How to deal with the synechia of the labia minora? What is synechia, the causes of their occurrence and treatment?

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 up to 6-8 years old. Such ailment implies a spike of the labia, which sometimes covers only the vaginal opening, and in some cases also the urethra.

What is a girls' synechia?

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

According to statistics, to a certain extent it occurs in 3% of female children, but it can also 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. The synechia means by itself that the large and small labia may coalesce together. In this case, the entrance to the vagina is blocked and the outflow of urine is considerably complicated. Knowing what synechia is, why they arise and how to deal with it, you can achieve a very good result in treatment.

Causes

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

• Too frequent washing of the labia;
• Wearing uncomfortable clothes or linens made of artificial fabrics;
• Presence of infection in the urethra;
• Vulvovaginitis;
• allergy.

Of course, girls need to watch for the hygiene of the genital organs, but everything should be done moderately, because frequent and too intense washing can provoke clumping of the labia. It is especially harmful to use usual 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 is mainly due to wearing too tight and uncomfortable underwear made of artificial fabrics. As a result of excessive pressure on the genitals, this pathology arises. The cramping of the labia minora in girls is also due to the presence of a prolonged inflammatory process. Often it proceeds in a latent form and looks like a slight reddening. If the treatment is not performed in time, a complication can occur.

It is very important to take care of the child's hygiene, wash children's things separately from everyone else, and also iron iron thoroughly. Synechia of the labia minora can also occur if there is an allergy, since the vulvar mucosa is very susceptible to various kinds of irritating factors and is easily damaged.

Main symptoms

Symptoms of synechia are quite pronounced, so they can not be confused with other pathologies in the child. A girl can suffer from the problem of fused small and large labia. There may be an additional problem of outflow of urine. In this case, the child experiences considerable discomfort, pain in the lower abdomen and frequent urge to urinate. If the disease has arisen because of an allergy, then it can also be accompanied by severe itching and burning.

In the presence of pathology, there may be redness and irritation of the mucosa in the child. The girl becomes restless and complains of unpleasant sensations while walking. If there is any doubt about the problem with the baby, you need to visit a pediatric gynecologist. He will be able to correctly diagnose and determine what exactly needs to be done to prevent trauma and infectious processes.

Treatment should be started as early as possible, since the labia of girls is connected by an almost transparent and thin film, which eventually becomes dense. In the presence of complete fusion, correction is performed only by surgery.

Diagnostics

The synechia of the labia minora is called intergrowth between them, which provokes the overlap of the vaginal cracks. The diagnosis is usually confirmed after a primary examination by the doctor. The child is examined by a pediatrician for up to a year, and the older girls are a pediatric gynecologist. If an infection is suspected, an additional examination may be prescribed.

In this case, the following tests are performed:

• Diagnostics by PCR method;
• Smears on the microflora;
• Bakpos;
• ultrasound diagnostics.

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

How is the treatment performed?

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

• Massage and regular separation of the labia;
• Adherence to hygiene rules;
• Application on the line of splicing ointment with estrogen.

If an additional infection of the genitourinary system is added, then it is necessary to conduct a course of antibiotic therapy, as well as probiotics and preparations to prevent the growth of fungi. If the synechia arises from the presence of allergies, it is important to determine in a timely manner the cause of the problem. In this case, you need to apply the cream with estrogen and try not to allow relapses. In addition, a special diet can be prescribed to help the child eliminate allergies.

If the pathology is serious enough and there is a problem with urination, as well as discomfort, then doctors recommend that the synechia is cut.

Application of folk remedies

There are also folk methods, which can be used for treatment. If the child has a fusion of the labia and from this there is a certain discomfort, then special warm baths with decoctions of medicinal herbs can help. They effectively eliminate puffiness and relax the muscles.

You can also wash the girl from front to back with decoctions of medicinal herbs. After carrying out of hygienic procedures it is necessary to grease a place of splicing with sea-buckthorn oil. However, you must observe moderation, since too frequent and intensive 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 decoction to process the places of 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 surgical removal of synechia. The operation is carried out using modern techniques, which is why it is practically painless. Nevertheless, the psychological aspect plays an important role.

