Image and content excerpted from the VisualDx clinical decision support system.
VisualDx images show variation in age, skin color, and disease stage. VisualDx has 12 images of Labial Adhesions.
Full text and additional images for Labial Adhesions are available in the following VisualDx packages:
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Q52.5 – Fusion of labia
995.53 – Child sexual abuse
Labial adhesion consists of fusion of the labia. It is most common in prepubertal girls, ages 3 months to 6 years, with a peak in incidence between 1–2 years. It is thought to be due to irritation and resulting inflammation that heals inappropriately in conjunction with decreased estrogen. After puberty, it is usually the result of vulval trauma, surgical procedure, hypoestrogenism, or chronic infection causing inflammation. After menarche, labial adhesions from sexual abuse are rare.