Labial fusion in children 

Labial fusion, or labial adhesion, is when the small lips around the entrance to the vagina (the labia minora) become sealed together and covered with a fleshy membrane. The membrane usually completely seals the vaginal opening, leaving a very small gap at the front through which urine passes. This video explains what labial fusion is, its possible causes, and offers advice on where to seek help.

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Transcript of Labial fusion in children

Labial adhesions, sometimes it's called labial fusion,

is basically where there's a membrane that develops obscuring the vagina.

Small children don't have labia developed until they reach puberty.

It's not the labia that are fused, but it is the vaginal edges.

And what you would see as a parent,

you'd suddenly think, the vagina's disappeared.

So you'd perhaps have a look and think, where's it gone?

And what you'll see is a thin line where the skin's fused,

almost like a little bit of Clingfilm across the vagina

with a tiny hole just at the front where your daughter would pass urine from.

It affects somewhere between about two and five per cent of girls,

so lack of oestrogen isn't the only thing because all girls will have that.

So we think that perhaps as a trigger factor

perhaps some nappy rash or some inflammation, some soreness

that makes the skin a bit sticky.

Then the labial edges, the vaginal edges, stick together

and that gives you a labial fusion.

It's most commonly noticed between the ages of about two and five or so.

Most girls with it are completely asymptomatic.

They have no symptoms, whatsoever.

Some small girls can be prone to urine infections.

There's no clear evidence that that's more common with labial adhesions.

If you were worried that your daughter had labial adhesions

it is worth asking your GP to have a look.

That may well be all the reassurance that you need.

The main thing to remember is that it's a minor condition.

It usually gets better on its own.

And it has no long term risks for your daughter's sexual life

or fertility or anything else in the future,

so just be reassured, really.

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