What the Sinechia looks like in girls. Causes and treatment of synechia

Sinechia, or the fusion of the labia labia, is a fairly common disease among girls. Medical practice annually fixes from 0.5 to 3% of the pathological change in vulva in babies of the first two years of life, but the disease can also affect older girls. The article will tell parents how to detect the disease on time and prevent the development of complications.

The origin of the blue -lips of the labia in girls has not been thoroughly studied. Many physiologists agree that pathology appears due to insufficient estrogen hormone in the body of a newborn girl. Confirmation of this is also clinical studies, which showed that the fusion of the labia does not happen in girls whose blood is a high concentration of estrogen coming from the mother’s body. Moreover, when the girl who discovered such a deviation is growing up and the independent synthesis of estrogen begins in her body, more than 80% of even the most advanced cases pass without a trace.

The causes of Sinechia   In girls

Experts believe that the following factors become the soil for the development of this pathology:

1. Mom's attention to the intimate hygiene of her daughter. When a mother in a fit of cleanliness washed the child several times a day with soap, she inadvertently injure a thin and very vulnerable mucous membrane of the girl Vulva. The chemical components of soap, friction, contact with the diaper are irritating factors for such a vulnerable part of the child's body as external genitalia. With the regeneration of microscopic cracks and wounds, sticking the labia labels can occur - this is how synechia appear.
2. Insufficient intimate hygiene can also cause deviation, which is based on the activity of pathogenic microorganisms in this case.
3. Diseases of the genitourinary system of infectious origin. Some babies suffer from synechia due to the presence of an inflammatory process in the urinary tract and genitals. When malicious bacteria settle on the delicate mucous membrane of the vulva and begin to multiply there, inflammation develops very quickly, due to which the small labia is being fed.  Most often, synechia is the main symptom of sluggish vulvovaginite. It is difficult to believe, but even a small child may occur chronic sexual disease, since the infection can be transmitted not only during intimate contact, but also in the domestic way. And in some cases, the baby is infected by the mother herself. So that the child does not become a source of chronic infectious disease, his personal linen should be washed separately from the common clothing and, if possible, boiling and ironing with a hot iron. Also, the danger can lurk in someone else's washcloth or towel. When bathing a girl in a natural reservoir, the risk of “picking up” the fungus or the sexual infection becomes even larger.
4. Allergic reactions. Most often, allergies in young children appear on the skin and almost always this process affects not only the skin, but also the mucous membranes located nearby. But parents, preoccupied with the treatment of rash on the tummy or pope, can, by carelessness, not give the value of the reddened vulva of the child. In fact, with the diagnosis of “exudative diathesis”, you need to show increased care not only about the girl’s skin, but also about the mucosa of her external genitalia. With allergic food reactions, the danger of the development of blue -leggings in the baby is very high. The risk of pathology due to household allergies is also great, in which the danger to the child’s health lies in diapers, washing powder, soap, cream, and wet wipes.
5. Complex pregnancy. In medical practice, there is confirmation that the fusion of a small labia in newborn girls is most often observed if a woman had a difficult pregnancy (for example, on the basis of a prenatal infection or due to the need to take hormonal drugs). If the girl’s mother had to face problems of a similar nature during pregnancy, she must definitely visit a children's gynecologist as soon as her daughter is 1 year old.

What the Sinechia looks like in girls

If, speaking of synechias, to indicate the problem with more affordable words, then definitions such as “sticking”, “fusion”, “fusion” are most suitable. They most fully reflect the clinical picture of pathology. As a rule, small labia lips fuse, but the unnatural unification of the labia with small labia is also excluded. In this case, the fusion is divided into full or partial.  

First, find out how to examine the baby for the presence of the disease. To do this, follow the following recommendations:

• wash your hands with soap;
• make sure your nails are briefly tonsured and do not have sharp edges;
• put your daughter on the back;
• dilute the legs of the baby to the sides and inspect its external genitalia;
• carefully open your fingers with your labia labia baby. If the child has synechia, the small labia will be tightly pressed to each other and are connected by a transparent film. Because of this, the vagina will be partially or completely covered. It is impossible to disconnect the labia - this will cause pain to the girl and she will begin to cry. In the photo you see Sinechia and how the girls should be normal.

A - norm, b - partial fusion, c - complete fusion

Girl's clinical picture of Sinechia

When everything is in order with the vulvaya child, the reproductive gap is large and you can freely inspect the vagina, and the petals of the labia label are clearly delimited with the labia labels.

With pathology in the form of blue -found, the picture is completely different:

• due to the advent of the adhesion directly above the urethra, the child has problems with urination. An attempt to empty the bladder causes pain - the girl is pushing and crying. Relative relief occurs only after the child goes "on a small one." Because of this problem, the baby sleeps very restlessly and little;
• the external genital organs of the child are reddened, a small rash may be present;
• when washing the baby comes in crying;
• during urination, a stream of urine rises up, like in boys;
• there is a constant leakage of urine - the baby goes to the pot, however, the panties are always wet.

