Adhesion Between Clitoral Hood and Labia: Causes and Solutions

The elongated tissue below the clitoris is in contact with the left labium?

After examining the general anatomy diagram of the vulva, it seems that the left labia majora is adhered to the external clitoral hood (the elongated tissue below the clitoris).
I tried using a wet tissue and cotton swab to separate them, but it’s still difficult to part them.
When I forcefully attempt to do so, there is some pain.
Previously, I have experienced some adhesion on either the left or right side, but it was not this difficult to separate.

yap, 10~19 year old female. Ask Date: 2018/04/27

Dr. Huang Jianzhong reply Obstetrics and Gynecology

After looking at the general anatomical diagram of the vulva, it seems that the left labium majus is adhered to the external clitoral hood (the elongated tissue below the clitoris).
I tried using a wet tissue and cotton swab to separate them, but it still wouldn't come apart easily.
When I forcefully tried to separate them, it was somewhat painful.
I have experienced a few instances where the left or right sides were adhered, but it was never this difficult to separate.
Answer: Do not touch it.

Reply Date: 2018/04/27

More Info

Adhesion between the clitoral hood and the labia, often referred to as labial adhesion or clitoral hood adhesion, is a condition that can occur in individuals with vulvas. This condition can lead to discomfort, pain during sexual activity, and other complications if not addressed properly. Understanding the causes and potential solutions for this issue is essential for maintaining sexual health and overall well-being.

Causes of Adhesion
1. Hormonal Factors: Hormonal changes, particularly those related to estrogen levels, can influence the elasticity and moisture of the vaginal tissues. Low estrogen levels, which can occur during puberty, breastfeeding, or menopause, may lead to dryness and adhesion.

2. Infections or Inflammation: Recurrent infections or inflammatory conditions can cause irritation and scarring, leading to adhesion. Conditions such as vulvovaginitis or lichen sclerosus can contribute to this problem.

3. Poor Hygiene: Inadequate hygiene can lead to the accumulation of secretions and irritants, which may cause inflammation and adhesion over time.

4. Trauma or Injury: Physical trauma to the genital area, whether from sexual activity, injury, or surgical procedures, can result in scarring and adhesion.

5. Genetic Factors: Some individuals may be genetically predisposed to conditions that affect the skin and mucous membranes, making them more susceptible to adhesion.

Symptoms
Individuals with adhesion may experience a variety of symptoms, including:
- Pain or discomfort during sexual intercourse
- Difficulty separating the clitoral hood from the labia
- Swelling or irritation in the affected area
- Changes in the appearance of the genital area

Solutions and Treatment Options
1. Gentle Separation: If the adhesion is mild, gentle manual separation using a water-based lubricant may help. However, this should be done with caution to avoid causing pain or injury.

2. Topical Treatments: Applying estrogen cream or other topical treatments may help to improve the elasticity and moisture of the tissues, reducing the likelihood of adhesion. This is particularly effective in postmenopausal individuals or those with low estrogen levels.

3. Hygiene Practices: Maintaining proper hygiene is crucial. Regular washing with mild soap and water can help prevent infections and irritation. Avoiding harsh soaps or irritants is also recommended.

4. Medical Intervention: In cases where adhesion is severe or causing significant discomfort, a healthcare provider may recommend surgical intervention to separate the adhered tissues. This is typically a minor procedure and can provide significant relief.

5. Follow-Up Care: Regular follow-up with a healthcare provider is essential to monitor the condition and prevent recurrence. This may include routine examinations and discussions about any changes in symptoms.

When to Seek Help
If you experience persistent pain, difficulty with separation, or any other concerning symptoms, it is important to consult with a healthcare provider. They can perform a thorough examination, provide a diagnosis, and recommend appropriate treatment options tailored to your specific situation.

In summary, adhesion between the clitoral hood and labia can be caused by various factors, including hormonal changes, infections, and trauma. Treatment options range from gentle separation techniques to medical interventions, depending on the severity of the condition. Maintaining good hygiene and seeking professional help when necessary are key steps in managing this issue effectively.

Similar Q&A

Understanding Clitoral Adhesion: Causes, Symptoms, and Treatment Options

Hello doctor, I have an issue with clitoral adhesion, which prevents me from retracting the clitoral hood. I also have smegma that I cannot remove on my own, leading to recurrent infections. When I try to clear the smegma, it causes pain, and my vulva is very sensitive, easily pr...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
The issue of clitoral adhesion prevents the clitoral hood from being retracted, leading to the accumulation of smegma that cannot be self-cleared, resulting in recurrent infections. Attempting to clear the smegma causes pain, and my vulva is very sensitive, making it prone to ski...

Understanding Clitoral Hood Hygiene: Tips for Proper Care

Hello Doctor, I hope you don't mind me asking – I often notice white discharge trapped between my clitoris and the clitoral hood. I can clean the edges, but I've found that if I pull the clitoral hood back further, there is a lot of debris trapped deep inside that I can...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
It is common for white discharge to accumulate between the clitoris and the clitoral hood, which can be cleaned by gently pulling back the edges. However, if you pull the clitoral hood further back, you may find that there is a significant amount of debris trapped deeper that is ...

Understanding the Anatomy and Health of Vulvar Skin: Common Concerns

Hello, I would like to ask if there are any glands in the area where the clitoral hood meets the labia minora. Recently, while showering, I noticed a slight small bump on the left side of the clitoral hood where it connects with the labia minora. Upon closer inspection, it appear...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the perineal area contains numerous hair follicles and glands, and its appearance may not necessarily be symmetrical. If you are experiencing any symptoms or have concerns, it is advisable to have a physician examine you. Thank you, and wishing you peace and health. Dr. Zh...

Understanding Labial Adhesions in Infants: Concerns and Care

Hello, doctor. My daughter is currently nine months old. Recently, she had a fever and was taken to the hospital for examination, where we unexpectedly discovered that her labia were fused. The doctor manually separated the labia and prescribed zinc oxide ointment, instructing me...

Dr. Cai Zhengxian reply Pediatrics
Dr. Tsai Cheng-Hsien from Tainan Municipal Hospital's Pediatrics Department responds: Dear concerned mother, infant labial adhesion, strictly speaking, refers to "labial fusion," which commonly occurs in girls under three years old and is often discovered during ro...