touch the mucous membrane. It is not recommended to use sea buckthorn oil, as it can cause allergies in some children.
2 Also, the site of synechiae can be treated with internal pork fat (it is closest in structure to human fat). To do this, you need to melt it in a frying pan over low heat so that the cracklings do not begin to brown, and pour into a clean bowl. Keep refrigerated.
3 Twice a day you can make herbal baths with chamomile (1 tablespoon of herb per 1 liter of water). It is also better to wash your child with this decoction without using soap.
4 In addition, if you have synechia, you can apply lotions with calendula tincture at night.

Dangerous and harmful products for synechia

The very first thing that parents of a girl who has been diagnosed with synechia need to do is to completely eliminate allergens: chocolate, sour vegetables and fruits, berries, mushrooms, since allergies are one of the causes of this disease.
If a child is still found to have a high content of oxalates in the urine, foods high in vitamin C should be excluded, as it will have a positive effect on their growth. These are red bell peppers, black currants, strawberries, green cabbage (broccoli, Brussels sprouts, Savoy), kiwi, rose hips, mango, grapefruit, orange, persimmon, tomatoes, carrots, apricots.
For the same reason, doctors recommend eliminating foods containing calcium. These include: whole milk, full-fat cheese and cottage cheese, legumes, seeds and nuts, fish and seafood, herbs and some vegetables (basil, parsley, white cabbage and savoy).
For this disease, experts advise limiting or at least reducing the consumption of fatty foods (fatty meats and fish, caviar, lard, soups with fatty meat broths), fried, spicy or pickled, as they cause heaviness in the intestines. In addition, it can provoke dysbacteriosis.
It is not recommended to give cocoa and whole milk as drinks, as they can cause allergies.

Synechia is the fusion of tissues in the genital organs due to adhesive processes. Treatment of synechia in girls can be symptomatic and etiological. In little girls, synechiae of the labia minora mainly occurs. This disease is diagnosed in one in ten girls under the age of two.

Synechia can be seen when external inspection genital organs: it looks like a grayish thin film connecting the lips. Depending on the size and stage of development, synechia can be treated:

conservatively;
surgical methods.

Signs of synechia:

irritation appears in the child’s genital area and inner thighs;
when urinating, the child experiences discomfort or even pain, and the stream of urine is directed upward;
an external examination reveals visible differences from the normal structure of the genital organs.

If these signs are detected, you need to contact a pediatric gynecologist as soon as possible. After a professional examination, he will give a referral for tests, without which it is impossible to correctly prescribe therapy, and after receiving the results, he will prescribe the necessary medications and course of treatment.

For girls, treatment for synechia should be aimed at eliminating both the cause of the disease and the symptoms, which cause a lot of discomfort for the child. Therefore, before starting a course of treatment, you need to determine what causes synechiae.

There may be several reasons:

deviations in personal hygiene;
hormonal deficiency;
presence of an allergic reaction.

Another possible cause of synechia may be vulvitis and vulvovaginitis.

Treatment is symptomatic and etiological

If, as a result of the tests, it turns out that there is not enough estrogen in the little girl’s body, this is not a big deal: age-related fluctuations will last for some time, approximately six years. At the age of six, the hormonal levels will return to normal; in some cases, this process is completed at the age of eight. No special treatment is required here; in no case are they needed to level out estrogen levels.

The pediatric gynecologist may prescribe the use local drugs: ointments with estrogen or Ovestin cream.

Ointments are applied to a soft tissue base and applied overnight to the area where synechiae appears. In the morning, the bandage is removed, and the genitals are wiped and washed with warm water.

You need to apply Ovestin in a thin layer; some recommend rubbing it in carefully.

Usually the course of treatment is in this case lasts three weeks. If the doctor deems it necessary, a repeat ten-day course may be prescribed.

Synechiae resulting from allergic reactions are quite common. First, you need to conduct allergen tests to determine the cause. Further treatment will consist of eliminating the allergen, as well as using antihistamines. Treatment with antibiotics for synechia with this etiology is fraught with complications.

Allergic synechiae, as a rule, disappear when the cause of the allergy is eliminated. For a course of conservative treatment, various ointments and soothing therapeutic baths are used. Treatment with folk remedies is also possible.

