Monday, 21 December 2015

Premarin cream for Babies?

Premarin cream for Babies?

One day, there is a customer came in asking me…
"A pediatrician prescribed Premarin cream to be massaged on my five-month old daughter's vaginal opening in order to "open it naturally" after discovering it was only half as open as it should be. Is this a "usual" practice? Why would I use Premarin on an infant? I am a bit worried, as I do not want to use Premarin on the baby, may I know why the peads do that?"

This is my explanation to her queries...

"From your description, I assume that you daughter has a labial adhesion, a thin membrane that covers all or part of the vaginal opening. This is a common disorder in young girls between the ages of three months and six years. It rarely causes any symptoms. Labial adhesions stem from irritation, poor hygiene, and bacterial infection. Most of them disappear spontaneously within a year. Unless the adhesion covers the entire vaginal opening preventing urine and vaginal secretions from escaping, it is totally harmless and probably will resolve on its own. No treatment is necessary and parents should be cautioned that not to force an adhesion open manually.
When treatment is needed, Premarin cream usually is recommended. When prescribed, the cream is applied twice a day using a cotton bud for 2 to 8 weeks until the adhesion begins to separate. Side effects are rare but can include local irritation, a change in pigmentation of the vulva (the external female genitalia) and breast enlargement, all of which disappear once treatment stops. After the adhesion separates, a diaper rash cream or antibiotic ointment probably will be recommended to help heal the area. Because irritation may be a factor in the formation of labial adhesions, parents are advised to avoid washing the area with harsh or scented soaps."

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