How to treat Bartholinitis

The appearance of Bartholinitis will make patients very worried and directly and seriously affect the body. Therefore, we need to pay attention to the occurrence of this disease, and in daily life, we should pay attention to our own health care and treat it reasonably. So, how should Bartholinitis be treated?

1. Use antibiotics and Chinese medicine for external treatment

Inflammation of the Bartholin's glands is mostly caused by invasion of pathogens from the vulva. Antibiotic treatment has a certain effect, but it is often prone to recurrence. External treatment with traditional Chinese medicine has a satisfactory effect on repeated infections.

For those with obvious gland swelling in the acute stage but no pus, 8-10 million U of penicillin or 320,000 U of gentamicin can be intravenously dripped, and 30g of each of Sophora flavescens, Gentiana scabra, and Licorice root can be decocted, removed, and then used for sitting bath or fumigation. Phellodendron chinense and Gypsum truncatum can also be ground into very fine powder, mixed with sesame oil, and applied to the swollen vulva surface. In addition, when fumigating and washing the vulva, if possible, the vagina should also be flushed at the same time to keep the entire vulva and vagina clean and hygienic.

2. Chinese medicine treatment after abscess incision and drainage

Once an abscess is formed, it should be incised and drained as soon as possible and thoroughly. At this time, combined with Chinese medicine for internal and external treatment, the pus can be discharged faster and the inflammation can subside quickly. The method of clearing heat and detoxifying is usually used as the main method, supplemented by methods such as promoting blood circulation and removing blood stasis, softening and dispersing nodules, and draining pus.

Medication: Chinese smilax, shuanghua, lianqiao, jiaoshen, pangolin, red peony root, moutan bark, astragalus, etc. After incision and drainage, use scutellaria, phellodendron, and borneol to soak the medicine thread for drainage. Then use Jie'eryin wash or chlorhexidine wash to clean the vulva and vagina on time.

The Bartholin's glands are located at the back of the labia majora on both sides. The gland duct opens at the junction of the lower part of the inner side of the labia minora and the hymen. Due to the characteristics of the anatomical position, pathogens can easily invade and cause inflammation. During an acute inflammation attack, the pathogens first invade the gland duct, which presents acute suppurative inflammation. The gland duct opening is blocked by swelling or exudate, and pus cannot flow out and accumulates to form an abscess, which is called Bartholin's gland abscess.

Clinical manifestations: In acute inflammation, the patient feels pain, swelling, fever, and tenderness on one side of the vulva. When an abscess is formed, a sense of fluctuation can be felt, and the diameter can reach 5-6 cm. The whole body may have fever and other symptoms. When the pressure inside the abscess increases, it may rupture on its own. In the acute stage, patients should rest in bed, keep the area clean, apply cold compresses if the pain is severe, and use antibiotics for systemic treatment (such as sulfamethoxazole, penicillin, gentamicin, etc.). If an abscess has formed, it should be incised and drained in time.

How is acute Bartholinitis treated?

While using broad-spectrum antibiotics for anti-inflammatory treatment, you can choose to use Chinese herbal medicine decoctions that clear away heat, detoxify, reduce swelling and disperse knots, such as forsythia, honeysuckle, wild chrysanthemum, Viola yedoensis, Phellodendron, Scrophularia, Isatis root, etc., and take a sitz bath for 20 minutes each time when the liquid is cool, 1 to 2 times a day. After the abscess is formed, incision and drainage and ostomy should be performed in time. Simple drainage can only temporarily relieve symptoms. After the incision is closed, Bartholin gland abscesses or cysts may still form. If there is a small break and the pus is not discharged smoothly, the incision should be expanded for drainage.

I hope more women will have this awareness to avoid causing more impacts. They must pay attention to reasonable treatment and also pay attention to their own health in daily life. They should pay attention to reasonable conditioning and their daily life matters. They should also pay attention to these drug treatments, take reasonable self-care measures, effectively detect diseases, and, once these points appear, pay attention to treatment methods.