Arab Board Ob/Gyn Final Written

Practice session

A mother brings her asymptomatic 2-year-old daughter for a well-child checkup. Physical examination reveals a thin, translucent membrane fusing the labia minora in the midline from the posterior fourchette to the clitoris, with a small pinpoint opening near the superior margin through which urine flows freely. There is no history of urinary tract infection, voiding difficulty, or trauma. What is the most appropriate management for these labial adhesions (synechia vulvae)?

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