They are adhesions between the labia majora, covering part of the vulva. It requires treatment to achieve a good cleanliness and avoid urinary infections. Generally responds to local treatment with creams, and surgery is needed exceptionally.
Synechiae of the labia majora and Hypertrophy of the labia minora
Hypertrophy of the labia minora
The growth of the labia minora can make it difficult to clean the area, and be annoying especially in adolescents. Surgery is the only treatment.
Accessory nipple or polythelia
Axillary or Accessory Breast
They present as axillary masses, sometimes they are painful. As they are breast tissue they grow at puberty and in pregnancy. They may have milk secretion when the accessory breast tissue is abundant. Ideally, resect them at diagnosis
Accessory nipples or nipples may occur on one side or both sides of the trunk in both sexes. They may have adjacent breast glandular tissue, which is evaluated with an ultrasound.
Swollen Bartholin's gland
Labia minor hypertrophy
They may have recurrent abdominal pain, lack of menstruation in adolescence (amenorrhea) and mass in the lower abdomen, due to accumulation of menstruation in the uterus, which has no outlet. The hymen must be opened to allow normal menstruation.
Swollen Bortolin Gland
This gland can become inflamed or infected and form a painful red mass on one side of the vulva. It may require drainage and release of pus, associated with antibiotic treatment.