Child vagina pic
6 Ways Your Vagina Changes After Birth
6 Ways Your Vagina Changes After BirthSubscribeGive A Gift
Things you buy through our links may earn New York a commission
Photo: Enrique Díaz/7cero/Getty Images
Last week on Jimmy Kimmel Live, Cardi B went on a “tear” about her post-birth body, explaining that her daughter Kulture “broke” her vagina. While it’s not news that childbirth does a number on a woman’s body, it is refreshing when we talk can about such topics — “Why does nobody tell you about those things?” Cardi B said to Kimmel. “Nobody told me they were gonna stitch my vagina” — with openness, without judgment, with even a little humor. If not on late-night television, at least to each other. Here, six women on their post-baby vaginas.
I can’t remember the exact degree of tearing I had, but I gave birth vaginally and needed stitches. My whole body was in such discomfort afterward that I don’t really remember any acute pain from the tearing. What I do remember, though, is what happened at my six-week postpartum appointment. Like most women, I had to bring my son because … who else would take care of him? He’d just woken up from a nap when the midwife came into the exam room to check me out.
She breezed through a few routine questions, not really listening but sort of confirming that I was “fine.” Then she had me get on the table so she could look at my stitches, and somehow I managed to get up there while still holding my son. After about a second of looking, she announced that some skin had grown over the stitches and she needed to use silver nitrate to burn them off. She explained that usually a nurse would hold the baby during this procedure, but she thought my son looked “comfy” right where he was. Then she just went right ahead and burned my vagina, with my son balanced precariously on my chest. And that was it — that was how my vagina was cared for after giving birth. Her final recommendation was to have a glass of wine before sex, because it was probably going to hurt. I hate this country.
I had a C-section, which you’d think means a perfectly fine vagina. But I swear, my vagina was just bigger — wider, WAY WIDER, after being pregnant. My “lips” were longer and droopier and the whole thing went from a pretty pink rose to a large, floppy pile of flesh. It could be all in my head — again, given that I didn’t push down there — but I don’t think so; I’ve been looking at my vagina for 40 years. The other thing I will say in the post-birth-vagina department is that I rarely get wet anymore. I used to get wet quite easily. I still get horny; I still like sex with my husband. But pregnancy dried me up. I need lube now! Fucking lube?! Goddammit.
I wear a panty liner every day of my life after having my two kids — and my last pregnancy was five years ago, so it’s been a while. I’m seeing a urologist about it this week. And when I make a big poop, to this day, I swear my tear opens back up. I literally can’t feel my husband’s dick. Sex used to hurt, but I’m so loose now. I also have to wear super-plus tampons even on lighter days — the smaller tampons feel like they’re falling out.
I’ve had three kids vaginally and my doctor tells me I’m like a virgin down there. So I don’t think every woman should worry about winding up with a “broken vagina.” My mom, on the other hand, said one of her 60 stitches — holding together an artery — tore while I was 1 week old, and she almost bled to death. She needed three blood transfusions. I broke her vagina and almost killed her. How’s that for Jewish guilt?
I swear I could hear myself tearing during delivery. I still remember the shrill of the pain. And then I was just so sad and frustrated that I couldn’t walk properly for weeks — healing the tears really slowed me down and bummed me out. What I also noticed most recently was this: So I used to hate Pap smears. It was the only time I ever took a Xanax. They would hurt and I’d feel so tight and tense down there. Recently, I got a Pap smear and literally couldn’t feel it. It was all so spacious and airy down there! And on that note, I’ll say, my husband is very well endowed, and for a while post-baby I couldn’t feel him down there. That freaked me out. I thought, “Oh hell, this is what it will feel like forever.” But there is a good ending — everything is pretty much okay now. Kind of. Well, getting there …
I didn’t really tear. No stitches that I know of. But I pushed for so long that what got damaged was more like the muscles in my vagina. They were so sore that I couldn’t sit or walk for three or four weeks. But the vagina itself looks and feels totally fine and normal now and it’s only been 6 months since my baby.
6 Women on Their Vaginas After ChildbirthThings you buy through our links may earn New York a commission
- What to Know About the Balenciaga Ad Scandal
- Madame Clairevoyant: Horoscopes for the Week of December 19
- The Year Men Flopped
- Is This the Most Vile Attack on Meghan Markle Yet?
