<s>[INST] hi doctor, i have two daughter,two of them have labial adhesion,,they suffer from this problem,my third daughter two month diagnosed as Down Syndrome my first question what is the treatment of labial adhesion and the second question is there any genetic link probability between two [/INST] Wash genital organs more often , dry, put between fatty cream with cotton ball and do massage between labia after separation of labia,it can be candidosis, some kind of fungal infection. You can take bacteriological analysis from genital organs at gynecologist and see what kind of infection. Also we see adhesion when mother and their kids suffer from Myc.trachomatis and Chl.trachomatis,but it can be excluded by blood test for IgM,G for this infection.You can apply usual Jonson cream with rolling massage for labia under diapers every day. Connection between daughters can be genetical, but may be they don't Wash genital organs properly 2 times daily with usual waterBest regards </s>