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My daughter has had Is the vagina always closed fused vagina since she was born. The pediatrician prescribed a topical hormonal medication which opens it up, but Is the vagina always closed time we stop medication it closes again. We have never heard of this happening to any other girls. The doctor says that by the time she reaches puberty, her Is the vagina always closed hormones will fix the problem. Should we be concerned? By far the most common form of vaginal obstruction in little girls is fusion of the labia minora as a result of labial adhesions.

These are typically diagnosed in girls from 6 months to 6 years of age. Williams Gynecology Diaper rashinfections, irritants, or mechanical trauma commonly cause chronic inflammation of the labia. Occasionally the inflammation is the result of chronic sexual abuse. Is the vagina always closed the cause, as the labia try to heal, fibrous tissue adheres the labia to each other.

Some girls are prone to forming adhesions no matter how careful the parents are. The adhesions result in a smooth membrane over the vulvar opening with a thin, pale line at the center. Usually, a sufficient opening at the front remains to permit urine and vaginal secretions to exit.

The adhesions will often resolve spontaneously when girls are out of diapers or pull-ups both day and night. Your doctor is right that when labial adhesions persist, the estrogen surge at puberty will correct the problem. If there are no complications, such as infections or obstruction, the adhesions do not need to be treated.

If treatment is needed, the natural process can be accelerated with the application of topical estrogen. If the problem is truly labial adhesions, Is the vagina always closed should readily open the labia.

As you have discovered, when the estrogen is stopped, the labia frequently re-fuse, since the tender labia can form new adhesions even more easily than before. Most of the time this will be sufficient to break the cycle. Be sure to remove any irritants such as bubble bathstreat any infections such as yeastheal any diaper rash, and teach good genital hygiene wipe from front to back. These resolve when the estrogen applications stop.

The bleeding is self-limited, and not a cause for concern. Interestingly, most normal girl infants transiently have some degree of precisely these symptoms shortly after birth. Perhaps Is the vagina always closed prone to forming labial adhesions have mildly lower levels of estrogen than average.

Throughout their course, the adhesions should be followed by your pediatrician. If they do not respond to the therapy outlined above, or if they were truly present at birth, further evaluation is indicated to look for other, far less common, abnormalities of the genitourinary system. Never attempt to separate the labia forcefully. This is painful and traumatic. Moreover it usually results in even worse adhesions than before.

In the office, I often see girls with labial adhesions. Almost none of the parents has heard of this condition. Rest assured though, that labial adhesions are common, rarely uncomfortable, easily treatable, and will usually resolve even without treatment. Even though the condition looks worrisome, it need not be a cause for concern. Greene is a practicing physician, authornational and international TEDx speakerand global health advocate.

Dear Doctor, I am not a child. I am in my eighties and am worried that my vagina is going to close to the point that I may have to have surgery. I would like to know if there is anything I can insert to avoid that. Also, I began having cystitis about two years ago. My urologist examined me and could only get one finger.

I had four children within six years. This eventually led to repair at Duke University. Debris was left in my bladder Is the vagina always closed resulted in open bladder surgery a few months later. Kind regards, Mimi L. Has your doctor mentioned vaginal dialators? The basic idea is to start with a very small size that fits in your vagina and stretch it over time many days or weeks or Gorgeous girls gagged nude to chair pics If it works, it sure beats surgery.

Gyn doctors do recommend these, but I have no idea if there would be a problem for you so you should ask before trying it. My niece has fused labia she is 7 years old. Her testosterone is 9 and she has a few strings of hair on each side of the fused labia. Why is this? My 4 year old has had a vagina adhesion since birth. Her pediatrician has forcibly opened it several times using a numbing creams… only to have it come back again and again. My daughter is becoming traumatized by this. I fear this is going Have a continued negative effect and in the end it will still zipper back up.

Ties and cries if I try and apply the cream and no longer even wants to do it herself. As Dr. Moreover, it usually results in even worse adhesions than before. In my opinion, you could try printing out this article and sending it to your pediatrician. She might be open to changing her approach. Or is it time to get another opinion from a different doctor? Greene and I am not a doctor. Please keep that in mind when reading my comments and replies.

I am just looking this up because I have had problems all of my life. The one and only thing that sticks out is the pediatrician forcefully doing this. It still makes me cringe. I can never forget it. I am nearly Try to find another solution. One of my 7 month old Twins is having an Adhesion issue. Her labia minora is adhering to Is the vagina always closed labia majora….

I also worry that because she is completely open down there she could easily get an infection. I am calling the pedi in the morning but in the meantime does anyone have any Is the vagina always closed with this type of labial fusion???? I had this problem when I was 2. Then I went to urinate and began screaming again and my urine stream was so very small and mostly blood.

I ended up having surgery to open it as it was closed so far as to obstruct my urine stream. I would like to note that as a young girl, I always had a discharge, much like a yeast infection. Although no doctor could find a valid reason for it. I also started getting urinary tract infections after puberty.

I am Is the vagina always closed now and get them almost every 3 months. They are so severe that I literally only have about one hour Is the vagina always closed first symptom before I am peeing straight blood with chunks.

Also, I have had endometriosis since I started menstruating at age When I stopped taking the birth control and took away the hormones, the tissue stiffened up and the result nearly killed me.

I am also struggling with infertility. I say all of this because the only person I have ever met that had the same surgery for labial adhesion as a child, also has severe endometriosis and is infertile. Endometriosis in only recently being taken seriously and pointed out publicly. Researching articles and pages outside the U. It is also the only Is the vagina always closed I have found specialists who Is the vagina always closed successfully operate in all three regions.

Someday, your daughter may live a better quality of life because you chose to do so. And please, offer the information for clinical purposes so maybe girls and women in our future may not suffer as I have, as well as Is the vagina always closed other women.

Thank you. Thank you so much for sharing this valuable information. I am Is the vagina always closed sorry for you pain — physical and emotional. From the ages of 3 to 5 my pediatrician and my mother would frequently manually separate my labia by quickly ripping the fused labia apart. This was very traumatic and has had a profound impact on my life. I have body memories of the pain and difficulty with intimacy as an adult.

It is not ok to manually separate labial adhesions. I always had memories of the pain and the guilt associated with being told Is the vagina always closed was my fault.


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