Is the prolapse of the infant hymen severe?

Patient's question:

After my daughter was born, we noticed a bean-sized, fleshy growth at her vaginal opening. Later, I consulted a gynecologist who said it was due to excessive estrogen secretion during my pregnancy, causing the hymen to hang low. She mentioned that it would improve as the child grows. However, now that my daughter is 11 months old, it has not yet resolved. I asked some other doctors, and they said it could be a vaginal abnormality requiring surgery. I would like to know if the hymen prolapse is serious, what causes it, and whether surgery is necessary. Thank you!
First follow-up question: Sometimes it is present, and sometimes it is not. Is this normal? Is it truly a deformity? I urgently await the doctor's response. Thank you!

Doctor's answer:

Hello: According to the situation you mentioned, based on your description, it cannot be determined if it is a malformation, because malformations do not come and go intermittently! Therefore, it is recommended to actively go to a regular hospital's pediatric gynecology department for a re-examination to confirm the diagnosis. You can go to Beijing Children's Hospital for examination and treatment.

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