This is the most dangerous case, because any inflammatory process in the genital organs is of a combined nature. This means that, in addition to the fused film on the labia minora, your child may have other, much more serious pathologies of the genital organs, which can subsequently lead not only to sexual pathologies, but even to infertility.

For inflammatory synechia, soothing baths with additives prescribed by your doctor are very useful. In addition, a mixture of Contractubex and Traumeel is applied to the synechial hymen. They are mixed in equal proportions in a sterile container, squeezed out of a tube, and applied directly to the synechiae after morning and evening intimate toilet.

The effectiveness of treatment for synechia in girls depends on the timely detection of pathology and the initiation of treatment. At the same time, regardless of the etiology, the use of various oils is effective, sea buckthorn oil is especially effective.

During treatment, the girl’s external genitalia should be examined every day, and as soon as the synechial film thins after applying ointments and creams, carefully separate the labia minora with your fingers. To avoid re-adhesion and the formation of synechia, not only sea buckthorn oil is used, but also Vaseline and other oils and creams.

Prevention of synechia

If your child has allergies, you need to avoid allergens. As for intimate hygiene, synechiae can be caused by both insufficient and excessive hygiene. Frequent washing with soap, accompanied by intense friction, provokes the appearance of wound surfaces on the thin labia minora, which can then grow together. Insufficient washing can also cause synechia.

In advanced cases, synechiae can lead to serious urogenital diseases. Cystitis, nephritis, vulvovaginitis - all this can subsequently lead to infertility.

To avoid this, you need to:

periodically come for an appointment with a pediatric gynecologist;
examine the child’s external genitalia daily;
in the presence of allergic reactions try to avoid allergens in food and in everyday life;
When washing, avoid extremes: you don’t need to wash too thoroughly with soap, but the absence of them is absolutely not good.

The main thing in preventing synechia is prevention. If you see the slightest deviation, consult a doctor immediately.

Surgical treatment is resorted to in extreme cases when conservative treatment does not help. After surgical dissection of the labia minora, it is necessary to constantly lubricate them with sea buckthorn oil during the recovery period.

Causes of synechia in girls:

All girls experience a lack of the sex hormones estrogen before puberty, but in some children this leads to a disease called Synechia. This disease can also appear as a result of an inflammatory process in the vulva area, due to which the mucous membrane becomes thinner and a connective tissue film is formed.

Symptoms of synechia:

Doctors make a diagnosis synechia, when a little girl’s labia minora “stick together” together. The entrance to the vagina is blocked with film. When full synechiae Even the opening of the urethra is not visible. In order not to miss the problem, regularly examine your daughter’s genitals during hygiene procedures - bathing or washing.

Treatment of synechia:

When found symptoms of synechia do not put off visiting your doctor. Synechiae must be eliminated as soon as possible. After all, the baby’s health suffers, since as a result her urination is impaired and an ascending infection occurs.

In the early stages (when the labia have not yet “stuck together” completely), the situation can be corrected quite easily. It is enough to apply a pad with ointment that contains estrogens on the labia at night. The procedure must be repeated for 5-7 days.

If after the course treatment of synechia the situation does not change, consult a doctor again! The specialist will separate the labia minora. And in order for everything to heal faster, he will advise using calendula ointment and giving the baby herbal baths.

How to use creams.

After washing your face in the morning and afternoon, apply Contractubex and Traumeel C cream, mixing them together on a clean index finger or in a boiled jar - 1 cm of each cream. Apply a thin layer only to the area of synechia.

At night, apply Ovestin cream in a very thin layer (about 5 mm of cream on your finger and rub into the synechia).

Treatment can be used for 20 days, then after 10 days it can be repeated. You can treat the labia with Malavit cream (a transparent greenish gel to relieve irritation) after washing.

Ovestin can only be used once a day!!! and a very thin layer. It is better to treat 2-3 times a day with 2 creams mixed with each other - Contractubex and Traumeel S, and Ovestin - at night. But if the girl sleeps in a diaper, then you need to wait until the thin layer of cream is completely absorbed and only then put on the diaper.

I propose to act according to our plan - on the incision area - Ovestin or Bepanten (the first days until healing). Then Contractubex and Traumeel C to prevent re-union.

