Synechia in girls - we solve a delicate problem. The main causes of vulvitis in girls Children's organs in girls

The prevalence of vulvitis in girls is very high: 60-70% of cases of childhood gynecological diseases are inflammatory processes associated with this disease.

Girls between the ages of one and eight are at risk.

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Description and characteristics

What is vulvitis?

Vulvit - inflammation of the external female genital organs(vulva).

The inflammatory process often affects not only the vulva, but also the vaginal area, and this disease is called vulvovaginitis.

Causes

The external genitalia of little girls have certain anatomical and physiological features that make them less protected from infections:

1. The ovaries of girls are still sleeping, not actively producing hormones, therefore vaginal immunity is weak and cannot resist infections.
2. The skin of girls has a thin dermis and a loose outer layer of the epidermis, so pathogenic microflora easily enters the body.
3. In children fewer skin glands than in adults, and they work less actively, which also facilitates the penetration of microorganisms.
4. higher vaginal pH than in adult women, and the level of glycogen and lactobacilli is extremely low. It is easier for pathogenic microflora to multiply in such conditions.

Vulvitis can be divided into infectious (inflammation is caused by a variety of microorganisms) and allergic (inflammation is a response to the appearance of an allergen).

Reasons for development infectious vulvitis:

Reasons for development allergic vulvitis:

Newborn a child can get vulvitis from the mother during childbirth or in utero.

Symptoms and clinical picture

With vulvitis, the labia are swollen, there is redness, in rare cases, the skin of the pubis and groin swells. Appear itching and pain aggravated by urination.

Babies become irritable, often cry, sleep poorly. Older girls actively comb the perineum, complain to their parents about discomfort and pain. In rare cases, it may rise temperature.

If vulvitis was caused by pathological microflora (staphylococcus, chlamydia, etc.), various types of vaginal discharge occur, usually present bad smell.

With infectious forms of vulvitis, ulcers and erosions may appear.

Often the symptoms of vulvitis in girls up to a year confused with diaper rash and skin irritation, this is due to lack of information. Parents begin self-medication and eventually trigger the disease. Therefore, at the first alarming symptoms, you need to consult a pediatrician.

With a long absence of treatment, vulvitis acquires a chronic course, and it is much more difficult to cure it.

Vulvitis in girls - photo:

Classification and types of disease

The course of vulvitis is divided into:

• acute(lasts less than one month);
• subacute(less than three months);
• chronic(more than three months).

According to the nature of the origin, vulvitis is divided into two types:

1. Primary, also called non-specific. It occurs due to violation of the rules of hygiene, failures in the production of hormones, injuries of the external genital organs.
2. Secondary, or specific. Caused by pathogenic microorganisms.

Vulvitis is also divided into the following categories:

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Complications and consequences

1. Synechia small labia. During the disease, erosions occur, the labia are deformed, stick together and gradually grow together. If the fusion affects the urethra, urination will become difficult. In the future, surgery may be required.
2. If the infection during the illness affects the urethra, will develop cystitis and urethritis.
3. Vulvovaginitis. It develops if the infection enters the vagina. Frequent complication of vulvitis.

Other complications are also possible: erosion, neurogenic and conditional leucorrhoea, in rare cases, infertility.

Diagnostics

The pediatrician interviews the child and parents, makes an initial diagnosis and directs to the pediatric gynecologist, who will examine the girl's genitals, if necessary, uses a colposcope to carefully examine the vulva and a vaginoscope to make sure that there are no foreign objects in the vagina.

He also collects an anamnesis, takes swabs and gives directions for tests. List of analyzes with vulvitis:

The gynecologist can later refer the child to other specialists for examination (gastroenterologist, endocrinologist, and others). After receiving the results of the tests, treatment is prescribed.

Treatment Methods

In acute vulvitis, bed rest is indicated; in rare cases, treatment takes place in a hospital.

A special diet is introduced, which includes a large number of products with an alkalizing effect (apricots, peaches, cucumbers, herbs, cabbage, beets and others).

Avoid heavy food, foods that have an oxidizing effect (fried meat, canned food, sauerkraut, tomatoes).

The main treatment is aimed at destroying the pathogen and alleviating symptoms.

Various methods are used for this:

• compresses with tincture of eucalyptus;
• lotions using antimicrobial agents ( Furacilin, Furadonin, Miramistin);
• taking sitz baths infusions of herbs(chamomile, calendula);
• use of antibacterial ointments, gels and creams ( zinc ointment, clindamycin, oletethrin);
• taking vitamins and immunostimulants for general strengthening of the body;
• the use of painkillers, often in the form of ointments ( Anestezin, Anestalgin).

Antibiotics are usually prescribed for specific vulvitis or when disease is in advanced stage(examples: Azithromycin, Wilprafen, Ceftriaxone).

If the disease has candidal nature, antimycotic agents are prescribed (Fluconazole, Itraconazole).

Alternative methods of treating vulvitis should be used with caution and only after consultation with your doctor.

They have a certain effectiveness and are well combined with traditional methods of treatment, however, only with their help, vulvitis cannot be cured.

Phytotherapy is widely used: herbal preparations, decoctions of herbs ( oak bark, St. John's wort, chamomile), ointments, balms and creams based on them, which can be purchased at a pharmacy.

Prevention and hygiene

Parents need to carefully follow the rules of hygiene: regularly wash the child and change underwear in time.

A grown-up girl needs to be taught how to care for her genitals, change clothes and explain why this is important.

The child's underwear should be comfortable, made from natural materials. Also, the girl needs to provide individual hygiene items (towel, sponges).

If you follow these simple rules and undergo preventive examinations on time, the risk of vulvitis will significantly decrease.

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ABOUT non-specific vulvitis in girls in this video:

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Synechia or adhesion of the labia minora occurs in early infancy or somewhat later, before the age of six years. Often the disease is asymptomatic and is discovered by parents during child care or by a doctor during a medical examination. Determining what synechiae look like is, in most cases, easy. This can be done by carefully examining the genitals.

The disease is prone to constant recurrence. Approximately one third of the patients note the appearance of new adhesions.

How to conduct an inspection

Before the examination, you need to thoroughly wash your hands with soap and cut your nails so as not to injure the delicate skin. Spreading the legs of the child, carefully examine the genitals. At the same time, attention is paid to the presence of a genital gap through which the vagina is visible.

If instead of a gap only a whitish strip is visible, and an attempt to push the labia minora does not bring success, there is a high probability of having synechia. In rare cases, fusion occurs and the labia majora.

Signs of pathology

Synechia of small lips may not cause discomfort to the girl. In some cases, there are problems with urination, if you want to urinate, the child begins to grunt, push hard and cry. After urination, there is a quick relief.

You can also highlight the following symptoms:

• redness of the skin in the genital area, the appearance of a rash;
• irritation of mucous membranes;
• crying indicating pain when touched while washing or bathing;
• the direction of the urine stream upwards, which is typical for boys.

Girls 1 year and older experience urine leakage even if the child is already using the potty.

How dangerous is the disease

The fusion of the labia cannot be regarded as a natural process that should not be paid attention to, but its occurrence rarely brings serious consequences for the female body.

However, the condition can contribute to the development of various infectious processes. With the progression of the disease in the future, associated with the growth of the genital organs and the incorrect formation of the perineum, the girl may have problems with conception and delivery.

The initial stage of the formation of synechia makes itself felt by swelling of the vulva, its redness, irritation, pain during urination. If you suspect a pathology, you need to take the child to the doctor.

Synechia is an insidious disease prone to relapse. It is impossible to rely on their independent resolution in girls under one year old. The problem can be eliminated by puberty. With this pathology, the child should be under the supervision of a pediatric gynecologist, who determines the necessary treatment and gives recommendations for caring for the genitals.

Reasons for fusion

The reasons for the formation of synechia may be different. If they are still noticeable in a newborn, then they were most likely caused by a complicated pregnancy and intrauterine infection of the fetus.