- Prince William Spent the Weekend at … His Ex’s Wedding?
- What to Know About the Balenciaga Ad Scandal
- The Year Men Flopped
- Is This the Most Vile Attack on Meghan Markle Yet?
- The Haunting of a Dream House
- Madame Clairevoyant: Horoscopes for the Week of December 19
The Latest
politics
What Do You Think Andrew Cuomo and Kellyanne Conway Talked About at Dinner? What could the ex-Trump adviser and disgraced ex-governor of New York have had to discuss?
5 questions with...
Even Kacey Musgraves Gets Shy Sometimes But she worked up the courage to say hi to Cher.
bachelor nation
Chris Harrison Thinks About The Bachelor ‘Every Day’ Nearly two years after apologizing for defending racist behavior, the former series host is releasing a podcast.
first person
What Happened When I Tried to Carry the World on My Back The climate movement feels entitled to Black women’s time and energy, leading to a unique kind of burnout.
By Mary Annaïse Heglar
celebrity
Justin Bieber Really Doesn’t Want You to Buy This Merch The pop star claims he didn’t approve new merchandise being sold by H&M.
crime
What to Know About Harvey Weinstein’s Los Angeles Trial A jury found Weinstein guilty on three counts, but the trial isn’t over yet.
food drama
Not Even Dark Chocolate Is Safe Dark chocolate can contain potentially unsafe levels of lead and cadmium, according to a new report.
crime
The Most Chilling Testimony From Harvey Weinstein’s L.A. Trial The disgraced producer was once again found guilty of rape.
always shopping
21 Bralettes to Bid Underwire Bras Good-bye Stylish, sexy, and comfortable without sacrificing support.
By Indya Brown and Chinea Rodriguez
royals
Is This the Most Vile Attack on Meghan Markle Yet? Jeremy Clarkson’s racist, misogynistic column has been met with swift backlash.
keeping up with the royals
Prince William Spent the Weekend at … His Ex’s Wedding? As one does during a stressful holiday season.
lawsuits
Amber Heard Has Settled With Johnny Depp “I finally have an opportunity to emancipate myself from something I attempted to leave over six years ago and on terms I can agree to. ”
art and soul
‘Spirits Just Want To Be Seen’
Tau Lewis’s “Vox Populi, Vox Dei” exhibition at 52 Walker presents a portal to the supernatural.
By Bindu Bansinath
culture
What to Know About the Megan Thee Stallion Shooting Case Megan’s bodyguard didn’t show up to testify and hasn’t been located.
how i get it done
How a Nordstrom Fashion Executive Handles Holiday Shopping If anyone is equipped to get through the gifting season with ease and style, it’s Rickie De Sole.
departures
SNL Will Have a ‘Blue Christmas’ Without Cecily Strong She left the show after 11 seasons to a musical send-off from the cast and Austin Butler.
astrology
Madame Clairevoyant: Horoscopes for the Week of December 19 It’s Dolly Parton, Nicolas Cage, and Charo’s time to shine, a. k.a. Capricorn season.
By Claire Comstock-Gay
sex diaries
The Publicist Wondering Who’s Calling His Boyfriend at Night This week’s sex diary.
culture
Jen Shah’s Attorneys Call Her RHOSLC Portrayal a ‘Caricature’ Shah pulled out of the season-three reunion as she awaits sentencing.
celebrity
Rihanna’s Baby Is Already a TikTok Star The first photos and video of Rihanna and A$AP Rocky’s baby boy have arrived.
More StoriesEmail You\'ll receive the next newsletter in your inbox. *Sorry, there was a problem signing you up.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Already a subscriber?
What is your email?
This email will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
Enter your email: Please enter a valid email address.
Sign In To Continue Reading
Create Your Free Account
Password must be at least 8 characters and contain:
This password will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
You’re in!
As part of your account, you’ll receive occasional updates and offers from New York, which you can opt out of anytime.
Already a subscriber?
What is your email?
This email will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
Enter your email: Please enter a valid email address.
Sign In To Continue Reading
Create Your Free Account
Password must be at least 8 characters and contain:
This password will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
You’re in!
As part of your account, you’ll receive occasional updates and offers from New York, which you can opt out of anytime.
