How to understand that a child has synechia. Synechia in little girls and women: what is the danger. Additional ointments for treating girls

Parents often go to the doctor with problems with the structure of the genitals in girls. Even with seemingly complete care, sometimes they note fusion between the labia of children. Parents of girls under three years of age usually face this problem. Such adhesions are called synechiae, and they have special causes and methods of treatment and prevention. When should you worry and what measures should you take?

Such anomalies in the structure of the labia in girls can be congenital or acquired during life. Synechiae in children are special fusions or adhesions formed at the border of the labia minora; sometimes the labia majora can also partially fuse. Most often, children feel discomfort if the fusion is localized above the area of ​​the outlet of the urethra. This leads to difficulty urinating with discomfort and whims.

If this is not a congenital defect, then the reasons for this phenomenon in children may be the parents themselves, who are either too careless in matters of care or are overly scrupulous. The main reason for the development of adhesions is inflammation, in the area of ​​which special substances (exudate) are formed that have an adhesive effect and lead to the formation of adhesions. Inflammation can be caused by overly active and frequent washing with aggressive agents - bar or adult soap. On the surface of the skin and mucous membranes, children have special protective films consisting of fats; when using alkaline soap, they are washed off. Which leads to dry, irritated and inflamed skin. As the inflammation subsides, the edges of the labia may stick together and grow together.

No less common causes of synechiae can be urinary infections and worms, which lead to irritation and redness of the genitals, irritation and itching. Often, redness can also be caused by fungal infections - thrush. Also, an inflammatory process with severe redness and further formation of synechiae can be caused by vulvitis or vaginitis, damage to the genital area by various pathogens. Allergies to food, cosmetics and diapers can also cause severe redness and itching with burning, and synechiae are often of allergic origin.

Manifestations of synechiae in children

Usually synechiae is visible visually; parents note that the anatomical structure of the genitals is not entirely correct. In addition, children with synechiae may cry when urinating, climb with their hands into panties or diapers, and rub their perineum on the bed. When trying to urinate, the stream may deviate from the correct direction, urine is released intermittently, children strain and are capricious, and refuse to go to the potty.

Suspicious signs of synechiae or the threat of their formation may be redness or frequent inflammation in the genital area, small rashes, dry skin or discharge from the genital opening. This kind of manifestation is always a reason to consult a doctor (this could be a pediatrician or pediatric gynecologist). If synechiae is not treated in time, it can lead to disruption of the structure of the external genitalia, problems with urination, and recurrent genitourinary infections. This threatens children with future problems with childbirth and intimate functions in adulthood.

Many parents worry that if they suspect the formation of synechiae, they need to show their child to a pediatric gynecologist. However, the examination and treatment procedure for girls differs significantly from that for adult women. If a doctor suspects synechia, he will carefully examine the girl in the arms of her parents or on a couch (not on a chair!), if necessary, take swabs and send her for analysis for helminths. If an infectious nature of the inflammation is suspected, a smear will be taken to test the flora and sensitivity to antibiotics. The baby's parents will be with her all the time and can monitor the progress of all manipulations. During the examination and examination, the doctor will ask them questions - are there any allergies, what did they use to care for the baby, what brands of diapers and cosmetics did they use. Parents should answer questions as accurately and openly as possible; this is important for diagnosis.

If treatment is needed...

Today there are two methods of treatment for synechiae - surgical dissection and conservative therapy, each of them has its own characteristics. Dissection is resorted to in extreme cases; after it, with improper care, synechiae tend to recur. First of all, conservative therapy is used, this is the use of local products with female sex hormones - estrogens. They are combined with complete care and local healing and regenerating agents. The drug is applied in a thin layer in the area of ​​the commissure once or twice a day for several weeks; a doctor draws up an individual regimen for them. During the application process, special movements are carried out, which help in the divergence of adhesions. As the synechiae disperse, the site of their formation is treated with special ointments with vitamins.

If there is no effect, after treatment with ointments with an anesthetic, mechanical dissection of the adhesions is carried out, and then therapy with creams with hormones and other substances should continue.

To prevent synechiae from reoccurring, proper care for the girl is necessary. Diapers are not harmful during treatment if they are changed regularly and do not provoke allergies. The basis of care is regular washing without aggressive agents in the morning and at night, as well as immediately after bowel movements. Baths with herbal decoctions for no more than 5-6 minutes for a couple of weeks can complement genital care for synechiae. After washing and bathing, it is necessary to blot the genitals with soft napkins, applying napkins with ointment to the area of ​​the adhesions. After washing, you need to treat the external genitalia with sterile oils so that they do not stick together.

In addition, important basics of care include keeping the perineal area dry and clean, since the slightest irritation and redness can lead to inflammation and relapses.

Synechiae in girls is very common. It is important to detect the disease in time to prevent complications.

Most parents are not even aware of synechiae of the labia minora in girls. They don’t talk about this in courses for expectant mothers. It is difficult for a mother, even a woman, to determine whether her daughter has synechiae or not.

What do synechiae of the vagina and labia minora look like in girls?

Synechia, simply put, is a fusion. Synechia of the labia minora is the fusion of the labia minora in a girl. Possible fusion of the labia minora with the labia majora. Fusion can be complete or partial.

To examine your daughter for the presence of synechia, you need to:

• wash your hands well with soap
• nails should be cut short
• put the baby on her back
• Gently spread your legs and carefully examine the genitals

Having opened the labia majora, the mother will see that the labia minora are tightly pressed to each other and a film has formed between them. The vagina is not visible at all, or only part of it can be seen. When I try to separate the jaws, nothing happens. This brings pain to the baby and the child begins to cry.

IMPORTANT: With a normal structure of the labia minora, the gap is large, the vagina is clearly visible. The labia minora look like petals and are separate from the labia majora.

Signs of synechia in girls

IMPORTANT: The main sign of the presence of synechia in a girl will be problems with urination. The child will cry and strain. Relief comes only after urination. The situation worsens in the evenings. The baby practically cannot sleep.

Sign indicating the possible appearance of synechia are:

• redness of the baby's genitals, the presence of a small rash
• When washing, there may be painful sensations, the girl will cry
• Synechia is also indicated by the fact that when urinating, urine rises in a stream upward, like in boys
• constant leakage of urine, the child went to the potty, but his panties were always wet

Synechia in girls, photo

The first photo shows the normal structure of the genital organs. The second photo clearly shows the complete fusion of the labia minora.

Synechia in infant girls

Almost from the first days of life, girls can have fused labia. It is believed that The cause of this disease is low levels of sex hormones. This should not alarm parents. Since the absence of sex hormones before puberty is the norm.

Up to about 8 years of age, relapses of the disease are possible. As a girl grows up, the genital mucosa becomes less susceptible to external irritants and more dense. And it hardly grows together.

Causes of synechia in girls

The reasons that can provoke synechiae are:

• food allergies in a child to certain foods in the diet of a baby or mother who is breastfeeding
• household allergies can occur to diapers, powder, cream, soap, napkins, oil
• insufficient washing
• washing too often
• use when washing soap
• improper washing
• genitourinary system infections
• hormonal medications taken by the mother while the baby is pregnant
• dysbacteriosis
• worms

In order to find the cause of the formation of synechiae, the specialist will prescribe a series of tests:

• vaginal smears
• blood and urine test
• feces for dysbacteriosis and worm eggs
• scraping for enterobiasis

Breeding synechiae in girls

IMPORTANT: The earlier synechiae are detected, the easier it is to breed them. At the very beginning of the disease, the film is thin and transparent. And when fully fused, it becomes dense, the body perceives the genital gap as a wound, and without surgical intervention it cannot be separated.