In preschool age, adhesions in girls may appear for the following reasons:

• transferred infectious diseases of the urogenital area (cystitis,), when bacteria penetrate into the focus of inflammation, which provokes the fusion of the small lips;
• household transmission of viruses (through towels and other care items);
• improper hygiene of the genitals, the use of aggressive cosmetics that eliminate the necessary bacterial environment;
• a tendency to allergies, as a result of skin contact with the remnants of washing powder on linen, hygienic wet wipes, diapers, leading to swelling of the vulva and the further appearance of synechia;
• hormonal imbalance caused by;
• wearing underwear made of low-quality synthetic materials;
• helminthic invasions, intestinal dysbacteriosis, taking certain medications.

Treatment

Synechias are incomplete and complete. If the fusion has occurred in a small area of ​​​​the labia minora, the problem can be solved by observing the rules of hygiene and care. A great danger is the complete fusion of the labia minora, which can be cured only with a timely visit to the doctor.

Before determining the treatment, the patient is prescribed general blood and urine tests, a swab for bacterial culture from the vagina or tests for latent infections.

If synechia is caused by an allergy, consultation of an allergist is required.

Local therapy

In the treatment, ointments and creams containing.

• Ovestin

A hormonal remedy used for various diseases associated with a lack of estrogen. The main active ingredient is estriol.

Treatment with Ovestin is carried out for 20 days, then a short break of 10 days is taken. After a break, the course is repeated. Ovestin is recommended for use no more than 1 time per day. It is better to treat synechia before the child goes to bed. If the baby sleeps in a diaper, it should not be worn until the cream is completely absorbed.

In some cases, negative reactions are possible: itching in the vagina, mucus secretion, skin rashes. With caution, the cream is prescribed to patients with bronchial asthma, epilepsy, and liver diseases.

The ointment is applied in a thin layer. Processing is carried out with careful rubbing movements. You can not put pressure on the genitals or try to separate the synechia on your own. It is strictly forbidden to use for this purpose various improvised means that can serve as a source of infection.

• Contractubex

The cream is often prescribed for synechia in girls. The optimal combination of active ingredients (onion extract, sodium heparin, allantoin) has a bactericidal effect, anti-inflammatory effect, heals wound surfaces.

The product is applied to the spliced ​​area twice a day with a thin layer. A greater effect can be achieved by combining this drug with Traumeel S or Bepanthen. The course of treatment is 20 days, then after a pause it is repeated. Since synechia is a recurrent phenomenon, Contractubex can also be used for prophylactic purposes.

The drug has practically no contraindications. The only obstacle to its use is increased intolerance or sensitivity to individual components.

• Bepanthen

Ointment or cream Bepanten is effective if the disease is complicated by inflammation. Bepanten eliminates sores, cracks, erosion of delicate skin. Its use prevents the development of infection.

Bepanthen belongs to safe drugs, it is suitable for both newborn girls and older children. Processing is carried out after washing and thoroughly drying the genitals.

Baths with the addition of chamomile, calendula, oak bark will help prevent relapse. In the treatment of synechia in girls at home, oils of vegetable origin (sea buckthorn, peach, almond, grape seeds) are used.

Surgery

How to treat a complete fusion if conservative treatment has not given the expected results? In this case, a dissection is performed. The operation is performed under local anesthesia. The procedure is not dangerous, does not cause discomfort and bleeding in the girl.

The duration of the operation is only a few minutes. After the procedure, the wound is treated with an antiseptic solution and after 15-20 minutes the girl and her mother can go home.

After surgical separation of synechiae, regular treatment of the genital organs is necessary for some time. To do this, use both creams and ointments, and vegetable oils. Ordinary baby cream will do. Soothing baths based on decoctions of chamomile, calendula, sage, string are prescribed.

It will be necessary to treat small lips with a cream for at least a month. In the future, this procedure is carried out 1 time per week for the purpose of prevention.

Massage

This procedure belongs to the auxiliary methods of treatment of synechia. Massage is done after applying the ointment. After waiting a minute or two until the cream-gel begins to be absorbed, they begin to massage the glued labia. The movements should be smooth, cautious, but slightly pressing.

With incomplete fusion, you can try to gently separate the lips, but you can not overdo it. It is undesirable to make sudden movements, especially when trying to separate glued lips, as movements can cause injury or psychological discomfort to the child.

The following home remedy has worked well. A cotton pad soaked in potato juice is wiped over the site of the lesion, trying to slightly stretch the labia in different directions. The procedure must be regular. Thus, with incomplete fusion, with the help of a kind of massage, surgical separation can be avoided.

Prevention of synechia in girls

Unfortunately, the phenomenon of synechiae is prone to multiple "returns" even after surgical separation. The problem is solved only with the onset of puberty. Preventive measures, compliance with the rules of hygiene and daily routine will help to significantly reduce the risk of relapse. So, prevention includes the following rules:

1. You need to wash the child with ordinary tap water without the use of soap and other cosmetics that dry out the vaginal mucosa and wash out the beneficial microflora.
2. Do not get carried away with bubble baths, if you can not completely refuse them, add it just before the end of the bath.
3. The choice of underwear should be made in favor of natural cotton models. Only in such panties the skin will breathe freely. You also need to make sure that the underwear does not squeeze or rub the skin, as this can provoke an inflammatory process.
4. Timely detect and treat infectious and viral diseases. In most cases, synechia occurs as a result of incorrectly and incompletely treated diseases.
5. Regular visits to the pediatric gynecologist. Such a recommendation often causes bewilderment in a mother who believes that a little girl has nothing to do in a female doctor's office. However, doctors advise visiting a gynecologist already at preschool age.
6. Timely replacement of diapers, in some cases, their use will have to be abandoned, it is better to wash children's things for preschoolers separately from the clothes of adult family members.
7. Choose on sale detergents and cosmetics, toilet paper and other care products without artificial colors and fragrances.
8. Prophylactic use of estrogen ointments by those girls who have previously been diagnosed with genital fusion. The dosage and duration of treatment is determined by the doctor!
9. Pregnant women in the third trimester actively deal with manifestations (protein in the urine, edema, high blood pressure), as these symptoms lead to complications during childbirth and the appearance of pathologies in the newborn.

It just so happened that when it comes to the hygiene of boys, mothers have a lot of questions. But with the girls it seems like everything is clear and understandable. However, everything is not so simple. We are talking about procedures that are aimed not only at maintaining cleanliness, but also at maintaining reproductive health, in the first place.

Features of intimate care for a newborn girl

After the mother and child return home from the hospital, the issue of hygiene of the newborn girl falls entirely on her shoulders. Caring for a girl is indeed a responsible matter, it must be safe and well organized.

In the early postnatal period, the genitals and buttocks of girls are almost constantly in contact with urine and feces, which makes it difficult to keep these parts of the body dry and clean. Delicate skin reacts with redness, irritation, rashes. And if the baby's skin is hypersensitive, then this exacerbates the problem.

Also, mom should know that newborn girls do not yet have that protective barrier that an adult woman has, and due to the characteristic-specific structure of the female genital organs, it is very easy to bring infection and various diseases. In the future, this may negatively affect menstrual cycles, the course of pregnancies, as well as reduce the possibility of bearing, etc.

First days

Immediately after the birth of a girl, white, grayish-white or beige discharge is visible on her labia. Doctors call it "smegma" - the original lubricant, the result of the work of the sebaceous glands of the external genital organs. This is completely normal.

If there is little smegma, then it is not required to remove it, it will disappear by itself. It is recommended to wash off the plaque only if there is too much secret. In the fats contained in it, after a few days, microorganisms will begin to multiply, which can lead to inflammation.

Smegma is a rather dense substance, so it must be removed delicately and carefully. Take a cotton swab, dip it in warm (not hot!) boiled water and start removing the secret. This will have to be done in several stages, since the plaque will gradually move away. In a couple of days there will be no trace of him.

