A 26-year-old female married for 2 years came with the complaint of inability to have sexual intercourse since marriage. She had attended menarche at the age of 13 years. She had history of regular menses since then. Occasionally she had history of pain in the perineal region while passing a big clot during her menses. On examination, bilateral labia were fused. A dimple was seen over the fused labial region which acted as a common outflow for the passage of urine and menstrual blood (Fig. 1). A hysteroscope was passed through this orifice and urethral and cervical openings were seen (Figs. 2, 3). On hysteroscopy, bilateral ostia and normal uterine cavity were seen (Figs. 4, 5). The fused edges of labia were cut and sutures were taken on the cut edges of labia. Labial edges were kept separated with the use of a vaginal mold (Figs. 6, 7, 8). On follow-up at one month, separated labia were seen. Labial adhesion is seen in infants, toddlers, young girls, and elderly women due to low estrogen levels or skin irritation. Though seen commonly in the pediatric age group, it is a rare scenario in women of young reproductive age group [1–4]. This case is presented here due to its rare occurence in this age group and to guide in stepwise operative management of this case.
