What are the synechia in girls?

Caring parents in their depths dream of one day becoming even more caring grandmothers and grandfathers. The problems that concern the genital and reproductive system of the child, worry many. You will learn how girls look like synechiae, how to recognize them, after reading this article.

Synechia spikes are called intergrowths of the labia between themselves. In the vast majority of cases, the labia minora combined. However, it also happens that large lips with small lips symmetrically coalesce.

Doctors believe that this is due to the physiological lack of female sex hormones at a younger age.

However, hormonal reserves are spent and not replenished, and by six months each girl can experience for herself what synechia is. There are many provocative factors. These are insufficient hygiene, and inflammatory processes that occur in the external genital organs as a result of infection with bacteria, and inflammation, which become a consequence of irritation of the skin and mucous membranes during an allergic reaction, taking medications, contact with allergens, alkalis, aggressive detergents.

Lips may partly grow together, and this will be a moderate synechia, and may be a third, half, or completely interconnected. Such synechia will be called complete.

Sometimes this pathology is complicated by inflammation due to the fact that closed is not only the entrance to the vagina, but also the entrance to the urethra. Vaginal discharge does not have a way out and becomes a source of inflammation and a threat to the entire reproductive system of the girl, and urination becomes difficult. Such synechia is called complicated.

In the overwhelming majority of cases, synechia (or several synechias) is found on a routine routine examination by a gynecologist. And all because girls rarely make it clear that they are worried about something, because the fusion occurs imperceptibly, it is not felt, the child has no pains and complaints. But attentive parents can and should be suspicious of even the smallest changes in the child’s behavior and the appearance of the genitals of a little daughter. It is worth paying attention to the following signs.

With partial (smoothly developing) synechia, the child’s behavior does not change. The process of fusion can develop several months, very slowly, and it can happen quite quickly. In order not to overlook the pathology, parents should, after an evening swim, carefully examine the external reproductive organs of the daughter.

With complete synechia, when the adherent small labia intersect the urethra, it will be easier for parents to understand what is wrong with the child. With each urination, the girl will be strained, strained, and very anxious. This form of adhesions does not give much pain, but causes a sensation of a mechanical barrier.Therefore, the cry, crying and loud "signals" for help, most likely, will not.

Capriciousness, crying during urination, impaired baby's appetite, restless sleep in infants - such signs may be accompanied by complicated synechia. In such cases, inflammation develops - vulvitis or vulvovaginitis, in which the child has pain when urinating, almost constant itching and tingling in the region of the labia and the vagina.

An older girl may well complain that she is “painful to write.” Ignore such complaints can not be. Do not immediately begin to treat a child for cystitis at home. First, you should carefully examine the girl's genitals for possible synechia.

It is best to inspect the girl's genitals in the evening, before going to bed (after evening bathing). This should be done in a well-lit room. If the light is not enough, then you should use a flashlight. The girl should be put on her back and carefully examine the sex gap.

Synechiae look like membranous membranes connecting labia. The film has a fairly dense texture, it can look stretched - both horizontally and diagonally. In the center of the film you can see a small "seam" - the line along which the fusion developed.

In partial synechias, there is usually an intergrowth of the lower third of the labia minora. However, it so happens that the upper parts grow together. Moderate synechia are not accompanied by any other visual signs.

With the overgrowth of the genital slit, the entire film will be well discernible, it will not be difficult to discern its work. But to see the entrance to the vagina, if it is closed, or the urethra, if it was also under the film, it will be very difficult.

With a complicated form of this pathology, the picture will be much more “picturesque”. The external genitals will look somewhat swollen and reddened. There may be scratching and small wounds - if the girl itched because of itching. Vaginal discharge with vaginitis or vulvovaginitis will be yellowish, white-yellow or purulent, with a rather sharp and unpleasant odor.

Synechia at the initial stage is rather difficult to consider. When the full fusion has not started yet, the adhesive film usually looks like separate threads stretched between the labia.

Parents should be aware that trying to break the film or individual threads with your hands is not worth it. This will cause severe pain to the child and create the risk of infection of the genitals. Specialists must deal with the separation of synechiae - with the help of tools and not without local anesthesia.

A dense, opaque film of a bluish or grayish hue, beyond which almost nothing can be considered - is a symptom of a “neglected”, long-standing problem. The presence of inflammation, redness, rash and discharge depends on whether the adhesion is complicated or not, whether it is complete.

Changes in the behavior of the child with long-standing synechos will be insignificant. If something bothered the girl first, then most likely the body has already learned how to compensate for the inconvenience, and the baby is vigorous and active - if there is no inflammation in the acute stage.

The situation can be evaluated by a pediatric gynecologist, who will examine the synechia with a professional eye and tell you what and how to do. You should not be afraid to go to the reception, because in almost 90% of cases, treatment is not necessary. Synechia will pass themselves when puberty begins.

In any case, the doctor will take samples of smears to determine the pathological microflora, as well as prescribe general blood and urine tests. In severe inflammation, an ultrasound examination of the pelvic organs may be required.

The diagnosis, in which the notions of “complete” and “complicated” will sound, non-resolved synechia in adolescent girls may be grounds for surgical treatment. However, it is more often possible to solve the problem conservatively, using ointments and creams - even before the girl is 9-10 years old.