Also in the early days, girls can be observed. And in this case, there is no need to be afraid. Thus, mother's hormones are excreted from the body of the newborn. This phenomenon is called the hormonal crisis of newborns. Everything will pass in a few days.

Important: there should not be any other discharge other than those described above in newborn babies. If you notice purulent discharge with an unpleasant odor and redness of the labia, consult a doctor immediately!

Diapers

Many issues related to the hygiene of girls relate to the use of diapers. On the forums of mothers, there are often opinions about the harmfulness of diapers. Is it so?

As you know, getting liquid feces into the vagina is the main problem of girls' hygiene. This often provokes infectious processes and inflammation. With the advent of diapers, the scale of the problem has decreased. This is evidenced by the statistics of doctors, and many years of experience in using diapers.

Modern diapers perfectly absorb moisture, have antibacterial properties, including moisturizing the skin, etc. .

If you constantly use diapers, then you should wash your child in the following mode:

• after the toilet "in a big way";
• while swimming before bed.

The only important condition regarding diapers is their regular change, at least once every two to three hours.

Do not be afraid to use diapers: they are absolutely not harmful for babies, on the contrary, they reduce the risk of liquid feces getting into the vagina, which means they reduce the likelihood of getting inflammation

How often should a girl be washed?

Many mothers "boast" that they wash their babies after every urination or even after every diaper change. However, such zeal on their part will not only not be beneficial, but may even harm health. Beneficial bacteria live on the mucous membranes. They are very small, and so far give a weak, but still protection to the newborn. (By the way, some of these bacteria will stay with women forever.) If you constantly wash them off, then you will deprive the girl of this important protection, increasing the risk of infections and inflammatory diseases.

However, worse than frequent washing is only washing with soap.

Soap use

Everyone knows that when we wash our face with soap, we try in every possible way to avoid getting it into the eyes, on the mucous membrane of the eyelids. We clearly understand that getting soap on the skin is normal, but not on the mucous membranes. When you wash a girl with soap, the rule remains exactly the same: soap should not get on the mucous membranes. Everything deeper than the labia majora is the mucous membranes. Therefore, soap is used only for superficial treatment of the labia majora, and not deeper. If this rule is not observed, then problems will arise.

It’s a paradox, but when a mother pays increased attention to washing her daughter, when the girl is regularly washed with soap, then there are much more problems, and they arise much more often than when she is not paid such close attention.

Girls are recommended to wash up to six months or a year without any detergents at all. However, soap can be used, only they need to be treated directly on the outer surface of the labia

Fusion of the labia

Another topic that is so often discussed on the forums of moms. There is a persistent opinion on the Internet that this problem appears due to insufficient hygiene, due to the use of wet wipes, frequent or, conversely, rare washing, as well as the use of “wrong” care products, etc. So is this true or myths?

The fusion or adhesion of the labia minora in the scientific world is called "sinechia" (sinechia - anat. "adhesion").

What causes this problem?

In newborn girls, the condition of the mucous membranes of the genital organs depends on the amount of sex hormones (estrogens) in the blood, which they still have very little. A low amount of estrogen in the blood is one of the main reasons for the adhesion of the labia minora.

It is also believed that microtrauma of the delicate and thin vulva, resulting from its mechanical damage during too active washing, can lead to this trouble. Microtraumas begin to heal, and the labia minora begin to coalesce. Gentle washing will reduce the risk of such microtraumas.

Synechia or fusion of the labia minora is not a disease, but a physiological feature of girls from six months and older, which occurs against the background of a lack of sex hormones estrogen

At what age does it start?

Remember: synechiae never occur in girls under 6 months of age. Because they have mom's estrogen, which they got during pregnancy and childbirth. Then the problem arises, and, as a rule, its peak falls on the age of 1 to 3 years.

Interesting: according to medical textbooks, this phenomenon is observed in only 1.5-3% of girls. But in fact, in some clinics in our country, the number of girls with synechia reaches 30 and even 50%. That is, if you look very closely, then synechia can be found in almost any girl under 2 years old.

It should be noted that synechia is not a disease. This is a physiological feature of children of this age. No wet wipes or "harmful" care products affect its appearance.

When is it necessary to treat?

Very rarely, synechias are of such severity, in which the labia minora is completely fused, which leads to difficulty in the outflow of urine. When this happens, urine accumulates in the vagina, leading to inflammation. This is what needs to be treated.

Main: if the child is not bothered by anything, there are no problems with urination, there is no itching, redness and discharge, nothing needs to be done. This is not a problem, and no one is to blame for this. Don't be afraid that something will grow there. As soon as the baby begins to produce estrogens, with a probability of 80-90% everything will completely disappear. And 20% may need treatment for 2 weeks with a special ointment.

Important: even when synechiae are discovered, no one separates them with any instruments or fingers (especially without anesthesia)! They are first treated with ointments containing estrogens, and only if the ointments are ineffective, resort to mechanical separation.

Washing a girl: an algorithm of actions

The intimate hygiene of a newborn girl is very important. You must remember this. Your daughter is also a future mother, and her reproductive health depends on your adequate actions and the right approach to the issue.

Washing girls is an important procedure. The intimate health of babies depends on this elementary action. Washing is done strictly from front to back - from the labia to the priest, so that the feces do not get into the vagina

How to wash a girl:

1. Wash your hands before washing.
2. Turn on a stream of running water, not very strong. Make sure it is neither cold nor hot.
3. The child's head should lie on the elbow bend, the body on the forearm, fix one leg with your hand.
4. Wash should be in the direction from the labia to the priest - from front to back, and in no case vice versa. It is also necessary to wash the inguinal folds and between the labia (shallowly).
5. Wash without soap, but after a bowel movement, you can use an intimate hygiene product intended for children under one year old (with a neutral pH) for washing.
6. Next, you need to treat the genitals with sterile oil - olive or peach. Peach can be bought ready-made in a pharmacy, and olive can be sterilized in a water bath.
7. Leave 10-15 minutes for the baby to take an air bath. Do not wear a diaper, let the skin rest.

Adviсe:

• Use a minimum of cosmetics in your care, as all this can lead to itching, redness, and allergic reactions.
• Wet wipes are a great modern invention, but they should also be used sparingly.

So, the hygiene of girls is an important and responsible issue. Specific knowledge from specialists will not interfere here, but you should not be guided by the myths and advice of ignorant people. Trial and error methods will not work either - your baby still has to go through the path of "maturing" as a woman and becoming a mother. It is not difficult to remember and follow the hygiene rules described above. Let your little ones grow up happy and healthy!

A woman's reproductive health largely depends on how the girl was cared for as a child. Gynecologists believe that little ladies could avoid many diseases in the future if their parents were responsible for sexual hygiene. Care for the genitals of girls is more complicated than that of boys, and in order to properly carry out hygiene procedures, as well as know when to see a doctor, listen to our advice. And one more thing: do not listen to the stories and advice of other mothers and your girlfriends, as their daughters may have completely different problems.

A bit of anatomy

In girls, the distance from the entrance to the vagina to the anus is small, so intestinal microorganisms, if the washing rules are not followed, easily enter the vagina, causing inflammation.

In addition, babies have a wide and short urethra (urethra), the outer opening of which is open and also more accessible to infection.

The microflora of the vagina in girls is significantly different from that of women and has a different pH value (an indicator of acid-base balance); before puberty in the vagina, babies do not have lactic acid bacteria that protect against infection, so the only protection should be proper care of intimate places. For the same reasons, medicines and treatments for women (candles and douches) will not work for girls.

