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International Journal of Clinical & Medical Images

2376-0249

Clinical-Medical Image - International Journal of Clinical & Medical Images (2022) Volume 9, Issue 5

Vulvar Synechiae - Prepubertal Alert

Vulvar Synechiae - Prepubertal Alert

Author(s): Maria Guilhermina Pereira

DOI: 10.4172/2376-0249.1000826

Received: 04 May 2022, Manuscript No. ijcmi-22-65075; Editor assigned: 06 May 2022, 2022, PreQC No. P-65075; Reviewed: 17 May 2022, QC No. Q-65075; Revised: 19 May 2022, Manuscript No. R-65075; Published: 27 May 2022, DOI: 10.4172/2376-0249.1000826

Clinical-Medical Image

Introduction

Labial adhesions may affect 2 percentages of prepubertal females thought to be died to hypostrogenic state typical of these ages. It results of a fusion of labia minora in the middle, causing no symptoms most of the time and can be treated conservatively. It should have differential diagnosis with other pediatric vulvar disorders such as imperforate hyman or a spectate vagina. The purpose of this case presentation is to alert the general practices to this situation, so it can be easy recognized during the child’s observation. Case: 6 months old female, nuclear family, 2nd child of a hetero sexual couple, low-risk pregnancy, with no complications (Figure 1).

Eutocic delivery background pathologies

Hemangioma in right arm in regression occurred. No others facts to describe. Familiar relevant antecedents: grandmother with labial agglutination in childhood.

Treatment

Spontaneous resolution may occur and commonly occurs during puberty. If treatment is needed by mild symptoms such as frequent UTIs, estragon cream or estradiol vaginal cream 0.01% is indicated 2-3 times per day, during several weeks. If this does not result, manual or surgical separation may be considered. Informed Consent Patient’s parents gave oral consent to publication of this case report [1-2].

Subsidies or Scholarships

No grants or scholarships were received for this work

Declaration of Conflicting Interests

The author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Keywords: Vulvar; Prepubertal; Adhesions

References

[1] Gonzalez D, Anand S, and Mendez MD (2021) Labial adhesions. StatPearls Publishing, 32:259-263.

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[2] Norris JE, Elder CV, Dunford AM, Rampal D and Cheung C, et al. (2018) Spontaneous resolution of labial adhesions in pre-pubertal girls. J Paediatr Child Health 54:748-753.

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Citations : 226

International Journal of Clinical & Medical Images received 226 citations as per Google Scholar report

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