Already a subscriber?
Already a subscriber?
Email You\'ll receive the next newsletter in your inbox. *Sorry, there was a problem signing you up.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Already a subscriber?
What is your email?
This email will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
Enter your email: Please enter a valid email address.
Sign In To Continue Reading
Create Your Free Account
Password must be at least 8 characters and contain:
This password will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
You’re in!
As part of your account, you’ll receive occasional updates and offers from New York, which you can opt out of anytime.
Already a subscriber?
What is your email?
This email will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
Enter your email: Please enter a valid email address.
Sign In To Continue Reading
Create Your Free Account
Password must be at least 8 characters and contain:
This password will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
You’re in!
As part of your account, you’ll receive occasional updates and offers from New York, which you can opt out of anytime.
Already a subscriber?
Already a subscriber?
Email You\'ll receive the next newsletter in your inbox. *Sorry, there was a problem signing you up.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Already a subscriber?
What is your email?
This email will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
Enter your email: Please enter a valid email address.
Sign In To Continue Reading
Create Your Free Account
Password must be at least 8 characters and contain:
This password will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
You’re in!
As part of your account, you’ll receive occasional updates and offers from New York, which you can opt out of anytime.
Already a subscriber?
What is your email?
This email will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
Enter your email: Please enter a valid email address.
Sign In To Continue Reading
Create Your Free Account
Password must be at least 8 characters and contain:
This password will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
You’re in!
As part of your account, you’ll receive occasional updates and offers from New York, which you can opt out of anytime.
Already a subscriber?
Already a subscriber?
Email You\'ll receive the next newsletter in your inbox. *Sorry, there was a problem signing you up.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Already a subscriber?
What is your email?
This email will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
Enter your email: Please enter a valid email address.
Sign In To Continue Reading
Create Your Free Account
Password must be at least 8 characters and contain:
This password will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
You’re in!
As part of your account, you’ll receive occasional updates and offers from New York, which you can opt out of anytime.
Already a subscriber?
What is your email?
This email will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
Enter your email: Please enter a valid email address.
Sign In To Continue Reading
Create Your Free Account
Password must be at least 8 characters and contain:
This password will be used to sign into all New York sites. By submitting your email, you agree to our Terms and Privacy Policy and to receive email correspondence from us.
You’re in!
As part of your account, you’ll receive occasional updates and offers from New York, which you can opt out of anytime.
Already a subscriber?
Already a subscriber?
7 common vagina issues little girls might have and what you can do
When it comes to little vaginas there’s not too much you need to worry about. That said, they can get itchy, sore, irritated and infected from time to time so it’s good to know how to identify, treat and prevent these issues – especially because babies won’t be able to tell you what’s wrong. Here are seven problems to look out for down below.
1. Vaginal thrush
Thrush is a fungal infection caused by an overgrowth of the yeast, Candida albicans, which is naturally found on the skin or in the gut. A small amount of the yeast can be found in the vagina too and this is mostly harmless, unless the yeast numbers grow.
Symptoms of vaginal thrush can include itching or burning, a white discharge and stinging or burning while urinating. Vaginal thrush is often caused by wiping your baby’s bottom from back to front (so spreading the Candida albicans from the anus to the vagina) or using soaps to clean the genital area.
Once you see symptoms of vaginal thrush, you can quickly clear it up with an over-the-counter thrush cream available from the chemist, and after that, make sure that you use a soap substitute when cleaning the area, as well as ensure you are wiping in the right direction.
It is worth noting too, that there is another form of thrush – oral thrush – that breast-fed babies sometimes get when candida is transferred from their mother’s nipple to their mouth. Oral thrush requires a different treatment.
2. Vulvovaginitis
Vulvovaginitis is when the vagina and vulva are inflamed which can be pretty painful and uncomfortable. It’s common in very young girls because the lining of their vagina and vulva is quite thin which means it can easily be irritated. Many things can cause this, such as moisture and dampness in the area, tight nappies or clothing, soaps and threadworms.
Other signs your child might have vulvovaginitis include redness on the outside vaginal area, pain during or after she urinates, itchiness in the area and discharge from the vagina. When vulvovaginitis is mild, it can be treated by putting them in loose clothing and avoiding things like bubble baths and soaps. Adding some white vinegar to the tub and using nappy rash cream can also help soothe symptoms. If there is any blood, or your child seems very distressed, take them to the doctor.