Monitor food allergies, observe hygiene measures. If adhesions form again, despite treatment, then most likely you are not taking into account the manifestations of allergies to certain food products in the form of a bright pink stripe on the perineum around the labia, descending to the anus. Eliminate these foods from your diet. Wash only with running water. To treat dermatitis in this case, use Advantan or Dermovate cream for several days. After eliminating allergic dermatitis, continue treating only the area of synechia with creams (Contractubex, Traumeel C and Ovestin).

If the child is allergic, then at first you can use Advantan or Celestoderm cream instead of Traumeel cream. For another 2 weeks after the divergence of the synechiae, you need to leave the treatment with Contractubex and Traumeel. In the future, you can limit yourself to using Malavit cream in the form of a gel after washing or any ointment for newborns for diaper rash.

Antihelminthic therapy can be carried out without taking into account test results, because negative result does not mean the absence of helminthic infestation.

Synechiae can recur before the onset of puberty, i.e. up to 9-10 years, more often up to 6-7 years. Divigel cannot be used, because it is an active female hormone and can cause premature puberty, unlike Ovestin. In addition, it is made on an alcohol basis, which is why it “stings” when applied to the mucous membrane.
The size of the synechia is 1-3 mm - not a synechia, but a posterior commissure that does not need to be touched! If redness of the vulva and perineum appears after eating or taking any medications, it is imperative to use local antiallergic ointments or even Zyrtec tablets or drops. After washing without soap, in these cases it is possible to treat the perineum and vulva with Malavit ointment.

After the synechiae, under the influence of Ovestin and Contractubex, collapse on their own without the intervention of a surgeon, the labia minora should be treated for another 7-10 days with sterile vegetable oil (a few drops) or Malavit cream.

Synechia, or sticking together of the labia minora, occurs in early infancy or somewhat later, before the age of six. Often the disease is asymptomatic and is discovered by parents while caring for the child or by a doctor during medical examination. Determining what synechiae look like is not difficult in most cases. This can be done by carefully examining the genitals.

The disease is prone to constant recurrence. In approximately a third of patients, new adhesions appear.

How to conduct an inspection

Before the examination, you should thoroughly wash your hands with soap and cut your nails to avoid injury. delicate skin. Spreading the child's legs, carefully examine the genitals. In this case, pay attention to the presence of a genital slit through which the vagina is visible.

If instead of a slit only a whitish stripe is visible, and an attempt to part the labia minora does not bring success, there is a high probability of synechiae. In rare cases, fusion of the labia majora occurs.

Signs of pathology

Synechiae of the labia minora may not cause discomfort to the girl. In some cases, problems with urination are observed; when wanting to urinate, the child begins to grunt, strain hard and cry. After urination, immediate relief occurs.

The following symptoms can also be identified:

redness of the skin in the genital area, the appearance of a rash;
irritation of mucous membranes;
crying indicating pain when touched while washing or bathing;
the direction of the urine stream is upward, which is typical for boys.

In girls 1 year of age and older, urine leakage occurs, even if the child is already using the potty.

How dangerous is the disease?

The fusion of the labia cannot be regarded as a natural process that should not be paid attention to, but its occurrence rarely brings serious consequences for the female body.

However, the condition can contribute to the development of various infectious processes. With the progression of the disease in the future, associated with the growth of the genital organs and improper formation of the perineum, the girl may have problems with conception and delivery.

The initial stage of the formation of synechiae makes itself felt by swelling of the vulva, its redness, irritation, and pain when urinating. If you suspect a pathology, you need to take your child to a doctor.

Synechia is an insidious disease prone to relapse. Girls under one year old cannot rely on their independent resolution. The problem can be eliminated by puberty. With this pathology, the child should be under the supervision of a pediatric gynecologist, who determines necessary treatment and gives recommendations on caring for the genitals.

Causes of fusion

The reasons for the formation of synechiae may be different. If they are noticeable even in a newborn, then they were most likely caused by a complicated pregnancy and intrauterine infection of the fetus.

IN preschool age Adhesions in girls can appear for the following reasons:

previous infectious diseases of the genitourinary area (cystitis,), when bacteria penetrate into the site of inflammation, which provokes fusion of the labia minora;
transmission of viruses through household means (through towels and other care items);
improper genital hygiene, use of aggressive cosmetics that eliminate the necessary bacterial environment;
tendency to allergies as a result of skin contact with residues of washing powder on linen, sanitary wet wipes, diapers, leading to swelling of the vulva and the further appearance of synechiae;
hormonal imbalances caused by;
wearing underwear made of low-quality synthetic materials;
helminthic infestations, intestinal discbacteriosis, taking certain medications.