• You cannot do this on your own; you can only harm the child. If you suspect synechia, you should seek help from a pediatric gynecologist.
• It is believed that synechiae should not be touched at the initial stage, but should be diluted only when the fusion brings discomfort to the baby

Treatment of synechiae, dissection of synechiae in girls

• The dissection of synechiae in girls is done by a pediatric gynecologist. This procedure is performed using a scalpel and takes a few seconds. The manipulation is painful and requires special care for the baby’s genitals
• To relieve painful urination and wound healing, sitz baths, lotions and antibacterial ointments are recommended

IMPORTANT: Dissection does not protect against repeated relapses. The labia minora may grow back together. Parents have the right to refuse this method of treatment, but with complete fusion, when urination is impaired, this is the only way to help the girl.

• give up diapers
• carefully monitor your baby’s personal hygiene
• lubricate the labia with baby cream and vegetable oil
• do air baths as often as possible.

How to treat synechiae in girls at home?

Treatment of synechiae at home is possible only with partial and uncomplicated fusion. To do this, use warm sitz baths with the addition of medicinal herbs such as chamomile, calendula, string.

The procedure takes 10 minutes. After this, it is recommended to lubricate the fusion site with sea buckthorn, olive or peach oil. The oil must be clean, without impurities.

IMPORTANT: before use, you must check if your child is allergic to the selected type of oil.

Cream for synechia in girls

• If synechiae progresses and causes discomfort to the baby, a specialist will prescribe special hormonal creams
• They can be used only in strictly specified quantities and once a day. Apply such creams with a clean index finger, strictly to the area of ​​adhesion. The course of treatment is 14 days
• After a course of treatment with hormonal cream, the area of ​​the labia minora is treated with baby cream without fragrances. Apply cream after washing

Ointment for synechia in girls

To improve the effect of using hormonal cream, ointments are prescribed. They are applied to the adhesion zone in the morning, after washing. These ointments include Traumeel S, cream-gel Malavit, Contractubex.

Does Contractubex help with synechiae in girls?

• Contractubex is an anti-scar gel. Used as an additional remedy in the treatment of synechiae in girls
• Apply a thin layer to the adhesion site twice a day. If the doctor or parents do not want to use hormonal creams, treatment is only possible contractubex
• This method requires more time and patience. The full course of treatment is 3 months . When used correctly it gives results

Ovestin treatment of synechia in a girl

For successful treatment of synechiae, a hormonal cream is prescribed.

IMPORTANT: Ovestin, when used correctly, acts only on synechiae and does not affect the baby’s hormonal levels.

Use Ovestin once a day after evening washing.

• Apply half a centimeter of cream to your finger
• gently spread the labia majora
• apply cream to the adhesion line
• make light circular movements with the labia majora
• You cannot put on a diaper immediately after the procedure; you must wait until the cream is absorbed
• When applied Ovestin It is recommended to use only your finger. But, some doctors advise using a cotton swab and rubbing the cream into the commissure. This must be done carefully so as not to damage the girl’s genitals.
• The course of treatment is 14 days . If the synechiae have not resolved or have resolved, but only partially, after a ten-day break you can continue treatment

Prevention of synechiae in girls

In order to prevent synechiae in girls, you need to:

• wash properly, this is done every day under running water and from front to back to avoid infection
• wash only with your hands, it is strictly forbidden to use a washcloth, as this can damage the delicate tissue of the labia
• When washing, use soap only once a week; it should be baby soap without fragrances or dyes. Frequent use of soap dries out the mucous membrane and provokes synechiae. It's better to give up soap altogether
• use diapers correctly, change them every three hours or more often
• do air baths for the genitals, the longer the better
• choose underwear only from natural fabrics and in size; before putting it on the child, it must be ironed
• wash children's clothes separately from adults' clothes
• If your child is allergic, closely monitor allergic reactions. In case of redness, generously lubricate the labia minora with unscented baby cream or use diaper rash cream
• do not overuse herbal or potassium permanganate baths

IMPORTANT: It is imperative to examine the baby’s genitals. The earlier synechiae are diagnosed, the easier it is to treat them.

• Most mothers and specialists speak positively about treatment with hormonal cream. When applied correctly, synechiae pass easily and painlessly
• After dilating the labia minora, the adhesion site should be treated with additional non-hormonal ointments
• The use of Ovestin is also justified in case of fusion of the labia minora with the labia majora. The cream is applied to the fusion site and the result will be visible in about a week

In the fight against synechiae:

• Be sure to exclude allergens, both household and food. Otherwise, the mucous membrane will be irritated and re-growth may occur.
• In case of viral infections, carefully monitor the labia minora
• Lubricate with baby cream or oil several times a day. Massage the perineum
• If the fusion of the labia is partial and does not cause discomfort, carry out only observational tactics

Many mothers are worried about frequent relapses of synechiae. This means something was done wrong. We need to be patient. And, most importantly, remember that the girl will grow up, and the problem will go away on its own.

Video: Pediatrician Plus - Synechia (fusion of the labia minora) in girls

Video: Why synechiae occurs in girls - Dr. Komarovsky

Video: When to treat synechiae in girls - Dr. Komarovsky

Video: How to treat fusion of the labia - Dr. Komarovsky

Synechia in girls (sticking together of the labia) is considered a fairly well-known problem. Several years ago, doctors understood this term as congenital pathology. This opinion was then refuted by research. It is now believed that synechiae can appear in any girl due to the influence of certain factors.

This intimate problem occurs in babies aged 6 months to 6 years. Sometimes synechiae appear earlier. Typically, the child does not experience any symptoms with this condition.

The baby can't complain about anything. Most synechiae go away on their own, but in some cases surgical treatment is required. Let's figure out how parents and doctors detect this problem in children, and what help can be provided.

Synechia of the labia - what is it?

By this term, doctors understand the adhesion (fusion) of the labia minora or majora along their entire length or only in the lower third. There is no entrance to the vagina. The labia are connected by a thin membrane. With complete fusion, it is impossible to see the opening of the urethra.

Synechiae may be noticed by a doctor during a routine examination of the child. Even parents can see the fusion with the naked eye. In some cases, the following symptoms are observed:

These signs appear when the baby’s labia completely stick together. Additional symptoms appear in infectious diseases that begin due to a violation of the outflow of urine.

Wait or see a doctor?

If the child’s labia are not completely stuck together and there are no symptoms of an infectious process, then you can postpone the visit to a specialist. In the vast majority of cases, the child does not need any help. You just need to maintain hygiene and monitor the condition of the labia. You can use folk remedies for treating synechiae in girls (for example, use chamomile decoctions for bathing).

If the baby has extensive adhesion, which impedes the flow of urine, or there are signs of an infectious disease, then you need to see a doctor as quickly as possible. Depending on the child’s condition, the specialist will choose the most appropriate treatment method.

Most doctors, when identifying synechiae in a child, choose conservative treatment. The girl is prescribed a special cream containing estrogens (for example, Ovestin). The hormones included in the product help to separate the sticky labia.

