Labial adhesion - diagnostics and treatment

• Published in: Tidsskrift for den Norske Lægeforening Vol. 137; no. 1; pp. 31 - 35
• Main Authors: Knudtzon, Stephanie, Haugen, Stein Erik, Myhre, Arne Kristian
• Format: Journal Article
• Language: English; Norwegian
• Published: Norway 01.01.2017
• Subjects: Administration, Topical; Adolescent; Child; Child, Preschool; Estrogens - administration & dosage; Estrogens - therapeutic use; Female; Humans; Infant; Retrospective Studies; Tissue Adhesions - diagnosis; Tissue Adhesions - drug therapy; Tissue Adhesions - pathology; Tissue Adhesions - surgery; Vulvar Diseases - diagnosis; Vulvar Diseases - drug therapy; Vulvar Diseases - pathology; Vulvar Diseases - surgery
• ISSN: 0807-7096
• DOI: 10.4045/tidsskr.16.0101

Labial adhesion is relatively common, but the condition is little known among doctors and parents. The article assesses treatment in the specialist health service. The treatment and course are assessed in 105 girls in the age group 0 – 15 years who were referred to St. Olavs Hospital in the period 2004 – 14. The majority of the girls (n = 63) were treated topically with oestrogen cream. In 26 of 51 girls (51 %) for whom the final result is known, the adhesion opened after one treatment. When 1 – 4 oestrogen treatments were administered, the introitus had opened completely in two out of three (65 %). Fewer than half of those who received supplementary surgical treatment achieved permanent opening. Treatment for labial adhesion had a limited effect in this study. As the literature suggests that the condition results in few symptoms and resolves spontaneously in virtually all girls in puberty, no compelling medical reason exists for opening the adhesion in asymptomatic girls. It is important that doctors are aware of the condition in order to prevent misdiagnosis and to provide parents with adequate information. For parents it is important to know that spontaneous resolution may result in soreness and dysuria. Knowledge of the condition can most likely prevent unnecessary worry.