3. Urinary tract infection
While it’s prevalent for young children in nappies (both boys and girls) to get a Urinary Tract Infection (UTI), it is essential to attend to one immediately. If left untreated, it can cause kidney damage. Signs of a UTI include fever, appearing to be in pain when urinating, vomiting, seeming generally unwell, smelly or discoloured urine, pain in their lower abdomen, or attempting to urinate more frequently than usual.
A urine infection occurs when bacteria get into the urethra or bladder, usually from poo or bowel germs after wearing a nappy. If you suspect a UTI, take your daughter to the doctor immediately for a urine test. If positive, your child will be required to have antibiotics, possibly an ultrasound and a brief hospital stay. She will need a lot of rest and fluids once she is back at home. Ways to prevent a UTI include wiping from front to back when changing your child’s nappy or helping them on the toilet, avoid leaving them in a dirty nappy for long periods of time and steer clear of soaps and other irritants.
4. Nappy rash
Apparently up to one third of all babies and toddlers have nappy rash at any time – although newborn babies are less prone to this condition (possibly because we change their nappies so often!) – so this is clearly a pesky condition that likes to bother little bottoms.
Nappy rash causes red patches on the bottom and over the genitals with skin that looks sore and raw and feels hot to touch. If extreme, you may see broken skin with pimples or blisters in patches. Nappy rash can be really uncomfortable and may make your baby pretty unhappy.
The most common causes of nappy rash include: your baby’s skin being in contact with a wet or dirty nappy for too long; a wet nappy rubbing against the skin; or using soap on the skin (causing it to dry out) – so the best ways to tackle nappy rash are to ensure that you change your baby’s nappy often, as well as giving her bottom plenty of fresh air to dry the skin well before putting a clean nappy back on, as well as avoiding using any products that are drying, like soap or alcohol.
Nappy rash is equally common in baby girls and boys, however, with more bits to clean and care for, little girls can seem more prone to nappy rash. With a bit of loving care and the proper time given to cleaning and drying your baby girl’s genitals at each nappy change, you will keep her rash-free most of the time.
5. Worms
The most common intestinal worm that children get is threadworm (also called pinworm). They look like tiny white threads (hence the name) and come out of the anus to lay eggs at night, which is why kids get very itchy bottoms especially in the evenings. In little girls, though, the worms often travel into the vagina as well, which can lead to scratching, causing redness and irritation. Not only are worms itchy and uncomfortable for children, but they will also interfere with their sleep and can cause a low appetite. Threadworms spread very easily (usually via scratching and the eggs transferring to their fingernails and then the mouth), so the whole family will need to be treated quickly, even if they have no symptoms.
To treat worms, buy the medicinal worm chocolate squares from the chemist and give them to your child. Ensure she has a shower (not a bath) before bed, thoroughly cleaning her bottom and genitals. As for the rest of the house, vacuum carpets, clean surfaces including door handles and wash all bedding and towels in hot water to kill any eggs. To prevent worms, encourage good hygiene with your child by washing her hands regularly (especially after toilet visits), keeping fingernails kept short and not letting her eat food that’s been on the floor.
6. Labia fusion
Also called labia adhesion, this is when the labia (outer lips of the vagina) become stuck together with a very thin membrane. It usually occurs between the ages of one and two and is most likely caused by a previous infection. If you’re worried, please speak to a doctor; however, in most cases, it usually rectifies itself over time without any treatment or surgery.
7. Hymenal skin tags
Vaginal or hymenal skin tags occur in about ten percent of all female newborns and are caused by a swollen hymen due to oestrogen passed down from the mother. They will look like a small, smooth pink tissue coming out of the vagina and will usually disappear after about two to four weeks on their own with no treatment required.
Vaginal care tips
While things beyond our control cause some of the above conditions, when it comes to infections, prevention is the key. Here are some vaginal care tips to remember for keeping your child’s genitals healthy.
- Wipe front to back – to prevent bacteria spreading, check all crevices for poo, and also tell them what you’re doing so when they’re old enough to go to the toilet themselves they will wipe correctly.
- Change nappies frequently – ensure they’re also not too tight and use nappy rash cream liberally.