And although the baby has important anti-infective barriers (a narrow entrance to the vagina, the presence of a hymen), the genitals, due to anatomical and physiological characteristics, before puberty (at this age, estrogen begins to be produced, which supports the protective microflora and stimulates local immunity in the vagina) have low resistance to various kinds of infections and, therefore, require especially careful, but thorough care.

intimate problems

In the first days after birth, primordial lubrication may accumulate in the folds between the labia, which will serve as a substrate for the reproduction of pathogenic bacteria, so it must be removed. With a cotton swab or disc moistened with boiled water, gently wash all the folds between the labia from front to back. If the lubricant is not completely removed, moisten a cotton swab with sterile vegetable oil (boil olive or sunflower oil for 15-20 minutes in a water bath) and remove the lubricant from all the folds of the genital gap from front to back.

Redness in the vulva may indicate an infection that has migrated to the baby from the mother when passing through the birth canal. If by the end of pregnancy a genitourinary infection or thrush has not been treated, then during childbirth, the baby will receive a fungal or bacterial infection instead of beneficial microorganisms. In addition, redness and itching of the external genitalia may be one of the manifestations of allergic diathesis.

Synechia- these are adhesions between the labia, they are found in the first days of life. This is a congenital malformation that can cause acute urinary retention, which necessarily requires the consultation of a pediatric surgeon, since surgical intervention may be necessary. At a later age, the resulting synechia is most likely the result of a previous (or undertreated) infection of the genital tract, as well as a congenital urinary tract infection. Yes, and the usual non-compliance with hygiene rules, improper washing, sometimes even irritation of the labia caused by a wet and not replaced diaper in time, can cause synechia, because during inflammation, scars form and the edges of the labia minora grow together. Therefore, remember that even a small woman requires special care.

Leukocyturia is an increased content of leukocytes (blood cells) in the urine, which indicate an inflammatory process. Leukocytes can enter the urine not only from the urinary tract, but also from the vagina. In this case, gynecological infections in the mother may be a possible cause of leukocyturia, but more often everything is explained by non-compliance with the rules of sexual hygiene.

On the 3rd-4th day of life, babies have colorless or grayish-white discharge from the vagina, sometimes they can be bloody - these are manifestations of the sexual crisis of newborns. The absence of vaginal discharge may indicate a continuous hymen or fusion of the labia (congenital synechia). On the contrary, discharge from the genital tract not during the period of a sexual crisis (that is, in girls over the age of one month) should alert attentive parents. For example, a baby who has had a respiratory viral infection may experience vaginal discharge, but most likely, after 5-7 days, they will stop by themselves. In girls predisposed to infections of the ENT organs (otitis media, sinusitis, pharyngitis), quite often there may be a discharge of their genital tract, because the mucous membrane is the same everywhere.

You may notice a whitish coating in the crease between the small and large labia in the crumbs - these are accumulated secretions of the sebaceous glands - a completely normal and harmless phenomenon. Plaque often remains even after washing: you just need to remove it with a cotton swab moistened with sterilized vegetable oil from front to back.

Your daughter needs to see a pediatric gynecologist if she has:

Synechia, both congenital and acquired (their treatment can be conservative and surgical).

Leukocyturia and bacteriuria.

Discharge from the genital tract not during a sexual crisis.

Redness of the skin or mucous membranes of the external genitalia.

Itching and burning of the genitals (you can guess about itching if the girl has become restless, often puts her hands in a diaper or panties).

Suspicion of abnormal structure of the genital organs.

Sexual hygiene rules

Examine the daughter's genitals only with clean hands with short-cut nails and do not forget to wash your hands with soap and water before washing the baby.

It is desirable to wash the girl after each urination and after each bowel movement under running water both from the tap and from the ladle in the direction from front to back. You need to hold the baby with her tummy up, so that the water first washed the perineal area, and then the anus, flowing down. At the age of one year, try to use only boiled water.

After bathing, washing, or when changing a diaper, wipe all the folds of the genital gap with a cotton swab dipped in sterilized vegetable oil. Before bathing in the bath, be sure to wash the baby under running water.

In no case should a girl be washed away after a bowel movement by putting her in a basin or bath, because feces always contain a large number of microorganisms, which, if they enter the vagina, will quickly develop inflammation.

Do not use soap when washing: it dries out the skin, destroys the protective layer and can cause a violation of microbiocenosis. Use special baby pH-neutral soap once a week and, if necessary, after a bowel movement. In this case, wash only the outer surfaces of the labia majora with soap, avoiding soap getting into the genital slit. Never use sponges and washcloths for washing - they injure delicate baby skin.

To treat the perineal area, you should not use powder: the smallest particles of this agent (and even more lumps) can scratch the delicate mucous membrane of the genital organs as a result of friction, especially under a diaper. It is strictly forbidden to use powder if the baby has a tendency to skin irritations (atopic or diaper dermatitis, diaper rash and weeping).

Any moisturizer (milk, cream) is applied in a thin layer on the baby's previously cleansed skin, i.e. after washing. In the genital area in girls, the cream is applied to the outer surface of the labia majora, around the anus and on the buttocks. Use moisturizers only as needed so as not to disturb the natural oil balance of your baby's skin.

Note to parents

Sleeping with a baby in a parent's bed saves mom a lot of energy, especially when breastfeeding. In this case, it is unacceptable for parents to sleep without underwear: even if you do not have any diseases, foreign flora is not good for the child. Remember: the baby should lie on her own diaper, and not on a sheet shared with her parents, and, of course, not naked.

The girl should always wear a romper or panties; do not leave naked a baby who is actively crawling or already walking around the apartment, because it will still not work to keep the house completely sterile.

Do not let your child be naked in the sandbox and on the beach: be sure to wear a disposable diaper, tight panties or tight-fitting shorts. Children's underwear should be made only from natural materials, because synthetic fabric does not provide a healthy state and comfort of the skin and mucous membranes of the genital organs.

For the baby, you need your own soap, washcloth and towel. Wash children's underwear always only separately from adults, and underwear - separately from suits and overalls.

So, very carefully, dear parents, treat your baby's sexual hygiene from birth. You now know the hygiene rules, follow them - it's easy. And remember: the reproductive well-being of your daughter depends on your care, and you will enjoy your grandchildren in the future! Good luck!

The intimate hygiene of girls (just like the intimate hygiene of boys) involves a certain daily washing ritual that helps maintain the natural cleanliness and health of perhaps the most vulnerable area on the baby's body. Moreover: by properly caring for the genitals of the baby, you are essentially engaged in the most effective prevention of many "delicate" diseases that potentially threaten the young lady in the future.

The ritual of daily proper washing of a little girl is not only an obligatory part of caring for a baby, but also a guarantee of her future "intimate" health.

How often should a girl be washed

In the case of newborns and infants up to a year, it makes sense to wash the girl every time she "went to the toilet." However, given the wearing of diapers and their excellent ability to quickly and reliably absorb moisture, the optimal washing regimen for girls will be as follows:

• after every bowel movement(in other words - the girl went "in a big way");
• during the evening swim, just before bed.

And please don't overdo it! There is no point in carrying the baby under the tap every time you just decided to change her diaper or rebirth. In the case of intimate hygiene, excessive washing is more likely to harm the girl's health than to benefit him.

There are a huge number of beneficial bacteria that live on the mucous membranes. They are extremely small, but not negligible. And many of them "go" with us through life all the time that is measured to us.

If we show excessive “washing” activity, we wash off these bacteria from the skin from time to time, thereby depriving ourselves of a special unique protection. Simply put: we independently increase the risk of inflammatory and infectious diseases.

The same applies to the "depth" of the process. Remember: for intimate hygiene of a girl, it is permissible to use soap or special wet wipes only on the area of ​​\u200b\u200bthe outer labia, that is, on the outside.

The most common cause of vaginitis (inflammation of the vagina) in young girls is the ingress of soap into the genitals. Without being washed away, the soap causes irritation of the walls of the vagina, and as a result, an inflammatory process occurs.