Experts recommend using estrogen cream according to a certain scheme for two weeks. Then the result is evaluated. After this, the cream can be used for another two weeks, but less frequently. The technique of applying the remedy plays a huge role in the presence of symptoms of synechiae in girls. Doctors advise using the ointment as follows:

1. Place the baby on his back.
2. Separate the legs and labia majora.
3. Gently apply the cream with your finger to the bonding line (do not use cotton swabs, gauze, etc.).
4. Do not apply ointment to undamaged areas.

Creams containing estrogen do not pose a risk to the health of babies. Even with long-term treatment, serious side effects do not occur due to the drug used. In some cases, parents notice in the child pigmentation of the vulvar mucosa, the first pubic hairs, and swelling of the mammary glands. These signs appear due to the influence of estrogen. After stopping use of the cream, all symptoms disappear.

The remedy should be gradually replaced by a neutral ointment. Any baby cream that contains lanolin and no fragrances will do. Such products prevent the labia minora and labia majora from sticking together again.

If redness appears in the area where the labia stick together and the child cannot urinate, then you should immediately consult a doctor. The specialist will choose a surgical treatment method: he will separate the child’s labia with a probe and apply antibacterial ointment.

The process of separating synechiae is not traumatic for the child. The girl won't feel anything. Before surgery, anesthesia (local or general) is performed. Very often, doctors prescribe estrogens after separation of synechiae. Hormonal therapy is necessary to prevent re-adhesion, because the risk of relapse is 30%.

Causes of synechiae and prevention

Parents can prevent this intimate problem from occurring in their daughters. However, to do this, you need to know the causes of synechiae in girls. Fusion of the labia minora and labia majora occurs:

• due to frequent washing with soap and washcloths;
• due to wearing too tight underwear and inflammation;
• due to infectious processes occurring in the genital area or in the urinary tract.

Thus, prevention of synechiae of the labia should consist of proper hygiene, the use of high-quality underwear and timely treatment of all diseases. Taking into account all the tips listed below, you can prevent the formation of synechiae in a child.

Hygiene plays a very important role. Girls need to be washed in the morning, evening and day, if necessary, without friction or effort, using clean water at room temperature. Experts recommend washing children's genitals under running water, and not in a bathtub or basin. You can use special baby soap. It should not contain fragrances or dyes. When washing, you need to make sure that the foam does not get on the girl’s mucous membrane.

Soap is not recommended to be used frequently, because it causes irritation, dries out the skin and contributes to the appearance of microcracks (it is because of them that synechiae occurs in girls, as the vulvar mucosa begins to restore its integrity). Also, do not use sponges and washcloths to wash your child. It is recommended to perform all actions with clean hands from front to back in order to avoid introducing infection into the vagina from the anus.

For washing, you can use decoctions of medicinal herbs, but you should choose them carefully. These drugs cause an allergic reaction in some children. Before using decoctions or using herbal baths, you should consult your pediatrician.

After washing, you should not wipe the genitals, as you can damage the mucous membrane. This area should be blotted with a soft diaper or towel. After this, the child can be put on a clean diaper or panties.

Cotton is considered the best material for children's panties. It is products made from this fabric that you need to purchase for your daughters. Natural panties allow air to pass through well and allow the skin to breathe. Children feel very comfortable in cotton products. Skin irritation does not occur.

Underwear must be purchased in the appropriate size. Panties should not be too small, squeeze or rub. Otherwise, the babies will begin an inflammatory process. This, in turn, will lead to the fact that parents will have to consult a doctor about the treatment of synechiae in girls.

3. Timely treatment of infectious diseases

One of the important preventive measures is to visit a pediatric gynecologist if suspicious symptoms appear. If the baby has redness of the external genitalia, plaque on them, or discharge from the genital tract, then you should immediately visit a doctor. These symptoms may indicate the presence of some kind of infection in the body.

If the results of tests and additional examinations show that the child has some kind of disease, the specialist will prescribe the appropriate treatment. The sooner it is started, the faster you will be able to get rid of the existing problem. Thanks to timely treatment, it will be possible to prevent the appearance of synechiae.

In conclusion, it is worth noting that children are not born with synechiae. The occurrence of this intimate problem in a child largely depends on the actions of the parents. Moms and dads should monitor the health of their daughters, follow the doctor’s recommendations and carry out hygiene procedures daily by washing their babies. If it was not possible to avoid the appearance of synechiae, then it is worth looking for a qualified, patient and kind pediatric gynecologist. Only such a specialist will not only tell you how to treat synechiae in girls, but also get rid of an intimate problem without causing harm to the child’s psyche through his actions.

Educational video on the topic

My daughter suddenly began to be capricious periodically when she wanted to go to the toilet. At first I didn’t even understand why. At an appointment with a pediatric gynecologist, I learned that we had incomplete fusion. The doctor prescribed Ovestin cream for us, we applied it for two weeks. Gradually the film dispersed. Now a year has passed, we see a gynecologist once every 3 months, everything is fine with us.

We were also prescribed Ovestin, but we got by with two weeks of use. The doctor also told us about prevention, natural linen, air baths, only baby soap, and not wash as often as I did. We try to follow everything that was recommended, now everything is in order.

We also had synechiae. We were prescribed Ovestin for 2 weeks, but the synechiae did not completely resolve, as a result, the treatment was extended for another 2 weeks, but the cream was no longer applied every day. In the end, everything went away. Then I tried to make my daughter spend more time without diapers, sometimes bathing her in chamomile.

We had incomplete fusion, like a thin film. The doctor quickly pulled me apart, I didn’t even have time to come to my senses - I just pulled my lips harder and that’s all. Then they applied Ovestin cream for a month and for some time after that I kept an eye on it so that it did not happen again.

Synechia: types, causes, symptoms and general principles of treatment

Synechiae (adhesions) is a condition in which adhesions form between adjacent surfaces. They can form in the nose, in the uterus of an adult woman, on the penis in boys and between the labia in girls.

Description of types of synechia

Synechiae of the nasal cavity

Such adhesions can be congenital in nature, when the pathology develops already in the womb. In this case, the causes of the development of synechia may be choanal atresia and syphilis; adhesions form on the posterior wall of the nasal passages. Acquired synechiae are most often formed as a result of cicatricial changes that occur with various injuries of the nose, burns of the mucous membrane of the nasal passages.

According to statistics, acquired synechiae are more often diagnosed, and the impetus for the formation of such adhesions in the nasal cavity can result from:

Adhesions (synechiae) can form in different parts of the nasal cavity and in the nasal passages. It is noteworthy that if the fusion is small in size, then no complaints are received from the sick person. But if synechiae covers a large area of ​​the nasal cavity, then the symptoms will be:

• constant ringing in the ears;
• persistent nasal congestion;
• absence or partial decrease in sense of smell;
• constant formation of crusts on the mucous membrane in the nasal passages.

Against the background of synechiae in the nose, pharyngitis, pneumonia, bronchitis and other diseases of the respiratory system can develop. Adhesions close the nasal passages, which causes complete nasal congestion. The result of this is breathing through the mouth - dirty and cold air passing through the throat causes the development of laryngitis and sore throat, which occur in a chronic form.

Diagnosis of synechiae in the nasal cavity is based not only on the patient’s complaints - the symptoms of this disease are too nonspecific. The doctor will be able to make an accurate diagnosis only after performing rhinoscopy, probing the nasal cavity and palpating the nasopharynx.

