Synechia in girls are diagnosed in earlyage Moms sometimes do not realize that the daughter has a fusion of the labia. Therefore, the conclusion of a specialist who examined the child before being sent to kindergarten may shock parents. What treatment of synechia in girls is prescribed, will be discussed in this article.
What it is
Synechia in girls is a common pathology.In the medical statistics it is indicated that only 3-4% of babies have a connection of the labia. In practice, any gynecologist in 25-30% of girls observes the symptoms of this pathology. Just not all experts consider it a dangerous disease, and blamed on the features of the development of the children's body.
Sinechia - fusion of small labia.Pathology is diagnosed in girls at 2-3 years. However, this process occurs before. From about 6 months of age and up to 8-9 years a specialist can make such a diagnosis.
Basic views
Experts divide the synechia into 2 types: incomplete and complete fusion. In the first case, the size of the adhesions is 5 mm and does not cause any discomfort.
It is much more difficult to treat synechiae in girls with complete or almost complete splicing. This type of pathology requires constant monitoring and careful treatment.
What is the danger
Сращивание половых губ у девочек характеризуется violation of the genitourinary system. If the child does not have painful sensations and does not interfere with the process of urination, then it is enough to control this condition at the gynecologist.
What should a girl do with synechia? If not treated properly, the size of the adhesions will increase.
Неполное сращивание половых губ может перерасти в more serious form of pathology. Inflammatory processes that occur in this case, sometimes affect the internal genital organs, which can lead to their wrong development.
The lack of proper and timely treatment leads to urethritis or cystitis. Such consequences may adversely affect the possibility of becoming pregnant in the future.
Causes of Synechia
It is not precisely established why the connection occurs.labia lips. However, studies indicate the alleged connection of synechia with the production of sex hormones. They are absent in the newborn baby, but there is estrogen obtained from the mother. It improves the elasticity of the labia, so synechiae does not develop until 6 months.
After 6 months, the mother's estrogen ends, andfor a girl, her own is not enough. The labia become inelastic, therefore, under the influence of negative factors, their fusion occurs. The reasons for synechia in girls include the following:
- Allergic reactions. Their appearance on the skin affects the genital area. An inflammatory process develops at the site of injury. After the skin has healed, the labia are connected.
- Inflammatory processes caused by bacterial infection. Microorganisms that cause inflammation of the genitourinary system, get to the genitals in connection with care errors (improper leaching).
- Chemical irritants: if the girls' underwear is washed with aggressive powders that are not intended for babies, or if the child rarely changes the diaper and rinses 2-3 times a day with soap.
- Mechanical irritation of the genitalsoccurs due to wearing things from synthetic materials. In this case, there is a high likelihood of irritation, and after healing, a connection of the labia majora.
- Unclear reasons. If synechiae are present, and all known factors have not been confirmed.
Identifying the exact cause does not affect the diagnosis. The treatment of synechia in girls does not depend on the factor that caused the problem.
It is believed that the predisposition is present in any baby, and the causes of the appearance of pathology are evaluated in combination.
Symptoms
Splicing can occur over severalweeks, and may occur in a matter of days. The girl does not feel this process. Her behavior rarely changes, she does not feel pain, itching and other inconveniences. Therefore, to notice synechia in girls at the initial stage is simply impossible. Pathology can be seen when the connection of the labia has already appeared.
Исключение составляет сращение их в верхней своей third, which partially or completely blocks the urethra. The child may experience discomfort. During urination, attentive parents notice that the baby is straining, reddening and starting to behave restlessly. Such symptoms of synechia in a girl are not specific, and therefore may remain undetected for a long time.
Они становятся заметны, когда между половыми A film appears on the child’s lips. In the middle of the septum is visible median strip (zone of fusion). When the labia are connected, the vaginal opening closes by a third, a half or completely.
If small and large labia grow together, then it occurs symmetrically on both sides. If the synechia is complete, then it is impossible to consider the entrance to the urethra.
Осложненное течение заболевания может привести к redness of the genital organs of the type of vulvitis or vulvovaginitis. Parents notice vaginal discharge with an unpleasant odor. This process is characterized by severe itching, pain. The child's behavior changes, he is anxious after each urination. Body temperature rises slightly if complicated synechia are observed. In other cases, it remains normal, the child’s well-being does not change. He, as usual, eats and sleeps.
Diagnostics
Синехии у ребенка мама может рассмотреть independently, because no tools are needed for this. The film connecting the labia is well distinguishable. After the mother discovers synechia, she should consult a specialist.
He will examine the genitals of the child, determine the degree of fusion and prescribe the necessary examination. This is necessary to establish a physiological problem or it is a complication of synechia.
Assign the following tests:
- seeding on urogenital infections;
- general tests of urine and blood;
- Ultrasound of the pelvic organs (appointed in case of extensive fusion and existing signs of visual inflammation).
If the doctor on examination finds a small amount of adhesions, then he will not order an additional examination.
