Labial Adhesions

Labial adhesions occur when the folds of the skin of the vagina (labia) stick together. This closure may be partial (either upper or lower labia) or complete.

The adhesions normally occur in girls who have not yet reached puberty. The cause of closure is often from vaginal irritation, when adhesions form during healing.

The possible causes of irritation are from stool, bubble baths or something unknown.

Sometimes there are no symptoms, but there is often pain from the pulling sensation, trouble with urination, recurrent urinary tract infections, or recurrent vaginal infection.

Labial adhesions do not need treatment if only a small portion of the vagina is infected and there are no symptoms. Symptoms may go away once puberty occurs and estrogen levels rise naturally.

However, for those patients with recurrent infections and discomfort, treatment with a topical estrogen cream (Premarin) may help separate the labia.

Following the estrogen therapy, Vaseline applied daily may help prevent the adhesions from forming again.

Practice correct wiping technique from front to back. 

If you have questions, contact the Teen Health Center at Cincinnati Children's Hospital Medical Center, 513-636-4681.

Last Updated 11/2013