Patología Ginecológica en las niñas | Dra. Paulos

GYNECOLOGICAL PATHOLOGY

Sinequias de Labios mayores e Hipertrofia de labios menores

Vulvar Synechiae

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

Accessory breast

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

Himen imperforado, puede verse como un embarazo pequeño

Imperforate Hymen

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

Polythelia

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.

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Swollen Bartholin's gland

Labia minor hypertrophy

Unperforated Hymen

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.