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It may be considered if: an oestrogen cream or ointment does not work a fusion is particularly thick and severe there's trapped pee in the vagina, which can dribble out after peeing and cause vulval soreness Labial fusions are relatively easy to separate. Side effects can include: irritation around the genital area temporary darkening of the skin in the genital area vaginal spotting or bleeding after stopping using the cream or ointment Side effects should go away after the oestrogen cream or ointment is stopped. For most babies or girls, labial fusion does not cause any problems and is often discovered accidentally by a parent or carer during nappy changing or bathing. Treatment is with oestrogen cream or ointment applied daily or, very rarely, surgical separation. Treatment for labial fusion is not recommended unless there are other symptoms, such as dribbling after peeing, which may cause problems or discomfort. To allow the labial edges to heal properly and prevent another labial fusion forming, it's advised to apply an emollient, such as nappy rash cream or Vaseline, to the labia for a few weeks afterwards. You should stop applying the cream when the membrane dissolves. Oestrogen creams and ointments can occasionally cause side effects, especially if used for longer than a few weeks.

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