What tools are included in the arsenal of intimate hygiene girls

The question of how to wash a girl is no more important than knowing what not to wash her with. In general, baby intimate hygiene is such an area of ​​parental care in which moderation and regularity play key roles. Judge for yourself:

• The water must be flowing (if you draw water from a basin or any other container, then washing itself loses all reason right there - you simply arrange a cycle of bacteria and dirt between your child's perineum and the pelvis).
• The water temperature should be approximately equal to body temperature - 34-36 ° C.
• Regarding soap and other cosmetics, we repeat once again: their frequent use causes more problems for the girl's health than not using them at all. Any cleansing cosmetics (even the softest, pH-neutral, etc.) are allowed in the genital area at most once a day. And most likely this time you have an evening swim. This means that the girl should be washed during the day without using any cosmetics - soap, foam, gel, etc.
• If there is no running water nearby (you are on the road, visiting village relatives, etc.), you can use hygienic wet baby wipes. Moreover, they are allowed to be used only “unilaterally” - strictly in the direction from the pubis to the coccyx, and in no case vice versa. Otherwise, you will simply bring dangerous bacteria onto the delicate mucous membrane of the genitals with your own hands.
• Make sure that the wipes do not contain alcohol and antiseptics!

Most pediatric gynecologists agree that you can use soap and other cosmetics when washing a girl, on average 2-3 times a week, not more often. The rest of the time, the main tool and means of hygiene is only warm running water.

If you decide to use a special cosmetic product or wet wipes for intimate hygiene of a girl, make sure that your baby corresponds to the age category indicated on the package - all products of this kind have significant differences in composition and are strictly divided by age audience - some are designed specifically for small children. girls, others for little boys, still others for teenagers, fourth for adult women, and so on.

If you decide to give preference to a simple bar of soap, then here you should approach his choice wisely. It is best to choose ordinary (but not lumpy, but liquid) soap, designed for the hygiene of a child in the first year of life. It is these products that are subject to the highest production requirements - they do not contain dyes, they have an ideal pH, etc. Often this baby liquid soap is much more suitable for the intimate hygiene of a child of any age and even an adult than some other special product, originally intended specifically for the care of the genitals.

What's wrong with ordinary soap

This paragraph is especially for those who believe that ordinary soap is quite suitable for intimate hygiene. And spending on a separate product “for tender places” is just marketing tricks and a senseless waste of money.
But no! In this case, the purchase of a special product (namely, liquid soap for a child of the first year of life) is a completely reasonable and correct act.

Let's imagine that every time you wash your face with ordinary soap, in addition to your cheeks, chin and forehead, you carefully lather your wide-open eyes and mouth - from the inside. Do you think your mucous eyes and mouth will like such a “rough” treatment? Definitely, the sensations will be negative: expect burning, itching, drying out and a sharp increase in the number of bacteria. So why are your own cheeks dear to you, but your daughter's health is indifferent?
Indeed, in a little girl, the genital organs are more than 85% of the mucous membranes.

What to wear on tender places?

Requirements for clothing in the genital area in girls are the most stringent.

• Clothing and underwear should not be allowed to be tight, or even worse, squeeze the genital area.
• Materials - only natural, the best of all - one hundred percent natural cotton.
• It is desirable that the panties that the girl wears be white (this is especially true for very tiny girls, who are gradually weaned from wearing diapers, and are accustomed to the potty and wearing underwear). White means no dyes. The fact is that the dyes used in the production of fabrics are very mysterious in nature. By themselves, they can be completely harmless, but when mixed with human sweat, they can suddenly turn into serious allergens. There is no reason to take risks - it is wiser at first to simply use underwear without dyes.

The role of the diaper in girls' hygiene

Most pediatricians today are sincerely grateful for the appearance of diapers on the Russian market. It would seem - such an insignificant detail of the wardrobe! But as in the case, in matters of intimate hygiene of girls, diapers play a significant positive role.

The fact is that the diaper prevents liquid feces from a newborn girl from entering the vagina. Namely, this is the main cause of severe infectious diseases in infant girls.

As soon as diapers “came into fashion”, the statistics on infectious diseases of the genital organs in girls under the age of one year decreased several times.

In other words - let your baby wear a diaper, in the truest sense of the word, to health! And the grandmother, who grumbles all the time that her granddaughter “has a butt in this armor,” can not be persuaded, but it’s also not worth relying on her outdated knowledge in this matter.

Does the correct hygiene of the girl help to avoid synechia?

Let us explain: synechia of the labia is a fairly common physiological phenomenon (remember: this is not a disease!), The main feature of which is the adhesion of the labia minora in infants.

The fact is that the work of the mucous membranes of the genital organs is determined by the amount of sex hormones in the blood. In little girls between the ages of 6 months and about two years of age, female sex hormones (estrogens) are extremely low. That is why the mucous membranes of the genital organs often stick together (and in very rare cases, they can even grow together).

Synechia is never observed in babies of the first six months of life, because each girl receives a certain supply of estrogen at the time of childbirth - a kind of parting gift from her mother. After 2-3 years, the amount of estrogen in the girl's body gradually begins to increase, reaching its first peak at the initial stage of puberty (about 7-9 years).

The most common girlish age for the onset of synechia is between 10 months and two years old.

According to the observations of Dr. O. E. Komarovsky: official statistics in our country speak of 1.5-3% of girls with synechia at the age of 6 months to 3 years. However, the professional practical experience of pediatricians claims that in some regions of Russia, such a phenomenon as synechia is observed in 30-40% of girls of this age.

How does synechia affect the daily intimate hygiene of a girl

In the vast majority of cases, synechia "pass" on its own during adolescence, when the amount of estrogen in the girl's blood gradually increases. But sometimes, quite rarely, there are also such serious cases of adhesion of the labia, in which the excretion of urine is almost completely blocked. In this case, the physiological phenomenon already acquires the status of a disease and is treated.

In no case, when you find synechia in your little daughter, do not even think about trying to separate the labia yourself in any way. Even in the case when the separation, in principle, comes up in the office of a pediatric gynecologist, this is done first of all with the help of special ointments. And not mechanically!

We repeat: if a girl has synechia, but at the same time, apart from sticking together of the labia, there are no other symptoms, then nothing needs to be treated.

If, in addition to adhesion of the labia minora, there are also some discharge, redness, itching, difficulty urinating and other symptoms, then synechia is treated with special ointments with the necessary amount of estrogen in the composition. The use of ointments helps the vast majority of girls. Of course, there are cases when the fusion has become so strong that there is no other way to separate the tissues than mechanical intervention. But the percentage of such "operations" in our days is negligible.

Hygiene of a newborn girl

The rules of intimate hygiene for a newborn girl are not so different from how a baby and older girl should be washed: the ritual is based on the same running water and a minimum of cosmetics. But there are some nuances. For example:

• 1 In the first days after the birth of a newborn girl, the external genital organs are covered with a layer of whitish lubricant - this is a special protective "barrier" that does not allow infections to penetrate into the "holy of holies" for the first time. You will do your crumbs an unfortunate disservice if you properly wash it, thereby depriving it of a protective barrier. Don't touch anything and don't put your hands anywhere! Gradually, during normal washing and bathing, the white grease will wash off by itself.
• 2 A newborn girl should change her diaper every couple of hours (provided that it is not empty). If the baby has done "in a big way" - definitely carry her under a stream of warm running water. And keep it so that the water moves along the perineum of a newborn girl strictly in the direction from the pubis to the pope.
• 3 The first month, no cosmetics and herbal decoctions should be used when washing a newborn girl.
• 4 After washing, if possible, do not dress the girl immediately - let her be naked for 10-15 minutes. Firstly, it is good for baby's skin. Secondly, this simple event tempers the baby well. Thirdly, this will allow you to use less cosmetic products for diaper rash, which are good for the priests, but not very useful for the perineum: any oil, cream or powder that gets on the intimate area, in the first weeks of a girl's life, "work" against her. In order to quickly establish the correct functioning of the mucosa in this area, only running water and air are needed. Any other textures - powder, greasy cream or oil will only impede the work of the mucosa.

