Treatment of vulvar Bartholinitis

Prevention of Bartholinitis Infection often occurs on one side. The pathogen first invades the gland duct, causing the duct opening to become red, swollen, and blocked. The inflammation develops deep into the gland, causing an inflammatory mass to form throughout the gland, causing local redness, swelling, heat, and pain; if the gland is infected and purulent, the duct opening is blocked, and the pus cannot flow out, it becomes a Bartholin's gland abscess. Below, the editor will introduce to you the treatment of Bartholinitis.

1. Basic treatment

During the acute phase, patients should rest in bed, keep the vulva clean, and receive systemic antibiotic treatment. Drug sensitivity tests can be performed to guide the effects of antibiotics, and traditional Chinese medicine for clearing away heat and detoxification can also be given. Ostomy is feasible if abscesses are formed.

2. Local treatment

The vulva should be kept clean and hygienic. Infrared and microwave therapy can be used at the same time. You can also choose Chinese medicine for clearing heat and detoxifying, such as 10g of dandelion, 10g of Viola yedoensis, 10g of honeysuckle, and 10g of Forsythia suspensa. Apply the decoction for local hot compress twice a day, or sit bath with 1:5000 potassium permanganate solution twice a day.

3. Systemic treatment

Because the pathogens are mostly mixed infections of aerobic bacteria, anaerobic bacteria and chlamydia, broad-spectrum antibacterial drugs or combined drugs are often used, such as: ① Cephalexin or cephradine 0.5g, twice a day, orally; ② Levofloxacin tablets 0.1g, 2-3 times a day, orally; ③ Gentamycin injection 80,000U, twice a day, intramuscular injection; ④ Penicillin 800,000U, twice a day, intramuscular injection, and metronidazole 0.2-0.4g, twice a day, orally. It can also be selected according to the results of drug sensitivity test. Those with mild condition can take it orally, and those with severe condition should be given intravenous medication to promote the absorption of inflammation and improve symptoms.

4. Incision, drainage and ostomy

When an abscess is formed, it should be immediately incised and drained and ostomy should be performed. This is because simple drainage can only temporarily relieve symptoms, and inflammation may recur after the incision is closed, or an abscess may form in the future. If conditions are unavailable, pus can be drained by puncture and 200,000 to 400,000 U of penicillin can be injected.