The dissection is performed with a scalpel, and the operation itself continues for only a few minutes. The recovery period is quite painful, so at this time, especially carefully, you need to monitor hygiene. To urinate does not cause pain, and the healing passed quickly enough, the baby is assigned sessile baths with medicinal herbs, lotions and antibacterial ointments.

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

Nevertheless, the operation does not guarantee that the adhesion will not happen again. Between the labia there may be a spike. Parents, of course, do not have to agree to an operation, but sometimes it is just necessary.

Hygienic procedures

Proper personal hygiene plays a very important role in the prevention of this pathology. Therefore, mothers need to know how to wash the girl right. This should be done with warm running water, after thoroughly washing your hands thoroughly. The anal opening and genitals need to be washed with different hands to prevent infection.

A stream of water should be directed to the vagina from front to back. Be sure to use only high-quality certified hygiene products, better children. They must necessarily have a neutral pH, and also their composition should include a complex of trace elements and at the same time there are no allergens. It is not recommended to use hygiene products for adults. Knowing how to wash a girl, you can avoid the emergence of many different problems.

Therapeutic massage and special baths

Very useful can be baths with the addition of medicinal herbs and special massage sessions. When carrying out the massage, you must first lubricate the hands with Bapanten ointment. For sessile baths are suitable such medicinal herbs as:

• sage;
• chamomile;
• calendula.

The duration of the procedure should not exceed 10 minutes. After that, you can lubricate the child's genitals. It is best to use oil without any additives. Massage involves easy stroking with your fingers without pressure. However, in this case, the movements should be aimed at the gradual separation of the labia. The result will not be noticeable immediately, for this reason, you should try not to cause the girl painful sensations.

It must be remembered that it is possible to conduct such procedures at home only if there is a partial form of the synechia, which proceeds without complications. Before using medicinal herbs and oils, one should consider the possibility of allergies.

The use of special ointments

If the synechia is accompanied by a certain discomfort and soreness, then the standard method of therapy implies the use of special ointments with estrogen or ordinary children's creams. Apply the ointment with your finger strictly along the line of the adhesion, trying not to touch the rest of the genital area. Often, doctors appoint "Traumeel" or "Ovestin" for this purpose. Most often, these drugs are used in conjunction with other drugs.

The duration of therapy is approximately 2 weeks, with the ointment applied 1-2 times a day. Then the doctor evaluates the result and, if necessary, appoints a second course of treatment.

Preventive actions

To warn the appearance of a synechia in girls is simple enough. For this, it is necessary to adhere to the following preventive measures:

• To observe the basic rules of undermining;
• Choose hygiene products without dyes and flavors;
• Do not allow large amounts of soap to reach the vulvar mucosa;
• To change diapers in time, using them only as needed;
• To acquire only high-quality underwear made of natural cotton;
• After each urination wash the genitals without soap.

If the pathology of the child has passed on its own, then the prevention measures still need to be observed, since there is a high probability of relapse. It is very important to monitor the condition of the girl's genitals until puberty. If she had a pathology for the first time, then you need to contact the doctor and only after that to carry out the treatment, according to the available appointments.

Possible complications

Often, the synechia of girls is small, which is why there are no dangerous health consequences. Such a pathology can interfere with normal urination, but not provoke discomfort. However, over time, spike may increase, which will interfere with the normal development of the child's genitals, and in the future will lead to a violation of the childbearing function. In this case, it is necessary to closely monitor the health and development of the girl.

In more dangerous cases, the space between labia remains closed, which creates favorable conditions for the spread of the infectious process. In this case, the consequences can be very deplorable, since pathogenic microorganisms have the property to spread throughout the body. That is why it is very important to call the doctor for complex treatment in a timely manner.

When there are synechias in girls, many doctors recommend not taking any independent action to solve the problem, but the child should always be under the supervision of a doctor.