11 main rules of intimate hygiene for a girl: a reminder "on the refrigerator"

We summarize the basic rules of hygiene for a girl, which any parent, even badly versed in the intricacies of female anatomy, must strictly observe:

• 1 Daily to cleanse the genital area is best to use plain running water and nothing more. In the case when water is not available, it makes sense to "connect to the cause" baby wipes without alcohol and antiseptics. The cosmetic product can be used no more than 1 time per day, but best of all - 2-3 times a week.
• 2 As a cosmetic product, it is best to use ordinary liquid soap for the care of children in the first year of life. And without regard to how old your daughter really is.
• 3 You can use soap (as well as a wet wipe) only on the outside - on the outer labia.
• 4 If a girl has synechia, but there are no negative symptoms, then they do not require any treatment. You should wash it in the same way as any other girl.
• 5 You can wash the girl only with your hands (clean, of course) - no washcloths and sponges, cotton pads or cotton buds are allowed. Washing movements are always the same - from the pubis to the priest, and in no case vice versa.
• 6 After washing with running water, do not rub the genital area of ​​the girl with a towel, but only lightly blot it.
• 7 If you and your baby visit the pool, then before leaving home it is enough just to rinse in the shower, there is no need to use cosmetics or washcloths. But when visiting the pool, as well as any other "state" institutions, it is important that you have your own personal towel.
• 8 If you already dress your baby in shorts from time to time, then these shorts should be: not tight-fitting, made of cotton, white. They should be washed with baby soap with a double rinse in the final.
• 9 Even if you don’t find any visible problems in the genital area of ​​a girl, it is still necessary to occasionally show her to a pediatric gynecologist: at the age of 1 year, before kindergarten and before school.
• 10 Teach the girl the ritual of intimate hygiene so that she can wash herself every day, it's time - at 5-6 years old.

Don't sit on a stump!

The intimate hygiene of girls involves not only the daily ritual of washing. But also certain rules of conduct. The main one is to keep your distance from any cool surfaces.

Millions of girls in any generation hear from their childhood stern warnings from their own and others: “Do not sit on a cool stone! Get up off the ground - it's cold! Wear leggings - you'll catch a cold! Get out of the water - you'll catch a cold! And a lot of similar notations in dozens of variations...

What it is? Where are the good reasons that give rise to such a lot of prohibitions for little and big girls? Why can't we sit on a tiled floor in just shorts, even if it's 40 degrees outside in summer?

The meaning of all these prohibitions (and they are absolutely fair and true!) is this: when a little girl (she has barely learned to sit down on her own), a teenager or even an adult young lady, sits down on a cold stone, or stands in cold water for a long time, etc. n., local hypothermia occurs in the genital area.

You yourself (if you belong to the female half of humanity) may not even notice this insidious chill in the area below the waist, nevertheless it exists and, alas, it will do its “dirty” deed even without your knowledge. Hypothermia, in turn, causes contraction of the vessels of the uterus and ovaries. The sad result of this chain is that the blood circulation in the genital organs is sharply disturbed, which significantly increases the chances of the occurrence of protracted and painful inflammatory processes in the “tender” place.

Teach your baby from the first year of life not to sit on stones, tiles, marble window sills and steps, and on other similar surfaces. After all, this is nothing less than partly a guarantee that in the future you will enjoy the company of your grandchildren to the fullest ...

One of the most exciting periods of pregnancy is determining the sex of the baby. But it often happens that the genitals of the child do not have the same appearance as mom and dad expected.
Your baby's genitals may be bruised or inflamed for several days after the baby is born due to birth trauma. Puffiness may also appear due to an excess of maternal hormones that enter the baby's body during fetal development. As a rule, after a few days, the baby's genitals acquire their normal appearance.
Parents of newborns pay great attention to the genitals of their babies. And not only them, but also what stands out from them. Indeed, this part of the child's body is far from the last place in terms of his health. The size, shape, smell of the genitals can signal a number of diseases from the most minor to very serious and life-threatening. Parents can easily determine whether the baby's urinary system is functioning normally. To do this, it is enough to follow how he urinates, as well as the speed and power of the urine flow.

Boy or girl?:

Sometimes it happens that after the birth of a baby, it is not possible to fully determine its gender. This suggests that the child was born with pathologies of sexual development. Previously, this phenomenon was called the external genital organs of the intermediate type. This is a rather rare occurrence. At the same time, the genitals of the child do not look like we are used to seeing them. The girl may have an enlarged clitoris, while it becomes like a penis. In this case, the labia may grow together and resemble the scrotum.

In fact, the sex of the baby is laid at the time of conception. But various hormonal, genetic, chemical and many other factors during pregnancy can affect the development of tissues that form the male and female genital organs of the fetus. It is not always possible to establish the exact reason for this. At risk are those babies whose families had similar cases, as well as whose mothers took steroid hormones, progesterone, estrogen during pregnancy.
The main cause of the pathology of sexual development in girls is congenital adrenal hyperplasia. This is a very rare and dangerous genetic disorder in which the adrenal glands produce too much androgens (male sex hormones) and too little cortisol. Boys with the same congenital disease may have an enlarged penis, but in most cases they will not have any external manifestations of the pathology.

In most US states, newborn babies are required to check for congenital adrenal hyperplasia. In the absence of proper hormone replacement therapy, this condition can lead to acute adrenal insufficiency. Signs that signal the possible presence of pathology in newborns are the following:

Weight loss;
Lack of appetite;
Vomit;
Dehydration.

Treatment for congenital adrenal hyperplasia includes hormone therapy or reconstructive surgery (usually removal of the adrenal gland). Despite the presence of this disease, most children live normal lives, have a normal sex life and have children of their own.
If you have any doubts about the gender of your baby, you should consult with a pediatric endocrinologist as soon as possible.

Vaginal disorders:

Children's periods

Newborn babies have vaginal discharge, which is called physiological whites. The reason for their appearance is maternal hormones that actively circulate in the girl's blood in the first weeks after birth. They can be transparent, and also have a pink, red or white color. If such whites contain blood impurities, then they are called pseudomenstruation. They are very similar to menstrual flow in women and are associated with a sharp increase in the content of estrogen in the blood.
Such discharge is absolutely safe for a newborn girl. They stop within a few days. But there are times when they last several weeks. If pseudomenstruation lasts too long, then this may indicate the presence of a vaginal infection in the newborn.

Vaginal swelling

Most girls are born with swollen labia. While in the womb, both girls and boys are exposed to maternal hormones, which lead to swelling of the breasts and genitals, which is very often observed by parents of newborn girls. As a rule, everything passes in 2-4 weeks.
But if the swelling in the child does not go away, then this may be a sign of congenital vaginal obstruction. This is a very rare condition caused by a fused hymen. Some girls are born without an opening in the thin fold of mucous membrane that covers the entrance to the vagina. Because of this, fluid accumulates in the middle of the vagina, causing swelling. Sometimes there is an increase in the uterus.
As a rule, hymen fusion is diagnosed by doctors immediately after the birth of a girl, but sometimes it can only be detected during puberty, when the girl begins her period. To normalize the condition of the newborn, a simple outpatient operation is used to open the hymen.

Bad smell from the vagina

The presence of an unpleasant odor almost always indicates that there is an infection, which is called vaginitis or vulvovaginitis. In addition to an unpleasant odor, the following symptoms may indicate the presence of a disease:

Irritated and reddened skin around the vulva;
- Allocations;
- Itching (more often diagnosed in older girls). See if the baby touches her genitals.

Often, vaginitis occurs in babies who do not yet go to the pot, because the microorganisms contained in the feces and urine linger in diapers and provoke the development of the disease. Girls who were born as a result of premature birth or with low weight are prone to vaginitis.
Vaginitis may indicate the presence of other infections. The thing is that older girls are very fond of exploring their genitals and can bring infection from the mouth and nose with their hands.

