Labia Adhesions: how long does it take for the estrogen cream to work?

Lucy - posted on 11/27/2011 ( 12 moms have responded )

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Hi all,
My 7 moth old girl was diagnosed with labia adhesion on her 2 month check-up. Recently, her doctor prescribed her Premarin (an estrogen cream) as her labia had gotten more fused. It has been 3 days since I have been applying the cream and am getting a little concerned as I don't see any signs of the labia getting separated. The doctor said to apply the cream for 1-2 weeks.
If any of you have had a similar problem with your baby girl, I would appreciate if you share your experience. In particular, how long did you apply the cream before the labia separated? What were the first signs that the cream was working? Did the labia get fused again once you stopped the cream?

Thank you so much.
Lucy

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User - posted on 01/05/2012

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my daughter is 6 months and have the same problem..hopefully this cream will work... im so worried about it, been using for more than a week, but, no improvement yet..:-(

Diana - posted on 01/09/2012

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well my doctor didn't get prescribed any cream the doctor just did it with petroleum jelly and a q-tip and to keep using Vaseline on it just to make sure it doesn't close again. When I used it this morning she didn't fuss as much and didn't cry at all it also seemed to be getting better and not as flamed as it was before.

Diana - posted on 01/08/2012

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Just this past Friday my I found out my daughter has this issue. I felt horrible for her the pain she has to suffer through. Her former doctor never checked or talked to me about checking for it or about it. Her new doctor saw it, he didn't prescribe any cream he just did it with his fingers to spread it apart and then with a little bet of jelly and a Qtip. My daughter is in a lot of pain and discomfort I'm going to call tomorrow to see if there is anything I can give to comfort and ease the pain. I was curious to know how long the discomfort should go on for or if it's normal when she pees that it's uncomfortable for her. She's 16 months old

Lucy - posted on 01/06/2012

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Jenerose,
It took my daughter about 2 weeks to see improvement. Thanks to Holly, I started putting a bit more, 3 times a day and that is when I started to see improvement. It takes time for the cream to work but you need to put enough of it. I used a q-tip and made sure I put enough just on the skin where the fusion is.If you apply it to the surrounding area, it won't work.

Don't worry, your baby will get better. I was very worried too a month ago but it finally opened. Also make sure, you stretch the area a few times a day by pulling with your fingers. This helps too

Good luck! Let me know if you have other questions! I was in your shoes recently and I know how it feels!

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Lucy - posted on 01/09/2012

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My daughter's pediatrician did not want to use force as she said she would be very fussy afterwards so she prescribed the cream instead. So I guess the pain is normal. As long as you little one is getting better, you should not worry too much. Good luck and hope she feels fine soon!

Morgan - posted on 01/08/2012

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It took my daughter a little longer about 5 weeks with the cream it stayed open for about a month the closed again, the second time it took only a few days to open and has stayed open now for over a year. I'm not sure about everyone else but my doctor claimed it causes them no pain that they usually are not even aware of it.

~♥Little Miss - posted on 11/28/2011

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My niece had the same problem and had to use the cream for a long time. She is 7 and I am not sure when they stopped using it. She still has some issues. I know that one of the doctor showed them how to do "stretches". 1-2 weeks does not sound like a long enough time....maybe he wanted a check up after that to see how it was going?

Lucy - posted on 11/28/2011

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Thanks, Holly.
My daughter is 7 months now. She was 2 months when it was first diagnosed and the adhesion has gotten worse over the last month so that’s why the doctor prescribed the cream. The dr. said to apply it 2-3 times a day for 1-2 weeks. I was hoping that twice a day would work but now I will start doing it 3 times a day. Hopefully this will work better. If not, I will take her for a checkup in 2 weeks.
Thank you for sharing your experience with me. That was very helpful!

[deleted account]

Just like you, I used a q-tip and applied a very little bit. For the first week it was with every diaper change, then the second week it was every other diaper change and then the 3rd week it was the first change in the morning and the last change before bed. Then I used the vasaline at every change for 3 more weeks (probably overkill, but I wanted to be sure it stayed open). You should talk to your doc, though, if they said just the twice daily. My daughter was 6 months old when it was discovered and your daughter is younger, so the doc may have said use less because of that. If you have any questions about it, call your daughter's doctor because they are the only ones who can tell you for sure how much and how often you should use it :)

Oh, and I haven't noticed any side effects (not then and not now - 2 years later).

Lucy - posted on 11/27/2011

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Holly,
Thank you very much for the prompt reply. I am glad to hear that your daughter has been doing so well since you finished the treatment. That is such a relief!

I have been applying the cream twice a day and from your post I realize that this may not be enough. Did you notice any side effects from the cream? I am using a q-tip and and just enough to cover the line. Any advice from your experience?

Thanks again for getting back to me so quickly. I am hoping that once they opens up, they won't fuse again.

[deleted account]

My daughter's started looking better after just a few days, but all kids are different. I applied the cream for 3 weeks to be sure (but the last week was only twice a day instead of every diaper) and then I put vaseline on it for the next 3 weeks (at every diaper change). My doc told me the vasaline discourages the skin from fusing again. We've had no problemns since and it's been 2 years since we used the cream :)

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