- Avoid irritants to their genitals – such as bubble baths and harsh soaps, use baby-friendly washes and creams, and apply shampoo last, so they’re not sitting in the suds.
- Wash their hands regularly – using soap, especially after going to the toilet, and keep their fingernails short to avoid dirt, bacteria and worms spreading.
- Keep the vaginal area dry – after washing or swimming, pat down the area thoroughly to avoid moisture becoming trapped.
- Ensure their diet is healthy – lots of fluids will help prevent and treat a UTI and be sure their weight is in a normal range for their age.
- Avoid tight clothing – once they are toilet trained, be sure to put them in cotton, breathable undies and eventually no undies at night.
- Encourage good wee habits – once toilet trained, get your child to go for a wee when they need to and not ‘hang on’ instead, and buy unscented, soft toilet paper.
If you are at all concerned about a vaginal issue your child might have or suspect a UTI, please speak to your doctor.
Read more stories like this:
- 7 common penis problems in little boys and how to solve them
- Everything you wanted to know about little boys and their erections
- Does size really matter? A guide to what’s normal for your son’s genitalia
- Mums of little boys: Here are 7 fun facts about the penis and testicles
- Why retracting your uncircumcised baby boy’s foreskin is not a good idea
- Flustered or clueless? Everything you need to know about toddler masturbation
- What you need to know about caring for your little boy’s genitals
- An expert answers 8 common mum questions about little boys’ penis health
- Toilet training: Why does my son give himself erections and pee everywhere?
- Weighing it up: Sorting through the pros and cons of circumcision
- Babies can get a urinary tract infection too – here’s what you need to know
Need some support to be the best parent you can be? Our Parent School parent coaching experts can help. Click to find out more or book a one-on-one session.
Posted on by Susan Taylor
Synechia in girls - causes, first symptoms, methods of prevention
Synechia is called congenital or acquired fusion of the labia minora, less often - the labia minora and labia majora. Most often, fusion occurs over the outlet of the urethra, thereby disrupting the normal outflow of urine. This condition causes discomfort to the child. Most often, synechia occurs in babies up to 2-3 years old.
Due to untreated synechia, with the growth of the body, the external and internal genital organs may not form correctly, which may even result in a violation of the reproductive function. nine0003
Causes
- Excessive activity in the intimate hygiene of the girl - problems can arise with too active and frequent washing with soap. In babies, the mucous membranes of the genital organs are very thin, and with frequent washing, especially with soap, the protective film is washed off, which can lead to injury and inflammation. During healing, adhesions occur at the site of the inflamed tissues of the labia. It is enough to wash the baby with soap only after defecation (preferably with a special baby soap with an approximate pH value). The rest of the time, it is enough to wash the girl only with running water without soap, in the direction from the pubis to the anus. nine0010
- Urinary infections. The presence of synechia indicates the need for an examination of the urinary system. Dangerous microbes with urine enter the mucous membranes and cause their inflammation, and at the site of inflammation, fusion of the labia occurs. In this case, it is necessary to consult a doctor, pass a urine test and urine culture.
- Infections of the genital organs of a girl - with vulvitis and vulvovaginitis.
- Allergy, because it affects not only the skin, but also the mucous membranes. nine0010
- Complications of pregnancy and childbirth in the mother.
Symptoms
- The entrance to the vagina is covered with a film. With complete synechia, even the opening of the urethra is not visible.
- Straining, discomfort in a child during urination.
- Crying and unwillingness to sit on the potty.
At the appointment, the doctor will examine the baby, if necessary, take smears, cultures of flora for sensitivity to antibiotics in case of detection of infections and analysis for sexual infections. nine0003
If treatment is necessary, then usually before it starts, an examination for enterobiasis is carried out - whether the girl has worms, and allergies are also ruled out. Then the effectiveness of treatment increases.
Prevention
- Regularly examine the baby's genitals after hygiene procedures.
- Remove all potentially dangerous allergens (cosmetics, diapers and other provoking factors) from the environment of a baby with allergy symptoms (rash, bronchial asthma, allergic rhinitis). nine0010
- At the slightest sign of redness, rash, peeling or discharge, you should seek the advice of a doctor.