Danger
In most situations, synechiae do not representno threat to the health and life of the girl. But complete adhesion or overlap of the urethra adhesions creates an enclosed space. It produces vaginal discharge and urine residue. Closed spaces - an environment conducive to the reproduction of pathogenic microflora. If necessary measures are not taken in time, the inflammation will affect important reproductive organs (uterus, appendages, ovaries).
Therefore, complicated synechia must necessarilyto heal. It is impossible to say about all the other connections. If the film does not close the urethra or vagina, then it will not be removed. The specialist prescribes a systematic observation of the child, because in 90% of cases they pass independently by the age of 7-8, when puberty begins. When the amount of hormones becomes larger, the external genitals will become more elastic and denser, and the fusion will pass by itself. Uncomplicated synechiae does not affect the reproductive abilities of the girl in the future. Labia do not change their shape.
Conservative treatment
Synechia therapy begins with the appointment of a specialist medicine. The treatment is carried out at home, it is not recommended to hospitalize the girl.
To compensate for the lack of female sex hormones, appoint an ointment containing estrogen. Usually cream "Ovestin". The course of therapy is 5-6 weeks. The scheme is as follows:
- The first 2 weeks of processing the cream of the genital lips twice a day - in the morning and evening.
- The next 14 days cream "Ovestin" apply oneonce a day - in the morning. In the evening, use regular baby cream or petroleum jelly for lubrication. You can replace them with peach or liquid paraffin.
- For 7 days only apply baby cream.
Apply the cream "Ovestin" should be as follows.This is done with a finger, not other devices. The cream should not fall on the adjacent tissues with soldering; when applied to the junction, it is necessary to press lightly. This is important for the separation process.
After the course, the specialist assessesEffect. With a positive impact, the separation of the synechia occurs, thanks to the influence of "Ovestin". With a negative - disconnection does not occur. If questionable, the separation is only partial.
При положительном эффекте назначают при синехии у girls "Kontraktubex". The drug forms a smooth and elastic fabric, preventing re-splicing. They treat the girl’s labia twice a day - in the morning and in the evening.
The main condition for the use of "Kontraktubex" - a complete separation of adhesions.
При наличии воспаления в течение нескольких дней the girl is washed away with the help of medicinal herbs (chamomile, calendula). Redness smeared with cream "Bepanten". Then proceed to the course of treatment with "Ovestin". In some cases, an oil solution of vitamin A and "Methyluracil ointment" is used to treat the splicing zone.
Operative intervention
If drug therapy has not had a positive effect, then the girl will be separated by synechia.
Parents must agree to conductoperations under local anesthesia so that the child does not hurt. After the procedure, the course "Ovestina" is prescribed for 7-10 days, and then "Kontraktubex" for the prevention of relapse.
Даже если операция проведена правильно, то риск re-occurrence of synechia remains high. If the parents correctly performed the subsequent treatment, then the possible recurrence of the problem is reduced to 5%.
Folk remedies for synechia
Usually, therapy with any vegetable oil is added to the drugs, especially sea buckthorn.
Treatment of synechia in girls folk remediesshould be carried out under the supervision of a specialist. When buying sea buckthorn oil, parents should make sure that it is vegetable, and not essential, and does not contain any impurities. Only the natural composition of the product will have a positive effect on the treatment process.
If the oil is used to treat synechia, then it is applied to the labia minora and rubbed with slight pressure. The procedure is carried out 2-3 times a day.
If you are allergic to sea buckthorn oil, you can replace it with peach. For prevention, use your fingers to dissolve the child's large sexual lips and drop 2 drops of the product inside.
Prevention of synechia in girls
More recently, it was thought that splicing of the labia is the consequence of insufficient hygienic procedures. Today, experts do not put forward this factor as the most important in the prevention of synechia.
Recommendations to prevent splicing of the labia are as follows:
- Parents should avoid the inclusion of allergenic foods in girl's food to minimize this factor.
- The child should be given medication with caution. This can lead to side effects in the form of skin problems of the external genital organs.
- To prevent the development of bacterial infections of the urinary tract in girls, they should be flushed only under running water.
- It is necessary to use baby soap for girls once a day. All other washings are carried out under running water.
- In the process of hygiene it is important to followso that soapy water does not fall on the delicate mucous membranes and vagina. This can lead to chemical irritation and contribute to the occurrence of adhesions.
- The girl’s underwear should be sewn of natural fabrics, without the addition of synthetics.
- Things that interact with the skin of intimate places, you need to wash only with hypoallergenic means.
- After bathing the child in the pool or river, rinse the genitals with water and put on clean panties.
By applying such recommendations, it is possible not only to prevent the development of girl's synechias, but also to prevent their recurrence.
Conclusion
Treatment of synechia in girls should be carried out correctly and under the supervision of a specialist. Only a doctor will help to quickly solve the problem and prevent its occurrence in the future.
