Labial Adhesions in Infants: Causes and Care Tips

Labial adhesion

Hello, my daughter is currently 9 months and 3 days old.
When she was discharged from the hospital, the nurse taught me to clean her genital area with baby oil.
There was a white discharge almost every day, and I used a cotton swab dipped in baby oil to clean the area between the labia majora and labia minora until she was nearly 7 months old.
Later, I heard that using oil in that area is not good, and I didn't see other mothers doing the same on parenting forums, so I stopped using it.
Interestingly, about a week after I stopped using baby oil, the white discharge disappeared.
However, I recently noticed that the bottom part of her labia majora and labia minora seems to be sticking together, but I'm not sure where it originally started to connect.
Should I take her for an examination? If it is indeed stuck, would she need surgery? Will it resolve itself as she grows older? Is it necessary to use baby oil for cleaning the genital area?

Ya Ya Ma Ma, 20~29 year old female. Ask Date: 2016/02/22

Dr. Xiao Kaiwen reply Pediatrics

At birth, the white discharge from a female infant's genital area is typically due to the mother's female hormones that have not yet been metabolized in the baby’s body, which stimulates secretion.
Usually, this discharge will gradually decrease once the mother's hormones are fully metabolized, and it is not a sign of labial adhesion.
It is advisable to consult a pediatrician at a major hospital to check for any signs of labial adhesion.
If labial adhesion is present, the physician may prescribe a hormone-containing ointment to help separate the labia minora.
Whether surgery is necessary will be determined by the physician.
General cleaning of the genital area is sufficient, and it is not necessary to intentionally use baby oil for cleaning.

Reply Date: 2016/02/22

More Info

Labial adhesions, also known as labial fusion, occur when the labia minora (the inner lips of the vulva) stick together. This condition is relatively common in infants and young girls, particularly those under the age of 6. Understanding the causes, implications, and care tips for labial adhesions is essential for parents to ensure their child's health and comfort.

Causes of Labial Adhesions
Labial adhesions can occur for several reasons, including:
1. Hormonal Changes: During infancy, the body undergoes hormonal changes that can affect the vulva. Estrogen from the mother can lead to the fusion of the labia in some infants.

2. Irritation or Inflammation: Frequent irritation from urine, feces, or even excessive cleaning can lead to inflammation, which may cause the labia to stick together.

3. Poor Hygiene: While it may seem counterintuitive, excessive cleaning with oils or creams can sometimes lead to irritation and subsequent adhesion. The natural moisture and balance of the area can be disrupted by over-cleaning.

4. Infections: Urinary tract infections or other infections can also contribute to inflammation and labial adhesions.

Symptoms and Diagnosis
Parents may notice symptoms such as:
- The appearance of the labia minora being fused together.

- Discomfort or difficulty in urination.

- Unusual discharge or odor, which may indicate an infection.

If you suspect that your daughter has labial adhesions, it is advisable to consult a pediatrician or a pediatric gynecologist. They can perform a physical examination to confirm the diagnosis and assess the severity of the condition.

Treatment Options
In many cases, labial adhesions resolve on their own as the child grows and hormonal levels change. However, if the adhesions are causing discomfort or urinary issues, treatment options may include:
1. Topical Estrogen Cream: In some cases, a pediatrician may prescribe a topical estrogen cream to help separate the fused labia. This treatment is generally effective and non-invasive.

2. Surgical Intervention: If the adhesions are severe and do not respond to conservative treatment, a minor surgical procedure may be necessary to separate the labia. This is typically a straightforward procedure performed under local anesthesia.

3. Observation: If the adhesions are mild and not causing any symptoms, the doctor may recommend simply monitoring the situation, as many cases resolve spontaneously.

Care Tips
1. Gentle Cleaning: It is essential to clean the area gently. Use warm water and a soft cloth or cotton ball to clean the vulva. Avoid using oils or creams unless advised by a healthcare provider.

2. Avoid Irritants: Be cautious with soaps and other products that may irritate the area. Opt for mild, fragrance-free products.

3. Monitor Symptoms: Keep an eye on any changes in the area, such as redness, swelling, or discharge, and report these to your pediatrician.

4. Educate Yourself: Understanding normal anatomy and what to expect as your child grows can help alleviate concerns. Labial adhesions are often a temporary condition.

Conclusion
In summary, labial adhesions in infants are a common condition that can often resolve on their own. However, if you notice signs of adhesion or have concerns about your daughter's genital health, it is crucial to seek medical advice. A healthcare professional can provide guidance on the best course of action, whether it be observation, topical treatment, or surgical intervention. Remember, gentle care and proper hygiene are key to maintaining your child's health in this area.

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