The fusion of the small labia can occur from the first days of the child’s life: first there is a rash and peeling, then a dense spike appears. Even if, as a result of treatment for pathology, it was possible to get rid of, the mother should show increased attention to the intimate health of her daughter, since up to 8 years the probability of exacerbation of the disease remains.  As the girl grows up, the mucous membrane of her vulva becomes more dense and is no longer so susceptible to external annoying factors, so the small labia does not grow together.

Diagnosis of Sinechia in girls

To understand what caused the fusion, the children's gynecologist will prescribe the following tests after examining the child:

• general blood and urine test;
• smear on the vaginal flora;
• feces for worm eggs and dysbiosis;
• scraping for helminthiasis;
• analyzes for urogenital diseases (chlamydia, gardnerellosis, mycoplasmosis, etc.);
• Ultrasound of the pelvic organs.

How to treat synechia in girls

The sooner pathology is discovered, the easier it is to fix it. At the initial stage, blue -leaf lips in girls are connected by a thin and transparent film, which becomes very dense with their full fusion. The complete fusion of the sexual gap is adjusted only by surgery.

It is believed that it is better not to touch the synechia in its infancy, but to engage in the breeding of the labia label, when the disease causes pain to the child. Regardless of the degree of development of the disease, with the problem you need to come to an appointment with a children's gynecologist.

The dissection of the fused labia lips is made by a scalpel, the operation lasts only a few moments. Nevertheless, the procedure and the recovery period are quite painful, so the mother should monitor the intimate hygiene of the girl with special care. In order for urination to be not so painful, and the healing of the wound occurred as soon as possible, the baby is shown sedentary baths, lotions and antibiotics in the form of an ointment.

The operation, unfortunately, does not guarantee that the fusion will not occur again. A spike may again appear between the small labia. Parents have the right to refuse surgical intervention, but if complete fusion interferes with the natural release of urine, this treatment method is fully justified.

The following recommendations will help prevent re -fusion:

• forget about diapers;
• use children's cream and oil in daily care for a vulvaya child;
• regularly arrange air baths for the baby.

Treatment of synechia in girls at home

The option of treating a house is possible if the child has partial fusion without complications. In this case, the child is shown sedentary baths prepared from chamomile, series, nails. After the girl will sit in the bath for 10 minutes, the problem space needs to be lubricated with olive or sea buckthorn oil.

When the problem is aggravated, the doctor prescribes a special hormonal cream for the child for 2 weeks. After washing the child, the drug is applied with an index finger pointarily - to the fighting site. Most often, this medicine becomes ovidin - if you clearly follow the recommendations of the attending physician, the hormonal drug affects the synechia, without changing the hormonal background of the child. The drug is effective not only when weathing the labia labels, but also when they fought with large labia. The cream is used once a day - after evening water procedures. Treatment lasts 2 weeks. If necessary, the use of caustine can be continued after 10 days of the break.

To increase the effect of hormonal medicine, on the recommendation of a doctor, they use complex therapy, connecting ointments such as traumel C, contractubex, malavitis. What is the meaning of their use?

For example, the active components of the contractubex - onion extract, sodium heparin and allantoin - eliminate small scars and scars. The gel is applied with a thin layer on the fusion area. If parents are afraid to use hormonal drugs in the treatment of a girl, then monotherapy in the form of contractubex is possible. However, in this case, a positive result will have to wait longer - the course of treatment lasts about 3 months.

Prevention of synechia in girls

In order not to encounter a number of unpleasant diseases of the genital area, among which Sinechia, the mother must pay special attention to her daughter’s intimate hygiene:

1. Wash the child under running water and only frontly back, otherwise the wrong hygienic procedure will lead to an infectious disease.
2. You can wash the girl only with her hands - no washcloths!
3. In such a delicate matter, you need to use soap as little as possible, and ideally it is better to completely abandon it. Even if the soap is children (without dyes and flavors), it can overdose a delicate mucous membrane of the girl’s external genital organs.
4. The child should not be in one diaper for more than 3 hours. In this case, it will be useful for the baby to take air baths (be naked) several times a day.
5. The underwear of a little girl should be sewn from natural fabric. Emerate it with children's powder separately from adult clothes. Before putting on the child’s panties, they are ironed with a hot iron.
6. If the girl is prone to allergies, the mother should take this issue more than seriously. If the slightest irritation appears in the genital area, it is necessary to lubricate the small labia with cream from diaper rash well.
7. Do not make baths on a decoction of herbs or potassium permanganate too often.

Many mothers simply do not find a place for themselves from anxiety, when some time after the treatment of blue and complete recovery of the girl, the pathology again makes itself felt. Do not lose heart if a relapse has occurred. You need to follow all the recommendations of doctors and remember that the problem will retreat when the daughter matures.

Sinechia in girls. Video