Unilateral Labial Hypertrophy in Adolescents: when should we Interfere? Two Case Reports
Journal Title: International Journal of Reproduction, Fertility & Sexual Health (IJRFSH) - Year 2014, Vol 1, Issue 4
Abstract
Synopsis: Adolescent and pre-menarchal patients with symptomatic unilateral labial hypertrophy should be counselled extensively prior to surgical management regarding risks of recurrence or contralateral occurrence. Purpose: Present the management of two unique cases of adolescent girls with unilateral labial hypertrophy. Case 1: 9 year-old pre-menarchal patient with a five-month history of unilateral labial hypertrophy causing discomfort that limited daily activities. External pelvic examination revealed grossly asymmetric labia minora. The left labia minora measured 5 cm in length. After counseling, the patient underwent unilateral labioplasty with resolution of symptoms. Patient returned after two years complaining of contralateral labial hypertrophy.The patient again underwent surgical management due to discomfort and interference with normal daily activities. Case 2: 12 year-old post-menarchal patient with a history of unilateral labial hypertrophy causing irritation and discomfort starting prior to menarche. External pelvic exam revealed grossly asymmetric labia minora. The right labia minora measured 4.5cm in length. The patient underwent unilateral labioplasty with resolution of her symptoms. After 2 years of follow up, patient remained asymptomatic. Conclusion: Adolescence unilateral labial hypertrophy may represent a normal variant and surgery should be delayed until achieving full puberty. However, when it causes significant discomfort or interferes with normal daily activities, surgical management should be considered after counseling regarding recurrence or contralateral occurrence
Authors and Affiliations
Gihan M. Bareh
Keywords
Related Articles
- EP ID EP209815
- DOI 10.19070/2377- 1887-140005
- Views 79
- Downloads 0
The Effective Factors on Time to Pregnancy In Reproductive Age Women, West of Iran
Background: The time required to achieve the pregnancy is called time to pregnancy (TTP). The effective factors on TTP are different because of the different life style and geographical condition in various countries. Th...
Acardiac Acephalus Twin and Associated Anomalies: A Case Report
A 30-year-old multipara was found to carry an acardiac acephalus twin in a monozygotic twin pregnancy at 24 weeks of gestation and was referred to us from a private clinic. A cardiac twinning, a rare congenital anomaly o...
When to Give Up Infertility Treatment?
When to Give Up Infertility Treatment?
Effects of 2-methoxyestradiol administration in mouse models purported to show signs of preeclampsia and fetal growth restriction
Plasma concentration of 2-methoxyestradiol (2-ME) and placental expression of catechol-O-methyltransferase(COMT) are elevated in normal pregnancy, but reduced in women with preeclampsia (PE). Women with PE and fetal grow...
Application of the PEN-3 Cultural Model in Assessing Factors affecting Adolescent Pregnancies in Rural Eastern Cape, South Africa
Early pregnancy and child birth increases the health risk for the mother and the baby. It is a public health concern in South Africa as it may affect the health; social and economic well-being of society at large. Althou...