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labial adhesions - following my gut  

post #1 of 12
Thread Starter 
I've posted over in Life w/ a Babe about my dd and labial adhesions and a mama recommended I post over here since ya'll are so knowledgeable about little ones. Here's
my post. Thanks!

here's my post, although there is some discussion on the other forum

this is really the first parenting issues I've struggled with. Home birth, co-sleeping, not circumcising, not vaccinating, etc., I researched and felt very comfortable following my gut, even with the "horror" stories. However with this one, I can't shake the feeling in the pit of my stomach.

My ped first noticed it w/ my dd at her 6 mo. appt when it was partially fused. She did not recommend estrogen because of obvious reasons, instead she gave us a prescription for a numbing cream (can't think of the right term right now) which she suggested we apply 1 hr. before her next appt. and she would separate it in the office. She also said we could separate at home (gently, of course). My first instinct was to leave it alone! Upon researching I found most mamas here felt it best to do the same. I definitely don't feel comfortable messing around with such a delicate area.

At our 9 mo. visit it had fused completely, although she has had no problems with urination. We EC for the most part (about 80%) so we've seen nice steady streams of urine. However, it's just bugging me. I'm reading so many conflicting stories, that I can't shake the uncomfortable feeling.

Here are two examples I found on threads:

I have a friend who had that, and it wasn't noticed til her first GYN appt as an older teen...she had to have surgery to reopen it up. It was open enough for period flow, but not enough to even insert a tampon (or have sex for that matter). Her sister had it as well, both had to have surgery.

~~~

I had that when I was a little girl, my mom taught me how to put the estro cream, it was as if the vaginal opening was fused. I had to apply that cream for a few years, and then my dr. had to make a little tear at one point.

I ended up being okay, and I would recommend doing the same for your daughter. My mom had the same thing that went untreated; she ended up hommoraging after having mensturated 4 cycles with all of that blood being blocked inside her vaginal canal.

I am having a daugher, due in November, and am assuming she will have the same thing. I know messing with hormones seems sketchy, but I plan on doing what I have to for it if she has it, too. I'm interested to know if you learn any more, and any decisions you make regarding this with your little girl!

~~~

Are these abnormal stories and how can I read these and then not do anything. I've having a hard time finding information that doesn't just say "apply estrogen cream and don't worry when you see your baby girl developing sexually" Yeah right!

I won't go on with all my feelings, etc., I think you can get the gist. I'm mostly hoping for mamas with more experience in this area, not so much just saying "follow your gut."
post #2 of 12
I wouldn't let anyone mess with her unless urination becomes an issue. When she is older, if they haven't naturally separated, you can always revisit the issue.
post #3 of 12
Yep, as long as she can pee without any trouble, don't worry about it. Definitely revisit the issue if it's still fused when she starts developing to avoid any issues about blocked menstruation (which I had never heard of until your post)... but it wouldn't be an issue until menstruation which doesn't usually happen until after breast development and pubic hair and such. Best wishes and I hope it naturally resolves before then! It certainly should

love and peace.
post #4 of 12
Thread Starter 
thanks, this is just what I need ~ confirmation from knowledgeable mamas ... any more?
post #5 of 12
I don't have a DD but I do have a DS that ( most unfortunately by his young, sheeple mother (read me at 21 and too ignorant and trusting to know better)) was circ'd and it healed badly with adhesions around his glans.
I was told at a WBV appointment that once he hit puberty that the adhesions would most likely go away by themselves because of the natural production of hormones. He is 13 1/2 and seems to not complain as much about redness or tenderness in that area before he started going through puberty. He has said it doesn't bother him as much now, so I am kind of assuming that the dr was right and that it is resolving itself. I would definitely wait. The surgery can always take place later if needed, but damage from a surgery, especially one tha may not have been needed, is very hard to repair.HTH

Namaste,

Michelle
post #6 of 12
I agree that as long as she's able to urinate normally, I'd leave it alone. If worsens or she has other problems when she's older, you can deal with it then.
post #7 of 12
I say follow your instincts and leave it alone for now. I would keep a eye on it while she is young and then once she is old enough to understand talk to her about it and let her know what is going on so that she can keep a eye on things for her self.
post #8 of 12
I posted on your other thread, but I'll repeat myself here.

My dd had labial adhesions. I couldn't bring myself to put estrogen on her, OR pull the adhesions apart. So I took a "wait and see" attitude.

Everything resolved on its own, with no intervention of any kind needed.
post #9 of 12
I have been told that labial adhesions can be common, especially when the baby is breastfed. My DD had them when she was younger, and our pediatrician recommended gently applying vaseline to her external labia during diaper changes as a lubricant without trying to separate the labia. It worked like a charm, and she had a good opening by her next appointment. I know that some don't like using petroleum jelly, but there is also a non-petroleum jelly you can find at stores that carry natural products. I had read that using the estrogen cream could cause some side effects, and my gut told me not to do that. Just wanted to offer a non-invasive solution that worked for us.
post #10 of 12
I also do not have a girl, but if I did I wouldn't mess with it as long as she could urinate. If she got older and it became an issue for her, then we could see a doctor and go from there. From what I have heard they are quite common and most resolve on their own. Personally, I would much rather have a doctor cut my daughter down there when she was older and able to understand, than when she is so young and doesn't understand. I can only imagine how invasive it would feel to a young baby/child.
post #11 of 12
My dd also has this and I had posted about it when I was first dealing with it. I ended up leaving it alone and just watching for any sort of uti. No problems and I have noticed the opening getting bigger. I also had a thought that since the doctors wanted to do the premarin hormome cream that possibly my minipill played a role in imbalanced hormones since she nurses. I stopped taking a birth control pill alltogether, though I dont know if it was related or not. Here is the link to my old thread. http://www.mothering.com/discussions...d.php?t=398857
post #12 of 12
DD also has this and the ped told me to just make sure to swipe a clean diaper wipe down between her folds every time I change her. I've been wondering about it, but wasn't sure what it was called and have been doing it because I thought it couldn't hurt.
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