RT Journal Article
SR Electronic
T1 Postpartum Labial Adhesions
JF The Journal of the American Board of Family Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 408
OP 410
DO 10.3122/jabfm.2007.04.060214
VO 20
IS 4
A1 Dean A. Seehusen
A1 J. Scott Earwood
YR 2007
UL http://www.jabfm.org/content/20/4/408.abstract
AB Background: Labial adhesions are common in young girls and menopausal women. Topical estrogen is the first line of therapy for these adhesions. Based on a systematic literature review, postpartum labial adhesions are uncommon in clinical practice. They are not painful but can prevent patients from resuming normal sexual activity. Topical estrogen therapy is an ineffective treatment option for adhesions in this setting. Surgical division under local anesthesia is usually effective.Case: A 29-year-old women presented at 6 weeks after an uncomplicated vacuum-assisted delivery for a routine postpartum evaluation. Examination revealed a 5-mm labial adhesion connecting her left and right labia minora. Division under local anesthetic resulted in a complete recovery within 3 days.Conclusion: Postpartum labial adhesions can usually be surgically divided under local anesthetic with complete and rapid recovery.