- Monitor the color of the skin in the perineum: the appearance of a bright pink stripe may indicate a relapse (synechia tend to relapse up to 6-9 years).
More about pediatric gynecology at YugMed clinic
By leaving your personal data, you give your voluntary consent to the processing of your personal data. Personal data refers to any information relating to you as a subject of personal data (name, date of birth, city of residence, address, contact phone number, email address, occupation, etc.). Your consent extends to the implementation by the Limited Liability Company Research and Production Association "Volgograd Center for Disease Prevention "YugMed" of any actions in relation to your personal data that may be necessary for the collection, systematization, storage, clarification (updating, changing), processing (for example, sending letters or making calls), etc. subject to current legislation. Consent to the processing of personal data is given without a time limit, but can be withdrawn by you (it is enough to inform the Limited Liability Company Scientific and Production Association "Volgograd Center for Disease Prevention" YugMed "). By sending your personal data to the Limited Liability Company Research and Production Association "Volgograd Center for Disease Prevention" YugMed ", you confirm that you are familiar with the rights and obligations in accordance with the Federal Law "On Personal Data". nine0003
Synechia (fusion) of labia minora in girls
home
Articles
Diagnostics
Silenko Oksana Nikolaevna Pediatric gynecologist, candidate of medical sciences
23.09.2019
SMPG is the most common question that mothers ask at preventive examinations.
So, SMPG is the formation of a connective tissue membrane along the edges of the labia minora, hiding both half of the entrance to the vagina, and possibly the entire entrance to the vagina. This condition is observed in girls aged 6 months to 7-8 years. nine0003
Why at this age? Because from 1 year to 7 years the girl is in the neutral period of her development (has a low or insufficient level of female hormones estrogen, which is manifested by insufficient work of the gonads to produce a sexual secret). It is the sexual secret (visually, the mother sees a white “crumb-like” coating in the area of the labia minora) that contains the necessary amount of lipids and its own protective microflora to prevent both the fusion of the labia minora and the development of vaginitis and vulvitis. It is this plaque that mothers often remove daily, making the external genital organs more vulnerable and open to infection, more sensitive to any external agents - to personal hygiene products, to changes in the temperature regime in this anatomical zone. nine0003
Personal care products containing parabens, aggressive surfactants, mineral oils, allergic components can provoke this condition and aggravate it. The frequent use of diapers is rarely in itself the basis for the formation of SMPG. But if the girl already has this condition, then diapers can also contribute to recurrence and prolonged treatment of SMPG, especially girls with fair skin. It is in girls with type I-II skin phototype (light skin) that this condition (SMPG) is observed much more often than in girls with phototype III or IV. Because it is light skin that is dermatologically thinner, more sensitive and inherently drier than dark or dark skin. Girls with concomitant dermatological or allergic diseases in 80% of cases will develop SMPG with frequent relapses against the background (or without) relapses of allergic or dermatological pathology. nine0003
First of all, you need to contact a pediatric gynecologist to find out the cause of the development of this condition and exclude inflammation in the genital area. If SMPG is not complete, but partially closes the entrance to the vagina, it is necessary to take a swab from the vulva (exclude local inflammation), bacteriological culture from the vulva on the flora (exclude vulvar dysbacteriosis), according to indications - PCR for maternal pathogens, also pass a general analysis urine (exclude dysmetabolic disorders in the urinary system or inflammation factor). If SMPG is total in its entire length and completely closes the entrance to the vagina, then it is necessary to carry out treatment for dilution of the labia minora. Breeding tactics will depend on the condition of the girl, complaints, physical examination, history data and laboratory parameters (if any). There is no need to independently resort to the local use of hormonal ointments, because only a pediatric gynecologist establishes a method for treating SMPG (depending on their development, the presence or absence of inflammation), the required dose of the drug, and the course of treatment with this drug. nine0003
Despite the fact that this diagnosis has existed in the practice of a pediatric gynecologist for more than 40 years, the tactics and management of girls with this diagnosis are still not entirely correct and correct by doctors who do not have a specialization in pediatric gynecology. In 2012, at the Department of Pediatric and Adolescent Gynecology, Research Institute of Obstetrics and Gynecology named after Kulakov (Moscow), the tactics of managing patients with this diagnosis was developed and approved, methods of preventive treatment were developed.