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Re: labial adhesions

From: anonymous@obgyn.net
Mon, 19 Jul 1999 15:12:24 -0500 (CDT)


At Sat, 17 Jul 1999, anonymous@obgyn.net wrote: >
>>I assume there's no
>>>guarantee that her labia will separate when she reaches adolescence and
>>>begins to menstruate.
>>
>>On the contrary, she will almost certainly open with the onset of
>>puberty, as estrogen begins to circulate in her bloodstream.
>
>**The reason behind my assumption is the personal testimonies of a
>number of women whose adhesions did not separate at puberty but
>continued to persist well into womanhood. Is this only the rare
>exception?
>I'm also concerned for my daughter's self image. The other day I was
>cleaning my baby girl during a diaper change and my 9 year old asked me
>why her sister had a "hole" there. I have explained to her many times
>that she is closed but most girls are open, so this question surprised
>me. Even though we have talked about it and spent several weeks all
>together in the past applying cream to open her, she still thought
>closed was the norm.
>If we do decide to open her adhesions using the premarin cream isn't a
>daily application of vaseline sufficient to maintain the opening?
>
>Thanks,
>
>Robin

Persistent closure would indeed represent the rare exception, and may well represent the traumatic attempts to open that I mentioned. Vaseline might work, though I would use A&D ointment anytime vaseline is considered, however the estrogen cream is the key, and the continuing therapy as well. You just don't have to use it as often, say 1-2 times per week to keep it open as opposed to daily for the initial separation.






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