Synechia in girls

This disease most often occurs in girls and can weld together not only the labia, but also the entrance to the vagina. If the labia are completely fused together, then the urethra will also close - problems with urination in girls will be guaranteed.

Synechia of the labia, vulva and vagina occurs against the background of inflammatory and/or infectious diseases of the internal and external genital organs, excessive or insufficient hygiene, and an allergic reaction.

Regarding violations of hygiene rules, it must be emphasized that not only insufficient procedures lead to synechiae, but also excessiveness. The fact is that in girls the vulva is covered with a very delicate layer of protective “film”, and its friction leads to the formation of microtraumas. Such damage is a direct path to infection.

The allergy factor in the development of the disease in question “triggers” only if the girl is allergic to some foods or substances, and they are constantly present in her life - the external genitalia swell and become more vulnerable.

Synechia of the vagina, labia and vulva is considered a rather dangerous disease because it has the ability to quickly become chronic. The result of this will be improper development of the genital organs, and in the future this may affect reproductive function.

Synechiae in boys

Quite often, boys experience the appearance of synechiae between the glans penis and the foreskin. In principle, doctors do not attribute this phenomenon to some dangerous pathologies and prefer not to treat, but to take a wait-and-see approach.

Due to synechiae, boys have problems with exposing the head of the penis - many parents mistake this for phimosis, but doctors quickly differentiate these two diseases. At the age of 3-4 months, boys begin to produce smegma - a whitish discharge that accumulates under the foreskin. Parents should be especially attentive to hygiene procedures - they need to thoroughly wash both the foreskin and the head of the penis, trying to completely remove the smegma.

Note: Normally, synechiae in boys disappear by adolescence - the tissue of these adhesions becomes loose and the head of the penis is freely exposed.

According to statistics, synechiae in boys does not lead to any serious consequences.

Synechiae in the female uterus

In an adult woman, synechiae can form in the uterine cavity - fusion occurs between the walls of this hollow organ. This disease is usually diagnosed against the background of frequent abortions and diagnostic curettages, after difficult childbirth and surgical interventions on the uterus. In addition, synechiae in the uterine cavity can form after long-term use of hormonal oral contraceptives, and after installation of an intrauterine device.

The primary symptoms of synechiae in the uterine cavity will be menstrual irregularities and pain during or after sexual intercourse. These signs are nonspecific and are not a reason to diagnose synechiae. The doctor will refer the woman for a full examination and an ultrasound examination will confirm the adhesions. The size and extent of adhesions in the uterine cavity can be determined using hysterosalpingography.

If synechiae in the uterus were diagnosed in a woman who has not yet given birth, then this can become an obstacle to conception and the normal course of pregnancy.

General principles of treatment of synechiae

Most often, the disease in question can be cured with therapeutic methods, but in some cases only surgical intervention can correct the situation. Of course, doctors will prescribe an individual treatment regimen; we will highlight only the general principles of getting rid of such adhesions:

1. If synechiae has formed in the nasal cavity, the doctor will insist on surgical treatment– the specialist will simply excise the adhesions. Moreover, the sooner such radical treatment is carried out, the faster the patient’s health will be restored. The most effective treatment would be to get rid of synechiae using a laser - in the postoperative period, scars form very quickly and the risk of relapse is reduced significantly.

Note: If nasal congestion appears and there is a suspicion of the formation of synechiae, then in no case should you carry out procedures for rinsing the nasal cavity and use vasoconstrictor drops to facilitate breathing - this will lead to the growth of the mucous membrane and a greater spread of synechiae. Vasoconstrictor drops for synechiae in the nasal cavity can lead to disruption of the functionality of the organs of vision and brain.

If therapeutic methods for the treatment of synechiae of the vulva, vagina and labia do not produce results, then the doctor will resort to surgical treatment, which is performed under local anesthesia.

Features of the treatment of synechiae in girls using traditional methods

Most often, doctors encounter synechiae of the vagina, vulva and labia in girls. It is not surprising that for just such a case there are several remedies from the category of “traditional medicine”, which can be used in each specific case only after consultation with a doctor.

First, you need to adjust the girl’s diet. It is highly advisable to exclude from the menu foods that are likely to cause an allergic reaction - chocolate, eggs, honey, cocoa, oranges, red berries/fruits. But you need to introduce foods rich in vitamin C into your diet - persimmons, tomatoes, cabbage, broccoli, apricots and others. Even official medicine recommends eliminating or limiting the consumption of foods rich in calcium - these include milk and fermented milk products.

Important! Treatment of synechiae in girls with folk remedies should not be a priority; it is of an auxiliary nature. It is permissible only after consultation with a doctor.

Secondly, after evening hygiene procedures, you can independently separate the synechiae. To do this, you need to carefully spread the girls’ labia apart with two fingers, exposing the entrance to the vagina, and drop 2 drops of pumpkin or almond oil into the resulting space. It is imperative to remember that for the treatment of synechiae in girls they do not use essential oils, but plant materials oil! During this procedure, it is highly advisable not to come into contact with the delicate mucous membrane.

Note: The famous and useful sea buckthorn oil is not suitable for the treatment of synechiae in girls. It is in childhood that this product often provokes the development of a powerful allergic reaction.

Thirdly, you can give the girl baths with a decoction of chamomile twice a day (1 tablespoon of chamomile flowers per glass of boiling water, leave for 1 hour). And after the procedure, you need to lubricate the external genitalia and the site of synechiae with internal pork fat. It's easy to prepare fat - you just need to melt it in a frying pan and until the greaves turn golden, pour it into a vessel for further storage.

There is another option - lotions with calendula infusion. They are usually done to girls aged 2-3 years, when they can already lie down quietly for 10-15 minutes. First, prepare an infusion of 200 ml of boiling water and a tablespoon of calendula flowers (leave for 30 minutes). Then fold gauze into 2-4 layers, soak it in the infusion and apply it to the girl’s external genitalia for 15 minutes.

Synechiae is a harmless, but rather unpleasant disease, which medicine quite successfully treats not only with surgical, but also with therapeutic methods.

Konev Alexander, medical columnist

The information is provided for informational purposes only. Do not self-medicate. At the first sign of disease, consult a doctor. There are contraindications, a doctor's consultation is required. The site may contain content prohibited for viewing by persons under 18 years of age.

Methods for treating synechiae in girls at home

Question from: Anonymous

The little granddaughter had fusion of the labia. The doctor said that while no incision is required, time will tell the further need for such intervention. If synechiae appears in girls, is treatment at home possible? How can you prevent further fusion and relieve the child’s genitals from inflammation?

At home, treatment of synechiae in girls is aimed specifically at relieving local inflammation and improving the situation as a whole. Fusion of the labia in young children occurs due to a lack of sex hormone, although in childhood its extremely low production is considered normal.

An allergy to diapers or other hygiene products (washing powder, soap) can contribute to this pathology. Also, fusion can be caused by insufficient or excessive hygiene of the girl’s genital organs, improper washing, infection of her genitourinary system or worms. Even the mother's use of hormonal drugs during pregnancy can have an effect.

To identify the cause, the doctor will take a blood and urine test and a vaginal smear. You will need to test your feces for worm eggs. If the synechia is partially fused at an early age, do not touch it, solving the problem with medication. An incision is made if complications arise in the form of difficulty urinating and pain.