Treatment for vaginitis is as follows:

Thorough washing of the genitals;
- Control that the baby does not touch her genitals and does not bring the infection there;
- The use of very mild genital hygiene products for girls;
- The use of antibacterial drugs (local or for internal use) as prescribed by a doctor.

Pay attention to the nature of the smell. If it has a pronounced smell of yeast, then it is likely that your baby has vaginal candidiasis or the well-known thrush. It is important that girls under the age of two are especially susceptible to this disease. A characteristic sign of thrush is white rather thick discharge from the vagina, which may be accompanied by itching. It is also important to be careful if you treated the baby for any other infections with antibacterial drugs. They can provoke the appearance of thrush. The disease passes very quickly and is treated with topical antifungal drugs that only a doctor can prescribe.

Important! If your daughter's thrush is recurring very often, it may be a sign of type 1 diabetes or problems with the baby's immune system.

A foreign body in the vagina can also cause an unpleasant odor from the vagina. It is important to note that in this case, the smell will be accompanied by the appearance of brown secretions. It speaks of infection. After removing a foreign body from the vagina in a hospital environment, the smell will disappear almost immediately. But if an infection has joined, then it must be cured.

Excess skin

A fairly common feature of newborn girls is the vaginal fold or vaginal polyp. Every tenth girl is born with a piece of excess skin that sticks out of the vagina. The cause of this defect is the mother's hormones, which come to the unborn baby. This phenomenon is not only considered normal, but also absolutely safe. As a rule, these pieces of skin gradually decrease and after 2-4 weeks disappear into the vagina, when there are no maternal hormones in the baby's blood. If the polyps do not bleed and are not injured while washing the girl, then the need for treatment is completely absent.

Be attentive to the health of your children and diagnose violations in a timely manner!

Diseases of the organs of the reproductive system occur not only in adult women, but also in girls. They may develop vulvitis, vaginitis, anomalies of the genital organs. The problems of the sexual sphere in girls are dealt with by a pediatric gynecologist.

Approximately 10% of girls under 2 years old have synechia - fusion of the labia (small or large). This developmental defect generally does not pose a serious danger. But if a film forms between the lips and the splice is large enough, then this causes a lot of inconvenience to the child and can lead to unpleasant consequences in the future. Therefore, specialist supervision and treatment for synechia is mandatory.

Reasons for the development of pathology

The fusion of the labia is most often a congenital anomaly. This has an insufficient amount of estrogen in the body of a woman during pregnancy. Other factors can also lead to synechia:

• Frequent washing of the genitals. The girl's genitals must be kept clean. But it must be done in moderation. Intense and too frequent washing can cause lip fusion. It is harmful to use ordinary soap for washing small children. It acts very aggressively on the delicate membrane of the vulva, and can damage it. The alkaline composition of soap in contact with water can cause redness and irritation of the labia. Then the affected areas begin to heal, forming synechiae. Therefore, it is better to use special delicate products for care.
• Tight clothing made from synthetic fabrics. This cause of the disease is more common in girls 3-8 years old who wear uncomfortable synthetic clothing. There is friction of the tissue on the vulva, which causes the development of a defect. Strongly fitting things provoke an increase in sweating, irritation of the labia. Rough fabric and sloppy seams can also cause friction on delicate skin.
• Presence of urinary tract infections. The labia can grow together under the influence of inflammation. Pathogenic organisms can enter the urethra and genitals with insufficient hygiene, using other people's towels and washcloths, swimming in dirty water, public baths. The infection may be latent, and at first looks like a slight reddening. With untimely treatment, synechia may develop.
• allergic reactions. The disease can occur as a reaction to irritating factors (allergens). The mucous membrane of the vulva is very sensitive to various irritants, from which the tissues become inflamed. Without proper treatment, the labia fuse together.

Signs and symptoms

At the beginning of the adhesive process of the labia, the girl does not experience much discomfort. But with complete or partial splicing, symptoms appear that should not be ignored:

• slow passage of urine and with tension;
• restlessness or crying while urinating;
• direction of the urine stream upward;
• frequent irritation of the genitals and thighs of the child;
• genitals have an atypical structure.

What do synechia look like in girls? Pathology has the appearance of a thin whitish-gray film that connects the labia at different lengths.

What are the dangers of synechia in girls

Synechia, the size of which does not exceed 5 mm, are considered harmless to health. They do not affect the outflow of urine, do not cause pain in girls. There is no need to treat them. But regular supervision of the gynecologist is necessary.

With significant gluing of the labia majora and labia minora, the vagina turns into a closed space. All vaginal discharge begins to accumulate in it. And this is a beneficial environment for the reproduction of pathogenic microflora. First, an inflammatory process occurs, which subsequently leads to an infectious disease.

Note! Synechia tend to progress. The development of the organs of the reproductive system may occur incorrectly. This is a dangerous violation of the reproductive function, which leads to infertility.

Diagnostics

To identify synechia, a simple examination is sufficient. If an accretion of the labia of the child is found, it is necessary to show the doctor, to determine the next course of action. To find out if the adhesive process has become a focus of infection, it is necessary to pass several tests:

• smears;
• urine culture;
• research on urogenital infections;
• Ultrasound of the pelvic organs.

General rules and methods of treatment

Sometimes the treatment of synechia in girls is not carried out if their size is very small and they do not affect the physiological processes in the body. At the same time, there should be constant monitoring by a doctor who will monitor probable inflammatory processes. In the absence of signs of inflammation, it is enough for the child to provide proper hygiene care.

Conservative therapy

It is prescribed in the initial stages of the adhesive process, with minor synechia. It consists in the external application of drugs that contain estrogen (for example, Kolpotrofil). Such agents loosen the tissues in the area of ​​adhesions, separate them. The duration of such therapy should be several weeks (about 3-4).

The cream is applied only to synechia, it does not need to be applied to the nearest healthy tissue. During the first half of the treatment, the agent is applied 2 times a day. Subsequent use: 1 application of estrogen cream once a day, 2 application is replaced by a neutral baby cream. Then you need to completely switch to baby cream. During the treatment period, the child should be shown to the gynecologist at least 1 time in 2 weeks.

Cream application rules:

• apply with a clean finger clearly along the adhesion line;
• when processing adhesions, there should be soft pressure;
• it is forbidden to forcibly try to separate the splicing points;
• during treatment with cream, avoid irritation of the clitoris.

Hormonal creams can be prescribed only if there are no contraindications. Most experts agree that such funds can be used by children only after 1 year. With successful conservative treatment, the girl should be under the supervision of a gynecologist for another year with a visit once a month.

To relieve skin irritation, you can prepare baths using medicinal herbs:

• chamomile;
• series;
• calendula;
• sage.

It is useful to do such baths before applying a hormonal cream.

Surgical intervention

This method is resorted to in case of fusion of a large length and with the ineffectiveness of conservative therapy. During surgery, the synechiae are separated under local anesthesia. As an anesthetic, lidocaine or special creams with an anesthetic effect are used. In rare cases, with very strong adhesions, general anesthesia is done.

After surgery, a course of treatment with Kolpotrofin is carried out in order to exclude repeated relapses. AND the main thing for recovery is compliance with the rules of hygiene and visiting a gynecologist.

In order to prevent the development of such a pathology as synechia, or their reappearance after surgery, one should especially closely monitor the girl's hygiene and teach her to take care of herself from an early age. Recommendations:

• Wash the child after each bowel movement and keep the perineum dry.

• It is necessary to wash the perineum in the direction from the labia to the anus in water of 37 ° C.
• Wash the genitals with clean hands (not sponges and washcloths), nails should be trimmed.
• Underwear should only be made of organic cotton and not dyed in bright colors.
• Do not use wet wipes, creams, powders in the perineal area, except as prescribed by a doctor.
• Replace soap with a special intimate hygiene product.
• There is no need to add flavorings and antiseptics to the water.
• Do not eat allergenic foods.