Treatment

Synechiae can be incomplete or complete. If the fusion occurs in a small area of the labia minora, the problem can be solved by following the rules of hygiene and care. A great danger is the complete fusion of the labia minora, which can only be cured with timely consultation with a doctor.

Before determining treatment, the patient is prescribed general tests blood and urine, take a smear for bacterial culture from the vagina or tests for hidden infections.

If synechiae is caused by allergies, consultation with an allergist is required.

Local therapy

Ointments and creams containing are used in treatment.

Ovestin

Hormonal agent used for various diseases associated with estrogen deficiency. The main active ingredient is estriol.

Treatment with Ovestin is carried out for 20 days, then take a short break of 10 days. After a break, the course is repeated. Ovestin is recommended for use no more than once a day. It is better to treat synechiae before the child goes to bed. If the baby sleeps in a diaper, it should not be put on until the cream is completely absorbed.

In some cases it is possible negative reactions: vaginal itching, mucus discharge, skin rashes. The cream should be prescribed with caution to patients with bronchial asthma, epilepsy, liver diseases.

The ointment is applied in a thin layer. The treatment is carried out with careful rubbing movements. You cannot put pressure on the genitals or try to separate the synechiae yourself. It is strictly forbidden to use various improvised means for this purpose, which can serve as a source of infection.

Contractubex

The cream is often prescribed for synechiae in girls. Optimal combination active ingredients(onion extract, sodium heparin, allantoin) has a bactericidal effect, anti-inflammatory effect, heals wound surfaces.

The product is applied to the fused area twice a day in a thin layer. A greater effect can be achieved by combining this drug with Traumeel S or Bepanten. The course of treatment is 20 days, then after a pause it is repeated. Since synechiae is a recurrent phenomenon, Contractubex can also be used for prophylactic purposes.

The drug has virtually no contraindications. The only obstacle to its use is increased intolerance or sensitivity to individual components.

Bepanten

Bepanten ointment or cream is effective if the disease is complicated by inflammation. Bepanten eliminates ulcers, cracks, and erosions of delicate skin. Its use prevents the development of infection.

Bepanten belongs to safe drugs, it is suitable for both newborn girls and older children. The treatment is carried out after washing and thoroughly drying the genitals.

Baths with the addition of chamomile, calendula, and oak bark will help prevent relapse. When treating synechiae in girls at home, oils are used plant origin(sea buckthorn, peach, almond, grape seeds).

Surgery

How to treat complete fusion if conservative treatment did not give the expected results? In this case, a dissection is performed. The operation is performed under local anesthesia. The procedure is not dangerous and does not cause any discomfort or bleeding in the girl.

The operation takes only a few minutes. After the procedure, the wound is treated antiseptic solution and after 15-20 minutes the girl and her mother can go home.

After surgical separation of synechiae, regular treatment of the genital organs is necessary for some time. To do this, use both creams and ointments, and vegetable oils. Regular baby cream will also work. Soothing baths based on decoctions of chamomile, calendula, sage, and string are prescribed.

You will have to treat small lips with cream for at least a month. In the future, this procedure is carried out once a week for the purpose of prevention.

Massage

This procedure belongs to the auxiliary methods of treating synechiae. Massage is done after applying the ointment. After waiting a minute or two until the cream-gel begins to be absorbed, begin massaging the glued labia. The movements should be smooth, careful, but slightly pressing.

If fusion is not complete, you can try to gently separate the lips, but you should not overdo it. It is undesirable to make sudden movements, especially when trying to separate glued lips, as movements can cause injury or psychological discomfort in the child.

The following has worked well home remedy. Wipe the affected area with a cotton pad soaked in potato juice, trying to slightly stretch the labia different sides. The procedure must be regular. Thus, in case of incomplete fusion, surgical separation can be avoided with the help of a kind of massage.

