Our toddler does not seem to have a normal opening.What should be done?

Sometimes the genital lips of a little girl may be adherent to one another and understandably give rise to parental concern although the condition causes no symptoms. The anatomy will be otherwise normal; ultrasound may provide further reassurance. The adhesions are probably a result of low oestrogen levels and so topical oestrogen cream applied for two weeks will often release the adhesion. Surgery is rarely required and, even then, should be delayed until puberty.

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