Childhood asymmetric labium majus enlargement
ICD-10 N90.61 is a billable code used to indicate a diagnosis of childhood asymmetric labium majus enlargement.
Childhood asymmetric labium majus enlargement refers to a condition where one side of the labium majus (the outer folds of skin surrounding the vaginal opening) is enlarged compared to the other side. This condition is typically benign and may be observed in prepubescent girls. The enlargement can be due to various factors, including hormonal influences, congenital anomalies, or localized tissue growth. Clinically, it may present as asymmetry that can be noted during routine examinations or may be reported by caregivers due to concerns about appearance or discomfort. It is essential to differentiate this condition from other potential causes of labial enlargement, such as infections or tumors, which may require further investigation. Diagnosis is primarily clinical, and treatment is usually not necessary unless the condition causes significant discomfort or psychological distress. In such cases, surgical intervention may be considered. Understanding the benign nature of this condition is crucial for healthcare providers to avoid unnecessary interventions and to reassure families.
Detailed physical examination findings and parental concerns.
Routine well-child visits where labial asymmetry is noted.
Ensure that the condition is documented as benign to avoid unnecessary referrals.
Comprehensive assessment of labial structure and any associated symptoms.
Evaluation of adolescent patients presenting with labial concerns.
Consideration of psychological impact on the patient and family.
Used if surgical intervention is necessary due to discomfort or psychological concerns.
Detailed documentation of the clinical necessity for surgery.
Gynecologists should ensure that all conservative measures have been considered before proceeding.
The primary cause is often benign tissue growth influenced by hormonal changes during childhood. It is essential to differentiate it from other pathological conditions.
