Labial Fusion Recurrence in a Prepubertal Girl: A Case Report and Review of Literature

Abstract

Labial fusion is the fusion of labia minora or majora and results in partial or complete fusion of the vaginal orifice. The condition is commonly seen in prepubertal girls and post-menopausal women, but it can sometimes be seen in reproductive age group women also. We present here a case of a three-year-old girl who presented with recurrence of labial fusion and dysuria. The patient had a similar labial fusion three months before, which was treated with manual separation followed by estrogen cream application. The recurrence of labial fusion was managed conservatively. This case report highlights the possibility of recurrence of labial fusion in prepubertal girls till they attain puberty, as well as its conservative management.

Pubertal Labial Fusion: A Case Study

“…Pubertal labial fusion, characterized by the partial or complete adhesion of the labia minora, is rare in adolescent girls compared to younger girls. This discussion explores the diagnosis and treatment options of this condition [ 1 ]. The causes of labial fusion in pubertal girls are not well understood but may involve factors such as inflammation, irritation, hygiene practices, and genetic predisposition.…”

“…Unlike in prepubertal cases, low estrogen levels are less likely to be a contributing factor due to the hormonal changes typical of puberty [ 2 ]. Some cases of labial agglutination have been reported in the postpartum period, which is believed to be due to breastfeeding compounded with vaginal trauma during childbirth [ 1 ]. During breastfeeding, due to high prolactin levels, ovulation is suppressed and estrogen levels are decreased [ 3 ].…”

“…Labial fusion, also known as labial adhesion, labial agglutination, or labial synechiae, is the fusion of either the labia majora or minora frequently around the clitoris [ 1 ]. It is typically found in young girls before puberty, but may also arise during adolescence.…”

The Climate Crisis and Breastfeeding: Opportunities for Resilience

“…In emergency situations, it is essential for healthcare workers to collaborate cohesively and allocate resources and expertise effectively to enhance the overall response. When rescue workers and urgent care providers are addressing acute needs, and physicians are triaging complex conditions during an extreme weather event, midwives, nurses, lactation support professionals and other trained lactation specialists play a pivotal role in providing effective support to women in need (Mohapatra & Samantaray, 2023; Renfrew et al, 2014). Relying on the expertise of healthcare professionals from diverse backgrounds and specialties guarantees improved access to care for parents and children (Fernandez Turienzo et al, 2021; Sacks et al, 2022; Turner et al, 2022).…”