Synechia is a pathology that occurs quite often. Therefore, parents should respond in time to various alarming symptoms that are associated with the genitourinary system. The disease is dangerous if it causes problems with urination or becomes a source of inflammation. And neglected synechia can lead to problems in the reproductive sphere in the future.

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The section "consultations" suspends its work.

In the archive of medical consultations for 13 years, there are a large number of prepared materials that you can use. best regards, editorial

Allah asks:

Hello. I am 14 years old. I want to have sex. I put the tampon in completely, but there were no obstacles, pain and blood too. I have a couple of questions. Please answer them
1. Is it rumors or is it true? Is it possible to die with strong arousal (orgasm) at my age?
2. Do I need to rest after the 1st session?
3. I have a depth of 15 cm, is this normal?

Answers:

Dear Alla, the vast majority of girls of your age do not experience vaginal orgasm, so with death - it is unlikely, you cannot die from something that does not exist. And everyone who boasts - or deceives or confuses it with the clitoris - is a different thing. Rest - individually, depth - normal. However, we advise you to think seriously - are you ready? Read the information on the page, this is already part of adulthood, are you ready for this?

The ghoul asks:

Hello. on April 5, 2015, my daughter will turn 2 years old on her genitals as if it were a boy, how can this be what we should do and where to turn

Responsible Medical consultant of the health-ua.org portal:

Gulya, good afternoon! To dispel your doubts and get answers to your questions will help a face-to-face visit to a pediatric gynecologist who accepts in any district children's clinic. Virtually drawing any conclusions from your description is quite difficult, and it does not make sense. Do not put off a visit to a specialist! Be healthy!

Tanya asks:

I am ashamed of my genitals. What should I do?

Responsible Medical consultant of the health-ua.org portal:

Hello Tatiana! If your shyness is caused by the presence of some serious abnormalities in the structure of the external genitalia, you need to consult a gynecologist, make a diagnosis and decide on the need and possibility of correcting the defect. If there are no significant reasons for shyness - that is, the external genital organs are developed correctly, according to the female type, and correspond to your age and constitution, then this is a psychological problem and either auto-training and increasing self-esteem, or face-to-face consultation and treatment with a psychologist will help you solve it . Take care of your health!

Alexey asks:

Hello, my daughter has enlarged ovaries and mammary glands, the doctors do not know the cause and do not give treatment. 2 months ago, the ultrasound readings were two or three numbers less. Tell me why and what to do? Thank you.

Responsible Dyatlova Natalya Renazhanovna:

Hello Alexey! Your daughter is experiencing precocious puberty. It can go at different paces, so the girl is being watched.
I recommend checking the level of hormones FSH, PRL, Estradiol, TSH. Cyclodion has a very good effect (1 drop for 1 year of life) 1 time per day. In general, the situation requires careful monitoring by a pediatric gynecologist, if the hormones are high, you need to show the girl to the department of pediatric gynecology in Kyiv or Kharkov.
Only after tests in a hospital setting can precocious puberty be confirmed or refuted.
Health to your daughter!

Katya asks:

Hello! I am 15 years old, I did not call it sex, since I was in shorts, and he was without. He did not enter so deeply, I felt. We did this for three days in a row! his penis is 15 cm, he is also 15 .. I was in shorts! I'm very afraid of getting pregnant (I'm afraid to go to the gynecologist, but I certainly won't tell my mother .. I'm very afraid to constantly think about it .. Help what to do

Responsible Medical consultant of the health-ua.org portal:

Anonymous asks:

Hello. I `m A virgin. I am 14 years old. Yesterday, foolishly during menstruation, she stuck her index finger (after washing it) into the vagina. But I didn't feel anything. This is fine? I thought it would be nice. And most importantly! Could I have brought the human papillomavirus there? It’s just that I recently received the first of three vaccinations against this virus, therefore, if the virus gets there now, then the vaccine will not help me. =(

Responsible Medical consultant of the health-ua.org portal:

Hello! Very few women are able to enjoy simply the fact of inserting a finger into the vagina. You could not infect yourself with the human papillomavirus. To be theoretically savvy in matters related to human papillomavirus infection, read the article Human papillomavirus (HPV). The battle with a windmill on our medical portal - in it you will find answers to many of your questions. Take care of your health!

Michael asks:

My girlfriend bled during intercourse, she says that flesh sticks out in the vagina and its end is bloodied!! what can it be, please tell me! thanks for the early

Responsible Medical consultant of the health-ua.org portal:

Hello Michael! During the first sexual intercourse, defloration occurs - a rupture of the hymen, a film that partially closes the entrance to the vagina in virgins. So the "piece of bloodied flesh" sticking out of your girlfriend's vagina is a piece of hymen. Read more about the hymen, defloration and everything connected with them in the article The hymen: there must be some mystery in a woman! on our medical portal. Take care of your health!

Lika asks:

I have a question: what is the structure of girls under 15 years old

Responsible Medical consultant of the health-ua.org portal:

Anonymous asks:

Hello! I am 15 years old. I have been masturbating since the age of 6. I can’t refuse, at least once every six months I need it. but over time, one labia (right) was stretched on me. The skin from the inside directly comes out over the lip, sometimes it’s even uncomfortable to walk. It looks terrible and can be seen even from afar. now I'm afraid that in my future life I'll just disappoint my partner. But this is still far away, in the next 5 years I'm not going to do this. But still, your advice would help me a lot!

Responsible Medical consultant of the health-ua.org portal:

Hello! Unfortunately, masturbation can indeed lead to stretching and deformity of the labia minora, and the situation can only be corrected with the help of a plastic surgeon. We can’t say anything for sure about the reaction of your future sexual partner, although usually men (especially not very experienced ones) do not pay attention to such details. In the future, try not to irritate the area of ​​​​the labia minora during masturbation - act on the clitoris (this is no less pleasant, but much safer in terms of changing the appearance of the external genital organs). Take care of your health!

Dinara asks:

Hello, I have a problem at the age of 12, I started masturbating and then I got some kind of white discharge, I have been suffering with this for a year ... What could it be ???

Responsible Medical consultant of the health-ua.org portal:

Hello Dinara! Detailed information about the possible causes of unusual vaginal discharge in girls and women is contained in the materials of the popular science article Vaginal Discharge: Norm and Pathology on our medical portal. The exact cause of the appearance of vaginal discharge can only be established after examination and examination conducted by a gynecologist during an in-person consultation. Take care of your health!

Irina asks:

Hello... you'll excuse me, but my problem may seem stupid to you... I'm 17 years old and I have never been to a gynecologist... I'm afraid of my appearance of the genitals... and because of this I'm afraid to turn to doctor...

Responsible Karapetyan Eliz Martinovna:

Hello. The structure of the genital organs, of course, has a certain norm, but there are quite a few variants of this norm. Therefore, their structure is individual. I cannot say what is wrong with you, since you do not say anything about the problems that worry you. What exactly scares you? But I can confidently say one thing: you need to go to the gynecologist. This will give you the opportunity to find out if everything is in order with your genitals, and also, if something is wrong, the gynecologist will help to correct everything. Gynecologists exist to help people. There is absolutely nothing to be nervous or afraid of.

Dmitry asks:

Hello, we have been together for four years for the first half of the year, everything was fine, but then my girlfriend got pain when I insert a penis into the vagina and when I caress my chest, she often says that she is not even pleased, she even shudders and there is no lubrication without affection, but when we start making love very very slowly says that the pain is gone and she often gets an orgasm almost always...
tell me what it is, I'm already tired of it

Responsible Minukhin Andrey Sergeevich:

Dear, Dmitry, everything that you told is a completely normal phenomenon. The preliminary period of sexual intercourse is a prelude, it is necessary to prepare the female body for sexual intercourse. In women, unlike men, this period is very important, and if a woman is "slowly" excited, then you need to get used to this idea and conduct foreplay in the way that a woman requires. Try to study your partner, reveal her. Specify what she likes, which erogenous zones are the most sensitive, what kind of stimulation she prefers, which positions are most preferable.