Only uncomplicated synechiae can be treated at home. For these purposes, sitz baths are made from decoctions of calendula, string and chamomile. The procedure lasts 10 minutes, after which the genitals are lubricated at the site of fusion with sea buckthorn or olive oil. Before use, make sure that there is no allergy to the chosen type of oil.

It is necessary to monitor the condition of the child’s genital organs. If it worsens, the doctor will prescribe a special hormonal cream to treat synechiae. Their dissection does not guarantee complete recovery, since re-fusion is possible.

For prevention, the following must be taken:

• carry out air baths;
• maintain hygiene of the girl’s intimate organs;
• lubricate the labia with oil or baby cream;
• do not use disposable diapers.

Do not try to separate your child's labia yourself if you see that they are starting to grow together. This should only be done by a pediatric gynecologist.

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Comments

We also had a relapse. But can you still go into more detail? What kind of olive oil is it? Which one is used as food?)))

Yes. the most common body oil

We are suffering from the same thing with this infection. A week ago the doctor did a cut on us and, by the way, she told us to drip with olive oil, only for children. But I wanted to ask you that olive oil is ordinary, well, that is. We used the purchased one and more details about how you did it, please.

You can buy almond at the pharmacy, just double-check it 1000 times to make sure it’s not ethereal.

after bathing, lubricate the ear stick with oil, spread your legs and lubricate thoroughly between the lips large and small and in the causative place.

we did it once a day.

I would say without hormones)))

ok))) I don’t argue)))

Congratulations on your recovery! :))

Our pediatrician immediately after birth told us to wipe everything there with a cotton pad with baby oil every day after a bath. My niece had this problem when she was 4 years old. Thank God he was cured.

What's the problem? Do you think it’s bad manners for dad to look there?

no...just asking.

My husband changes my daughter’s clothes, but I do mine and all the procedures myself. shore. and then suddenly she will turn out...

my husband only helps)))

but I can’t find anything on the internet what it looks like. maybe I'm looking in the wrong place))

Well, I hope we don’t have it)) and it’s strange where it comes from

thank you, but outwardly it’s still hard for me to imagine it)))

))) Well, if nothing stuck together / fused, then everything is ok.)))

comes from diapers

In general, I thought it was due to dryness. but we somehow lubricated it with oil immediately after a bath a couple of times a week.

The main thing is that you don’t have a TTT relapse. I think oiling is not wrong, so continue the procedure and don’t get sick))

Synechia

General description of the disease

Synechiae are fusions between adjacent surfaces or organs. But most often this disease is observed in little girls under the age of 6 years, who suffer from fusion of the labia minora (less often the labia minora and labia minora). Synechiae can be congenital or acquired.

Causes of synechia:

• Estrogen (sex hormone) deficiency;
• The presence of an inflammatory process in the vulva area, which provokes thinning of the mucosa;
• Presence of infection in the urinary tract or genitals;
• Excessively frequent intimate hygiene (washing a girl with soap injures the mucous membranes and, as they heal, they form an adhesion);
• Allergy and exudative diathesis (allergic reactions manifest themselves on mucous membranes);
• Intestinal dysbiosis, as it provokes overdrying of the mucous membranes, after which they can “stick together”;
• Pregnancy complicated by intrauterine infection;
• In little girls, the causes of synechia may be incorrectly selected diapers, frequent colds, childhood infectious diseases (rubella, chickenpox), and the use of antibiotics.

Symptoms of synechia

Symptoms of synechia can be any changes in the structure of the labia, as well as rashes, peeling, redness or discharge. In addition, if a child experiences discomfort or difficulty urinating, is capricious, cries or strains during almost every act of urination, you should immediately contact a pediatric gynecologist.

Types of synechia

Doctors also identify intrauterine synechiae, or Asherman's syndrome. They represent partial or complete fusion of the uterine cavity.

In girls there are:

1. 1 Complete synechiae;
2. 2 Incomplete - if a small area of ​​the labia is captured.

Useful products for synechia

For synechia in girls, doctors most often prescribe diet No. 5. In accordance with it, you need to eat in portions 5-6 times a day. In this case, the food must be warm, otherwise there will be no benefit from such a diet.

It is important to remember that, having diagnosed this disease, the doctor will definitely refer the child for a urine test to exclude or confirm the presence of oxalates in it. They indicate the formation of kidney stones. Only then will dietary recommendations be finalized.

• When treating synechia, it is useful to eat soups: vegetable, cereal and pasta, as they regulate intestinal function and diversify the menu. Thus, they prevent the development of dysbiosis. In this case, you can use any cereal, although oatmeal and buckwheat should be a priority. In addition to soups, you can eat porridge.
• Even if there are oxalates in the urine, there is no need to deprive the child of fish, which is a source of calcium. It is better to prefer low-fat fish (hake, pollock) boiled or baked and give it to the child in moderation, as it contains phosphorus, easily digestible protein, and polyunsaturated fatty acids necessary for a growing child's body.
• The use of kefir, low-fat cottage cheese, cottage cheese casseroles, and sour cream is also recommended, but in moderation, especially with an increased content of oxalates in the urine.
• You can eat non-acidic fruits, for example: non-acidic apples, plums, raw, boiled or baked. You can also cook jelly and compotes, jelly, marmalade, and jam from them. However, it is necessary to ensure that this food is not too sweet and does not cause intestinal dysbiosis.
• It is also allowed to eat non-acidic vegetables (non-acidic sauerkraut, boiled, raw or stewed).
• You can eat day-old rye or wheat bread and products made from soft dough, as they are sources of carbohydrates.
• Some doctors advise adding foods containing vitamin A to your diet, as it helps improve immunity and increases the body's resistance to infections. To do this, you need to eat low-fat liver (chicken, beef), low-fat cottage cheese and sour cream, sweet potatoes, egg yolks (no more than 1 yolk per day).
• If you have synechia, it is important to drink at least 1.5 liters of fluid per day. In this case, it is better to give preference to dried fruit compote, various types of tea, and mineral water. This is due to the fact that in addition to drug treatment, it is also necessary to observe the urination regime (put the child on the potty every hour).

Folk remedies for treating synechia

If synechia is detected, you should immediately consult a doctor. He will prescribe the basic treatment, which can be supplemented with traditional methods.

1. 1 After separation of the synechiae, you can artificially create a protective layer on the vulvar mucosa to prevent recurrence of the disease and prevent the penetration of infection by instilling vegetable (not essential!) pumpkin oil, almond oil, grape seed oil or avocado oil every day. To do this, use 2 fingers to separate the outer labia and drip a couple of drops of oil. It is important not to touch the mucous membrane. It is not recommended to use sea buckthorn oil, as it can cause allergies in some children.
2. 2 Also, the site of synechiae can be treated with internal pork fat (it is closest in structure to human fat). To do this, you need to melt it in a frying pan over low heat so that the cracklings do not begin to brown, and pour into a clean bowl. Keep refrigerated.
3. 3 Twice a day you can make herbal baths with chamomile (1 tablespoon of herb per 1 liter of water). It is also better to wash your child with this decoction without using soap.
4. 4 In addition, if you have synechia, you can apply lotions with calendula tincture at night.

