Sometimes the genital lips of a little girl may be adherent to one another and understandably give rise to parental concern although the condition causes no symptoms. The anatomy will be otherwise normal; ultrasound may provide further reassurance. The adhesions are probably a result of low oestrogen levels and so topical oestrogen cream applied for two weeks will often release the adhesion. Surgery is rarely required and, even then, should be delayed until puberty.


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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

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