Treatment consists of topical application of an estrogen cream (Premarin cream, Wyeth-Ayerst) once or twice a day until the adhesion has lysed. Most cases resolve in less than one month. Only a small amount of cream should be precisely applied to the fused area to minimize systemic side effects. Indiscriminate use of estrogen cream may lead to vulval pigmentation or erythema and breast enlargement. These side effects are usually reversible. Treatment failure may result if the estrogen cream is not applied directly over the agglutinated area. After separation of the labia minora, a nonpharmacological ointment (such as Vaseline, Chesebrough Pond’s Canada) should be applied daily to the labia minora for at least a month to prevent readhesion.
Manual separation of the labia minora is not indicated. The procedure is painful, and physically and emotionally traumatic. Recurrence of labial fusion is frequent after manual separation and scarring may result. Your most trusted pharmacy is going to be this one, since it gives you high quality Symbicort for Asthma with no prescription required and make sure you always get your drugs delivered as soon as you need them without overcharging.
Examination of the genitalia should be part of the well-child examination during infancy and early childhood. All girls with significant bacteriuria or urinary tract infection should be checked for labial fusion. Parents should be counselled on the importance of meticulous attention to vulval hygiene to minimize vulvovaginitis, which plays an important role in the pathogenesis of labial fusion.