Dangerous and harmful products for synechia

• The very first thing that parents of a girl who has been diagnosed with synechia need to do is to completely eliminate allergens: chocolate, sour vegetables and fruits, berries, mushrooms, since allergies are one of the causes of this disease.
• If a child is still found to have a high content of oxalates in the urine, foods high in vitamin C should be excluded, as it will have a positive effect on their growth. These are red bell peppers, black currants, strawberries, green cabbage (broccoli, Brussels sprouts, Savoy), kiwi, rose hips, mango, grapefruit, orange, persimmon, tomatoes, carrots, apricots.
• For the same reason, doctors recommend eliminating foods containing calcium. These include: whole milk, full-fat cheese and cottage cheese, legumes, seeds and nuts, fish and seafood, herbs and some vegetables (basil, parsley, white cabbage and savoy).
• For this disease, experts advise limiting or at least reducing the consumption of fatty foods (fatty meats and fish, caviar, lard, soups with fatty meat broths), fried, spicy or pickled, as they cause heaviness in the intestines. In addition, it can provoke dysbacteriosis.
• It is not recommended to give cocoa and whole milk as drinks, as they can cause allergies.

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What synechiae looks like in girls: photos at the initial stage, treatment of labia fusion at home

Synechia in children - fusion of the labia minora and majora in girls and the head of the penis with the foreskin in boys - occurs quite often. How to understand that a child needs treatment? Can the problem be prevented? What causes the disease? The answers are given in the article.

What are synechiae and what do they look like?

Synechia is a common phenomenon, occurring mainly in children 1-2 years old. The pathology is a sticking together of the labia labia (usually the labia minora, less often – both the labia majora and the labia minora). The fusion is almost always asymptomatic, the baby feels well, so when parents discover an anomaly, they do not know what it is and how to help the baby.

Statistics show that mild or severe pathology occurs in 30% of children. To detect fusion, you do not need to undergo tests - a visual examination of the external genitalia is sufficient. What it should be like if the child is healthy:

• the labia are easily parted and separated from each other;
• the gap and the entrance to the vagina are visually visible.

When fusion occurs at the initial stage, there is redness and peeling in the perineal area, then a thin film of grayish-white color forms, gluing the labia. The entrance to the vagina is blocked, which makes urination much more difficult. At 1-2 years the problem reaches its peak. What synechiae look like can be seen schematically in the photo below:

The disease also occurs in boys: the foreskin fuses with the head of the penis, resulting in the head being exposed. This is not considered a pathology, does not cause discomfort, adhesions resolve on their own at the age of 6-7 years - the foreskin will gradually hide the head.

Causes of pathology of the labia in girls

The most common cause of fusion of the labia is a congenital pathology due to severe toxicosis of the mother during pregnancy or an infectious disease during gestation. However, there are other factors causing the anomaly:

1. Improper washing and violation of hygiene rules. Healing of delicate skin after trauma to the vulva due to sudden movement or strong pressure can cause adhesions. Frequent washing with soap and rare diaper changes can also cause fusion of the labia.
2. Infectious lesions - inflammatory diseases of the urinary tract and mucous membranes. A baby under one year old can become infected during childbirth or through household contact.
3. Allergy. The rash is often localized on the mucous membrane. It can be triggered by food allergens, hygiene products, synthetic clothing, etc.
4. Infectious diseases and frequent use of antibiotics also cause the appearance of synechiae.
5. Lack of estrogen. Fusion in a one-year-old baby is sometimes a consequence of hormonal imbalance. Although low hormone levels in infants are normal, they can cause pathology. In such a situation, there is no need for treatment; by the age of 7, the adhesions will disappear.

Most often, synechiae is a congenital pathology

How dangerous is the disease?

If parents discover that a girl has overgrown labia minora or labia majora, the problem must be resolved urgently. An advanced disease is dangerous due to the formation of a closed vaginal cavity, where secretions accumulate, which are a favorable environment for the proliferation of bacteria and provoke the following conditions:

• urinary disorders and cystitis;
• inflammation and infectious diseases of the genital organs;
• problems with conception, bearing a fetus;
• high risk of developing infertility.

Features of treatment

Synechiae in girls does not necessarily require surgical division. Treatment of a baby one or two years old, especially at the initial stage of the disease, can be done at home. Therapy includes careful hygiene, the use of special ointments, baths and observation by a doctor. Treatment methods are chosen by a specialist based on the clinical picture.

Surgical separation

Surgical intervention for the adhesion of the labia is a last resort. Separation and removal of synechiae is carried out in cases where conservative therapy has failed. The operation is performed under local anesthesia or general anesthesia within a few minutes by excision of adhesions.

The recovery period is painful; to ease urination and the general condition of the child, painkillers, antibacterial ointments, baths, and lotions are prescribed. Surgery does not guarantee that the tissue will not grow back.

Baby hygiene

If the labia are fused, but the pathology is at an early stage, the girl’s parents must provide proper care, including careful hygiene, so that the adhesion resolves over time:

• wash your genitals twice a day, and every time after bowel movements;
• Do not use soap often, choose a hygiene product without fragrances, paying attention to its acidity;
• antiseptics and creams can only be used as prescribed by a doctor;
• buy underwear made from natural fabrics and change it daily;
• Remove the diaper several times a day to allow the skin to “breathe.”

If there are synechiae, parents should take proper care of the baby

Drug therapy at home

Conservative treatment at home is prescribed for minor fusion of the labia. Preparations with estrogen (for example, Colpotrophin) are applied to the synechiae, but healthy areas of the skin should not be affected. The products loosen tissue, destroying adhesions and separating the genitals. Therapy lasts from 2 to 3-4 weeks. The ointment must be applied twice a day and cannot be used unless prescribed by a specialist. At the end of the course of treatment, the doctor should evaluate the results and stop or extend therapy.

In addition to hormonal creams, you can use conventional children's medications: Malavit, Bepanten. They have a calming effect on the skin.

Ovestin

Ovestin cream shows good results in treatment. It helps to painlessly get rid of adhesions due to a lack of estrogen in a child. The therapeutic course with Ovestin lasts 1-3 months. The product is safe, but if the desired effect is achieved, use can be stopped prematurely.

How to use the drug? After washing, apply a thin layer to the site of adhesions, without using cotton swabs or pads and without putting pressure on the mucous membrane. Ornion cream has a similar effect - it is a cheaper analogue of Ovestin.

Contractubex

A positive effect in therapy is achieved with the use of Contractubex gel. It affects connective tissue with the help of active components: allantoin and heparin. They smooth out scars and protect delicate skin.

Contractubex is mixed with Traumeel S in equal proportions and carefully applied to the problem area - similar to using Ovestin. The results before and after therapy become noticeable already in the middle of the treatment course.

Folk remedies

Treatment of labia adhesion in a child can be carried out at home using folk recipes:

1. An effective remedy is calendula oil. It has regenerating, anti-inflammatory and soothing properties. It is recommended to apply twice a day after washing the child.
2. An infusion of chamomile, calendula and acacia flowers will relieve swelling if it hurts a girl to go to the toilet. The baby is placed in a bowl of broth for 10 minutes - the bath relaxes the muscles and reduces swelling.
3. To wash children, it is recommended to use decoctions of nettle and St. John's wort. After manipulation, the genitals are lubricated with sea buckthorn oil in the affected area. It is important not to overdo it with hygiene - this leads to injury, and during the healing process, tissues re-stick together.

Prevention of fusion of the labia in a child

Hygiene plays an important role in the prevention of synechiae. You need to wash your baby correctly:

• use warm, preferably running water;
• Before the procedure, you must wash your hands;
• the anus and genitals must be washed with different hands to avoid bacteria and infection;
• the stream of water should go from front to back, heading from the vagina to the anus.

