Post Pubertal Vulval Synechiae: A Rare Case Report

Abstract

Labial fusion, or vulval synechiae, is a rare condition in adolescents and adults, commonly seen in prepubertal girls. Labial fusion is a condition in which the labia minora around the opening of the vagina get fused together or get covered with a fleshy membrane. This usually covers the vaginal opening completely leaving a very small gap through which urine and menstrual bleeding occurs. Labial fusion occurs commonly in pre pubertal girls, with a peak incidence of around 3% in the second year of life. However it rarely occurs in adults. Labial fusion may be partial(involving upper or lower labia) or complete. We report a rare case of a 17-year-old girl presenting with secondary amenorrhea, dysuria, and lower abdominal pain, who was found to have dense vulval synechiae. Vulval synechiae release done and patient was started on oestrogen therapy and topical steroids. This case highlights the atypical presentation and the need for careful evaluation in adolescents with genitourinary complaints.