Labial adhesions involve the “sticking” together of the inner skin folds (labia) of the vulva. These are a common occurrence in young girls. The actual cause of labial adhesions is not known but could be related to low levels of estrogen. Skin irritation in the area is also a possible cause. Labial adhesions might not cause any symptoms in infants or young girls. When symptoms do occur, they might include pain in the vaginal area, especially when straddling an object (like riding a bike), difficulty urinating (with urine coming out in dribbles), getting urinary tract infections, and vaginal discharge.
Recommended first-line therapy is topical treatment (creams). If very symptomatic or persistent/recurrent labial adhesions, a minor procedure to correct it may be indicated.