For hygiene, you need to use special products intended for children. It is important that they have a neutral pH; they may contain trace elements. It is worth paying attention to additional components - they can cause allergies.

After treating fused labia, it is important to ensure that there is no relapse. Parents should adhere to the following recommendations:

• Infants need to change diapers regularly and keep their skin clean and dry;
• leave the baby without diapers for a while every day;
• spread the labia with each wash;
• Apply ointments with estrogen once every few weeks;
• At the first symptoms of inflammation, consult a doctor.

Synechiae are common, but you should not be afraid of them. To prevent pathology, it is enough to follow the rules of child care. Regular examination will allow you to detect the disease at an early stage.

My baby had a fusion at 11 months, they noticed it in time, treated it at home. We didn’t use any medications except Bepanten ointment. We completely abandoned diapers. Now I constantly check the labia, I’m very worried that they will grow together again.

My daughter did not have such a problem; we carefully monitor the baby’s hygiene. I was surprised by one fact from the article - that synechiae occurs in children whose mothers suffered from toxicosis during pregnancy. I have two children, and during both pregnancies I vomited around the clock, but there was no synechiae.

Attention! All information on the site is provided for informational purposes only and is for informational purposes only. For all questions regarding the diagnosis and treatment of diseases, you must consult a doctor for an in-person consultation.

The adhesion of the labia in girls, which is most often easily determined visually, in pediatric gynecology is called “fusion of the labia in girls, or synechia.” The pathology is common among newborns, but is most often diagnosed at the age of 1–2 years, although the age range is much wider: from 6 months to 6–7 years.

Synechia: what is it?

The disease is manifested by the adhesion of the labia minora (usually the labia minora, but there are cases of fusion of both the labia majora and the labia majora with the labia minora) above the urethra, which can complicate the process of urination and bring discomfort to the child. The exact causes of the occurrence and development of pathology have not been established, but there are a number of circumstances that can lead to this.

Many parents do not suspect that synechiae of the labia (fusion from the posterior commissures) can occur in children, and the absence of symptoms leads to the fact that the process goes unnoticed by the parents and the child. In rare cases, a girl may experience pain.

Intrauterine synechiae are pathologies in the uterine cavity (fusion from the posterior commissures to the clitoris), which are more often diagnosed in girls and women of childbearing age. In newborns and girls of preschool age, sticking of the labia is more common.

How dangerous is the disease?

Any pathology of the natural structure and functioning of any body system has certain consequences. The same applies to synechiae in infants and older girls. Fusion or adhesion cannot be considered a normal process, but its occurrence should not frighten parents.

Consequences and complications of labia convergence:

• Partial and complete fusion, as a rule, does not pose a serious danger, but it creates a closed space that can serve as good “soil” for the development of infections.
• Fusion of the labia minora (posterior synechiae in girls) can become chronic and progress, which, with further maturation and formation of the perineum, can cause impaired reproductive function and contribute to the development of side diseases and pathologies.

To avoid unpleasant consequences and cure the pathology, it is necessary to bring the child to a specialist.

Symptoms of synechiae

As already mentioned, in most cases the disease has no symptoms, does not cause any complaints in the child, and, accordingly, parents have no reason to worry. However, there are signs, and in some cases, pronounced symptoms, that indicate sticking of the labia in a girl.

First of all, you need to pay attention to the child’s behavior. If a girl refuses to go to the toilet for a long time or is capricious when she needs to do it, and pushes harder than usual, this already indicates abnormal functioning of the genitourinary system.

What other signs indicate the presence of synechiae in girls?

Changes in the structure of the child’s genital organs are the main symptom that parents can see with the naked eye.

• Difficulty urinating (including changes in the child’s behavior every time he needs to go to the toilet).
• Redness, rashes, and peeling may also indicate fusion.

The child may also complain of itching and discomfort in the perineum. Careful observation of the child's behavior and periodic self-examination (when washing or changing a diaper) can prevent sticking of the genitals.

Causes of synechiae

There can be one or several reasons for the development of synechiae; you can establish them yourself or in consultation with a specialist in pediatric gynecological problems, who will also prescribe a course of treatment and prevention for you:

• Excessive hygiene. Too frequent hygiene procedures can lead to fusion, especially if the child is frequently washed with soap or when using sponges and washcloths.
• Wearing inappropriate clothing: underwear that is too tight, diapers that fit too tightly, synthetic underwear and clothes that do not allow air to pass through, etc.
• Infections and diseases in the external genital area or urinary tract. The infection can be transmitted through household means through linen or a towel, as well as through the dirty hands of parents, or through non-domestic means during childbirth, when the infection is transmitted from the mother.
• Lack of the female sex hormone estrogen.
• The presence of an inflammatory process - vulvovaginitis.
• Allergic reactions to care products, food or even clothing.

If you notice signs of pathology or are concerned about persistent redness/flaking on the child’s genitals, then consulting a doctor would be the best solution in this case. Because if everything is in order and this is a common reaction to deviations in care, the doctor will give recommendations on proper care. If this is synechia, then a course of treatment will be prescribed depending on the degree of development of the disease and the child’s health condition.

The order and stages of treatment of synechiae in girls

There are two key areas of treatment for the disease. Long-term and serious treatment is required if synechia has already become chronic or if the disease makes urination difficult and causes severe discomfort to the child, as well as if there is a pronounced urinary tract infection.

A simpler option is observation and preventive measures, as well as regular visits to a specialist according to an individual plan. The doctors of the medical institution will draw up such a plan for you; They will also conduct an examination and prescribe a course of treatment.

Synechiae: diagnosis at the initial appointment

The initial appointment is a consultation and examination, as well as collecting anamnesis and ordering examinations depending on the stage of development of the disease and the child’s health condition. The treatment plan, as well as the plan for individual visits, is prescribed by the doctor for each specific clinical case.

Diagnosis of synechia includes:

• examination by a specialist of the structure of the child’s genital organs for the presence of anomalies (correct placement of the labia minora and majora, which should not block the entrance to the vagina and urethra);
• the presence of redness, peeling or irritation on the genitals;
• tests for blood and urine infections;
• other laboratory tests and diagnostic examinations.

If a boy is suspected of having synechia, the doctor conducts a thorough examination of the foreskin and penis and prescribes treatment, just as for synechia in the uterine cavity in adult women. Typically, only an examination is required to make a diagnosis. Any other studies are prescribed if the disease is chronic or complicated, for example, by infections.

Treatment: methods and recovery schemes

Treatment depends on the stage of development of the pathology:

• If partial or slight adhesion occurs, the doctor may order monitoring of the condition of the child’s genital organs and adjust care and hygiene, which will lead to an independent resolution of the problem.
• If the synechia in an infant or an older child is extensive, that is, the outflow of urine is obstructed and there are infections, then the doctor will prescribe conservative, surgical, or a combination of treatment.
• If the process is chronic, then, as a rule, combined treatment is required to cure concomitant diseases.

What can be prescribed for the conservative treatment of fusion (synechia) of the labia minora?

• Topical application of creams with estrogen (female sex hormone).
• Avoid any items of clothing that injure the baby’s delicate skin in the perineum.
• Exclusion of any perfumes.

What is surgical separation of synechiae in girls?

The procedure is performed by a doctor who chooses a specific tactic for each case. Usually the procedure takes up to several minutes and does not cause harm or discomfort to the child.

