An unusual clinical presentation of labial fusion in post pubertal period

Kiran Pandey, Kaustubh Srivastava, Snehlata Singh, Pavika Lal


Labial fusion is sealing of labia minora in midline, also known as labial adhesion or labial agglutination or synechia vulvae. This condition is common in pre-pubertal females usually asymptomatic when oestrogen levels are low and commonly resolves spontaneously post-puberty if unresolved medical treatment includes use of estrogen cream or betamethasone cream application, very rarely surgical treatment required, if not responding to medical treatment due to dense adhesions. This case report is unusual as it has presented in a post-pubertal female requiring surgical management.


Labial adhesion, Labial fusion, Labial agglutination, Synechia vulvae

Full Text:



Leung AK, Robson WL, Tay-Uyboco J. The incidence of labial fusion in children. J Paediatr Child Health. 1993;29(3):235-6.

McCann J, Voris J, Simon M. Labial adhesions and posterior fourchette injuries in childhood sexual abuse. Am J Dis Child. 1988;142(6):659-63.

Goldman RD. Child health update: estrogen cream for labial adhesion in girls. Can Fam Physician. 2013;59(1):37-8.

Capraro VJ, Greenberg H. Adhesions of the labia minora. A study of 50 patients. Obstet Gynecol. 1972;39(1):65-9.

Aribarg A. Topical oestrogen therapy for labial adhesions in children. Br J Obstet Gynaecol. 1975;82(5):424-5.

Khanam W, Chogtu L, Mir Z, Shawl F. Adhesion of the labia minora: a study of 75 cases. Obstet Gynecol Surv. 1978;33(5):364-5.

Myers JB, Sorensen CM, Wisner BP, Furness PD, Passamaneck M, Koyle MA. Betamethasone cream for the treatment of pre-pubertal labial adhesions. J Pediatr Adolesc Gynecol. 2006;19(6):407-11.

Michala SM. Fused labia: a paediatric approach. Obstet Gynaecol. 2009;11:261-4.

Soyer T. Topical estrogen therapy in labial adhesions in children: therapeutic or prophylactic? Journal Pediatr Adolescent Gynecol. 2007;20(4):241-4.