Prevention of synechiae in girls

Unfortunately, the phenomenon of synechiae is prone to repeated “returns” even after surgical separation. The problem is solved only with the onset of puberty. Preventive measures, following the rules of hygiene and daily routine will help to significantly reduce the risk of relapse. So, prevention includes following the following rules:

You need to wash your child with regular tap water without using soap or other cosmetics that dry out the vaginal mucosa and wash away beneficial microflora.
Don't get carried away with bubble baths, if you can't give them up completely, add it just before finishing your bath.
The choice of underwear should be made in favor of models made from natural cotton. Only in such panties will the skin breathe freely. You also need to make sure that the underwear does not squeeze or rub the skin, as this can provoke an inflammatory process.
Timely identify and treat infectious and viral diseases. In most cases, synechiae occur as a consequence of incorrectly and incompletely treated diseases.
Regular visits to a pediatric gynecologist. This recommendation often causes bewilderment among mothers who believe that a little girl has nothing to do in the office female doctor. However, doctors advise visiting a gynecologist already in preschool age.
Changing diapers in a timely manner; in some cases, you will have to stop using them; it is better to wash preschool children’s clothes separately from the clothes of adult family members.
Choose detergents and cosmetical tools, toilet paper and other care products without artificial colors and fragrances.
Preventive use of ointments with estrogen in those girls who have previously been diagnosed with genital fusion. The dosage and duration of treatment is determined by the doctor!
Pregnant women in the third trimester should actively combat symptoms (protein in the urine, swelling, increased arterial pressure), since these symptoms lead to complications during childbirth and the appearance of pathologies in the newborn.

Synechia in children - fusion of the labia minora and majora in girls and the head of the penis with the foreskin in boys - occurs quite often. How to understand that a child needs treatment? Can the problem be prevented? What causes the disease? The answers are given in the article.

What are synechiae and what do they look like?

Synechia is a common phenomenon, occurring mainly in children 1-2 years old. The pathology is a sticking together of the labia labia (usually the labia minora, less commonly both the labia majora and the labia minora). The fusion is almost always asymptomatic, the baby feels well, so when parents discover an anomaly, they do not know what it is and how to help the baby.

Statistics show that mild or severe pathology occurs in 30% of children. To detect fusion, you do not need to undergo tests - just visual inspection external genitalia. What it should be like if the child is healthy:

the labia are easily parted and separated from each other;
the gap and the entrance to the vagina are visually visible.

When fusion occurs at the initial stage, there is redness and peeling in the perineal area, then a thin film of grayish-white color forms, gluing the labia. The entrance to the vagina is blocked, which makes urination much more difficult. At 1-2 years the problem reaches its peak. What synechiae look like can be seen schematically in the photo below:

The disease also occurs in boys: the foreskin fuses with the head of the penis, resulting in the head being exposed (we recommend reading:). This is not considered a pathology, does not cause discomfort, adhesions resolve on their own at the age of 6-7 years - the foreskin will gradually hide the head.

Causes of pathology of the labia in girls

The most common cause of labia fusion is congenital pathology due to severe toxicosis of the mother during pregnancy or an infectious disease during pregnancy. However, there are other factors causing the anomaly:

Improper washing and violation of hygiene rules. Healing of delicate skin after trauma to the vulva due to sudden movement or strong pressure can cause adhesions. Frequent washing with soap and rare diaper changes can also cause fusion of the labia.
Infectious lesions - inflammatory diseases urinary tract and mucous membranes. A baby under one year old can become infected during childbirth or through household contact.
Allergy. The rash is often localized on the mucous membrane. It can be triggered by food allergens, hygiene products, synthetic clothing, etc.
Infectious diseases and frequent use of antibiotics also cause the appearance of synechiae.
Lack of estrogen. Fusion in a one-year-old baby is sometimes a consequence of hormonal imbalance. Although low hormone levels in infants are normal, they can cause pathology. In such a situation, there is no need for treatment; by the age of 7, the adhesions will disappear.

Most often, synechiae is a congenital pathology

How dangerous is the disease?

If parents discover that a girl has overgrown labia minora or labia majora, the problem must be resolved urgently. An advanced disease is dangerous due to the formation of a closed vaginal cavity, where secretions accumulate, which are a favorable environment for the proliferation of bacteria and provoke the following conditions:

urinary disorders and cystitis;
inflammation and infectious diseases of the genital organs;
problems with conception, bearing a fetus;
high risk of developing infertility.

Features of treatment

Synechiae in girls does not necessarily require surgical separation. Treatment of a baby at one or two years old, especially at initial stage diseases, can be done at home. Therapy includes careful hygiene, the use of special ointments, baths and observation by a doctor. Treatment methods are chosen by a specialist based on the clinical picture.