The course of conservative treatment is prescribed individually, at the same time the doctor will tell you in detail and show you the technique of applying the cream. Surgical intervention (dilution or division of synechia) is required in particularly difficult cases and in the absence of response to cream therapy. With any method, strict hygiene is prescribed throughout the course of treatment.

Repeated appointment

A repeat appointment is scheduled according to the drawn up treatment plan so that the doctor can evaluate how effective the chosen course and selected medications are. If there are no results, then additional examinations may be prescribed and a new course of treatment for synechia and recovery may be selected.

Control reception

A follow-up appointment is required for everyone, which is necessary to assess the child’s condition and possibly prescribe physical therapy and restore the microflora of the genital organs. The timing of the control appointment is determined individually.

Treatment result

The disease sometimes cures on its own, but more often with a conservative treatment method and compliance with preventive measures. You should not self-medicate: only a doctor knows how to treat synechiae.

Prevention

If the pathology is not complicated in any way, then prevention consists mainly of observing the rules of hygiene, using high-quality (non-synthetic and non-rough) underwear and independent periodic examination of the child.

• Hygiene includes washing two to three times a day without rubbing or using force, only with clean, warm water. As a washing product, baby soap is recommended (but not often) without fragrances and other synthetic impurities. Parents' hands should be clean; they can be washed with the same baby soap. Do not use washcloths, sponges or rags.
• For washing or bathing, it is also possible to use decoctions and infusions of medicinal herbs, but in this regard it is necessary to consult a doctor so as not to aggravate the situation.
• Underwear for a child should be cotton and selected in size so as not to restrict movement and protect the child.

Periodic monitoring of the condition of the child’s genital organs and preventive examinations by a specialist will help avoid many problems, not only synechiae, but also other diseases.

For consultation and examination of your child, you can make an appointment with any of the center’s specialists at a time convenient for you. If you would also like to be examined for intrauterine synechiae (in the uterine cavity), please contact one of our specialists. To make an appointment, you can use the special online form on the website or call the phone number listed on the page.

Methods for getting rid of synechiae differ for girls and women. This is explained by the fact that the pathology develops differently and affects different organs. In girls, the disease manifests itself as

fusion of the external genitalia, so treatment is carried out externally with creams. In women, pathology develops in the uterus, so only surgical treatment is used to get rid of synechiae. The methods of influence differ, but the prognosis is favorable for everyone if the pathology does not reach an advanced stage.

Treatment of adhesions in girls

In girls, it is possible to treat adhesions locally using ointments. The etiology of the disease determines the following effects:

- the adhesive process affects the labia, which only need to be separated

- only at the last stage is surgery used, but this happens rarely.

Cream Ovestin: how to use?

To relieve adhesions in girls, Ovestin cream is used as a fairly effective remedy. The drug is an analogue of the female hormone estrogen. Apply to the epithelium at the site of fusion once a day before bedtime. Treatment with Ovestin has its own characteristics that must be observed so as not to injure the delicate skin of the girl’s external genitalia:

1. You can’t put pressure on fused organs, just like you can’t try to separate them.

2. The cream should be smeared in a thin layer: the mother applies 5 mm of cream to a clean finger and treats the girl’s synechiae with lightly rubbing movements.

3. The drug is quickly absorbed and eliminated after 18 hours, which is why it is enough to treat adhesions with Ovestin once a day, not more often.

4. At the end of treatment, the synechiae will completely disperse, but you must continue to smear Ovestin cream on the epithelium for preventive purposes.

5. The duration of use of Ovestin is 20 days, then a break of 10 days.

Prevention and traditional methods of treatment

For prevention, the site where adhesions appear is treated after a break for another 10 days. Additionally, you can use folk remedies that speed up treatment and improve prevention. Before using them, it is better to consult a pediatric gynecologist. For example, at home you can use soda baths:

- 1 tsp. soda per 1 liter of boiled warm water;

- after mixing, pour into a container in which you can place the baby for 10 minutes.

— the procedure is carried out 1 time/day at night; After the bath, you should use Ovestin cream (for dry skin).

Surgical dissection of adhesions in girls is carried out only in extreme cases when they interfere with normal urination. If this discomfort does not exist, the mother may not agree to have her daughter have surgery, since such an intervention does not guarantee the absence of relapse.

Additional ointments for treating girls

If Ovestin is not effective enough and the separation of adhesions does not occur, you should smear the film with another ointment in the morning. For example, you can apply Malavtilin cream after washing your girl in the morning. Also, as an additional remedy for synechia, you can smear Contractubex gel or Traumeel S ointment.

Treatment of intrauterine adhesions in women

In adult women, treatment for adhesions differs. To get rid of intrauterine cords, surgery is performed. During this procedure, a special device, a hysteroscope, is used to remove synechiae. The degree of growth of the cords in the uterine cavity is of great importance. Accordingly, the smaller it is, the thinner the adhesions are, the less dense the tissue structure, and the more successful the operation to cut them is.

It should be noted that it is not always possible to completely cure adhesions in the uterine cavity. In the initial stage, when they look like thin films, the prognosis is most favorable. Relapses can be avoided by completely restoring the endometrium. For the moderate and severe stages, the prognosis worsens, since the cords in the uterine cavity fill a large space, and they themselves become tight. As a result, they are more difficult to dissect even with a special device.

The purpose of treating intrauterine adhesions with a hysteroscope:

— with minimal trauma to the uterine epithelium, cut the cords

- achieve restoration of the normal menstrual cycle

- achieve complete restoration of the endometrium and the possibility of conception.

Stages of treatment

Dissection with various devices

Surgery in the uterine cavity is only the initial stage of treatment for this pathology. It is aimed at eliminating synechiae using scissors, forceps, a hysteroscope body, and other similar devices. For example, a hysteroresectoscope is used, and the most gentle operation is considered to be laser contact.

Endometrial restoration

The next step is to stimulate endometrial growth. To do this, after the operation, the doctor will treat the patient with the following methods (one to choose from):

- hormone therapy (introduction of hormones: estrogen and gestagen)

— antibacterial therapy if the cause of intrauterine adhesions is an inflammatory process after childbirth, abortion, or diagnostic curettage.

It is important that intrauterine adhesions are not treated conservatively. They are threads (strands) of film, muscle or connective tissue. Surgery in the uterine cavity is the only way to get rid of synechiae.

It takes up to six months to treat intrauterine adhesions, since long-term therapy is carried out after surgery. Taking hormones should not be stopped voluntarily if unpleasant sensations appear (nausea, weight gain). It is better to consult a doctor to change the drug. Optimal selection of medication ensures proper correction of hormonal levels and the woman’s well-being.

Next step: physiotherapy

Also, after the operation, physiotherapy procedures are prescribed that have a beneficial effect on the restoration of the organ cavity. These are manipulations such as:

- exposure to a magnetic field,

- exposure to laser, ultrasound.

Physiotherapy is carried out in several stages, 1 week after the start of menstruation. One course consists of 10-30 sessions depending on the method. If repeated restoration of the intrauterine epithelium is required, it is carried out after a 2-month break.

These procedures have proven themselves to be effective in preventing relapses. After them, synechiae often do not form at all in the organ cavity or the growth of new adhesions slows down significantly. A woman should monitor the condition of the endometrium every six months, even in the absence of symptoms of pathology. To do this, you need to contact a gynecologist and undergo repeated diagnostics.