Yesterday my 2 1/2yr old daughter was diagnosed with a second round of adhesions. I am an RN so I know that if you are not comfortable with treatment of your MD seek additional advice until YOU are comfortable with the outcome. We are starting again with the estrogen cream and I am very hopeful that this will work. I am going to eliminate all bubble baths (including baking soda, oatmeal baths as to all of these can irritate the labia) and switch to sensitive bath soaps such as phisoderm baby. I have done some research as to the next steps after estrogen cream. First I have found you must use generous amts of aquaphor or like ointments for up to 3 years after the adhesions heal. I also have found that once the adhesions heal with use of estrogen cream, you must use an Antibiotic
ointment so that it gives the labia a chance to completely heal. If we get to that point, I am going to seek out treatment from a pediatric dermatologist, not a urologist. Vaginal adhesions are medically classified as a dermatological problem. I also will make sure if the adhesion have to be separted surgically, I will have my daughter sedated. This is a very sensitive issue for a little girl and I don't want her to be traumatized by the situation. I don't want her to associate pain and discomfot whenever she has cream applied or myself/MD assessing her peri area. It is bad enough that I have to reason with her for at least 30 minutes each time I have had to apply the cream. I hope these suggestions can help you and others.