Adherent or fused labia minora are a common problem in the pediatric population (rate: 1–38%).They occur most often in children from 13 months to 6 years of age, and may be fused totally or only part. Girls may have associated urinary symptoms or vulvar pruritus or may be asymptomatic. Therapy is not always required, as spontaneous separation can occur in which case abstention is best treatment. When symptomatic, topical estrogen therapy may be offered and, if it fails, manual separation.
Revision date: June 18, 2011
Last revised: by Jorge P. Ribeiro, MD