Newborn

What are vulvar synechiae in girls and how are they treated


Vulvar synechiae, What strange name right? Have you ever heard what it is? Surely if you have a baby girl who has not reached 24 months, unfortunately you have had to inform yourself about this situation acquired in some small ones, but that, in no case, is it a congenital malformation. Next, we will see what it is, why it occurs, and what is the treatment.

The vulvar synechiae They occur in girls, generally under two years of age, when the edges of the labia minora of their vulva come together, producing a scar that causes the introitus to close, partially in most cases.

Diagnosis is usually made with vulvar inspection in the pediatric consultation, in a causal way, since as we will see later, most of the girls do not present any symptoms. Why is it produced? To this day it is not known for sure what the cause is, however, this union of the labia minora has been associated with low levels of estrogens (characteristic of this stage), inflammatory processes such as the famous diaper rash, and due to the lack of hygiene in the area.

Knowing this, what is in our hands to prevent it from appearing? What can we do to avoid them?

- Carry out proper hygiene in our baby's vulva. We must avoid disposable wipes, since their continued use can cause irritation in the area. We will replace them with soft sponges, warm water and soap.

- Too we will change our baby immediately when it has peed or pooped, so that it is always dry. It is very important not to delay in this practice!

- Also It is recommended to clean from the vulva towards the butt, to avoid dragging the feces to the vulva and not soiling it with our baby's feces.

With these simple recommendations, we guarantee that the vulva is always well cleaned, thus reducing the risk of synechiae.

A very common question that often comes to the head of parents is ... and how can my daughter pee? And it is that, the vast majority of vulvar synechiae are partial, that is, the labia minora are not completely fused, and have a hole through which urine can exit.

Although the vulvar synechiae cause significant anxiety in the parents, and immediately want to start treatment, it is important to note that in the vast majority of cases it is not treated because, normally, they do not produce any type of symptoms, and the girl does not even realize that it have.

However, if our baby began with frequent urinary infections, pain in the vulvar area or fever, it would be necessary to assess medical treatment, of course always at the hand of your pediatrician.

As our baby develops, the vulvar synechiae will resolve spontaneously: when he begins to walk, ride a tricycle or bicycle, in short, when he begins to be more independent.

However, sometimes synechiae can remain in time, resolving naturally in the prepubertal or pubertal stage when the number of estrogens, characteristic of this stage, increases. If we are approaching adolescence and the labia minora have not separated, it is necessary to put treatment, either with local corticosteroids in the form of cream, or with surgery.

As we said before, these last cases are exceptional, so relax! If your daughter has vulvar synechia, when you least know it, it will have resolved spontaneously.

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