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To the Editor:—
It is impossible to let Dr. O. William Anderson's article, "Treatment of Labial Adhesions in Children" (J. A. M. A.162:951 [Nov. 3] 1956) go unanswered. If the labia in young girls do adhere there is some cause for it. Usually a mild nonspecific infection or possibly a reaction to the soap or detergent used to wash the child's diapers or pants may be the cause. In nearly every patient that I have seen, examination of the vaginal smear will show a definite excess of pus cells. Why let such a condition go untreated when treatment is so simple? All that is necessary is the application of an ointment containing some estrogenic substance to the vulvar area to promote maturation of the mucosa. I happen to use Premarin vaginal cream, as it is nonirritating and has always given satisfactory results. But there must be other preparations
Clark L. LABIAL ADHESIONS IN CHILDREN. JAMA. 1957;163(2):143. doi:10.1001/jama.1957.02970370057020