Surgical separation

Surgical intervention when the labia stick together - a last resort. Separation and removal of synechiae is carried out in cases where conservative therapy did not give any results. The operation is performed under local anesthesia or general anesthesia within a few minutes by excision of the adhesion.

The recovery period is painful, to facilitate urination and general condition The child is prescribed painkillers, antibacterial ointments, baths, and lotions. Surgery does not guarantee that the tissue will not grow back.

Baby hygiene

If the labia are fused, but the pathology is at an early stage, the girl’s parents should carry out proper care, which includes careful hygiene so that the adhesive dissolves over time:

wash your genitals twice a day, and every time after bowel movements;
Do not use soap often, choose a hygiene product without fragrances, paying attention to its acidity (we recommend reading:);
antiseptics and creams can only be used as prescribed by a doctor;
buy underwear made from natural fabrics and change it daily;
Remove the diaper several times a day to allow the skin to “breathe.”

If there are synechiae, parents should take proper care of the baby

Drug therapy at home

Conservative treatment at home is prescribed for minor fusion of the labia. Preparations with estrogen (for example, Colpotrophin) are applied to the synechiae, but healthy areas of the skin should not be affected. The products loosen tissue, destroying adhesions and separating the genitals. Therapy lasts from 2 to 3-4 weeks. The ointment must be applied twice a day and cannot be used unless prescribed by a specialist. At the end of the course of treatment, the doctor should evaluate the results and stop or extend therapy.

In addition to hormonal creams, you can use conventional children's medications: Malavit, Bepanten. They have a calming effect on the skin.

Ovestin

Ovestin cream shows good results in treatment. It helps to painlessly get rid of adhesions due to a lack of estrogen in a child. The therapeutic course with Ovestin lasts 1-3 months. The product is safe, but if the desired effect is achieved, use can be stopped prematurely.

How to use the drug? After washing, apply a thin layer to the adhesion site without using cotton buds and discs and without putting pressure on the mucous membrane. Similar action Ornion cream has more cheap analogue Ovestin.

Contractubex

Gel Contractubex

A positive effect in therapy is achieved with the use of Contractubex gel. It affects connective tissue by using active ingredients: allantoin and heparin. They smooth out scars and protect delicate skin.

Contractubex is mixed with Traumeel S in equal proportions and carefully applied to the problem area - similar to using Ovestin. The results before and after therapy become noticeable already in the middle of the treatment course.

Folk remedies

Treatment of labia adhesion in a child can be carried out at home using folk recipes:

An effective remedy is calendula oil. It has regenerating, anti-inflammatory and soothing properties. It is recommended to apply twice a day after washing the child.
An infusion of chamomile, calendula and acacia flowers will relieve swelling if it is painful for a girl to go to the toilet (more details in the article:). The baby is placed in a bowl of broth for 10 minutes - the bath relaxes the muscles and reduces swelling.
To wash children, it is recommended to use decoctions of nettle and St. John's wort. After manipulation, the genitals are lubricated sea buckthorn oil in the affected area. It is important not to overdo it with hygiene - this leads to injury, and during the healing process, tissues re-stick together.

In severe cases, phytoestrogens are used - medicinal herbs with a hormonal effect (raspberry leaves, red brush, hog queen). After preparing the decoction, problem areas are wiped with it.

Prevention of fusion of the labia in a child

Hygiene plays an important role in the prevention of synechiae. You need to wash your baby correctly:

use warm, preferably running water;
Before the procedure, you must wash your hands;
the anus and genitals must be washed with different hands to avoid bacteria and infection;
the stream of water should go from front to back, heading from the vagina to the anus.

For hygiene, you need to use special products intended for children. It is important that they have a neutral pH; they may contain trace elements. It is worth paying attention to additional components - they can cause allergies.

The baby should always keep the external genitalia clean and dry.

After treating fused labia, it is important to ensure that there is no relapse. Parents should adhere to the following recommendations:

at infant you need to change diapers regularly, keep your skin clean and dry;
leave the baby without diapers for a while every day;
spread the labia with each wash;
Apply ointments with estrogen once every few weeks;
At the first symptoms of inflammation, consult a doctor.

Synechiae are common, but you should not be afraid of them. To prevent pathology, it is enough to follow the rules of child care. Regular examination will allow you to detect the disease at an early stage.