Bartholinitis treatment guide

The Bartholin's gland is the internal reproductive organ of female reproduction. Its secretions have the function of lubricating the vaginal opening. If it is sick, it will cause some vaginal diseases. Therefore, this disease should be discovered and treated early. Many patients do not know much about the treatment methods of Bartholin's gland inflammation. The following is a complete list of treatment methods for Bartholin's gland inflammation compiled by the editor. I hope it will be helpful to you.

Here are some ways to treat this condition:

1. Drug treatment:

1. Use systemic antibiotics. Before obtaining culture results, broad-spectrum antibiotics can be selected.

2. If it has not yet become suppurative, take medicine to promote the gradual improvement and absorption of symptoms. If there are systemic symptoms, fever, and elevated white blood cells, intravenous antibiotics are often used, such as penicillin 800,000 U intramuscular injection, twice a day. Cephalosporins can also be used:

① The first-generation cephalosporins have a stronger antibacterial effect against Gram-positive cocci, the second-generation cephalosporins have a broad antibacterial spectrum and an enhanced effect against Gram-negative bacteria, the third-generation cephalosporins have a better antibacterial spectrum than the second generation, and some drugs are effective against anaerobic bacteria.

② Metronidazole 0.2-0.4 g/time, 3 times/day; quinolones such as norfloxacin, ciprofloxacin, levofloxacin (Lelicin), 0.2 g/time, 2 times/day. Or select according to drug sensitivity.

③In addition, you can choose to use heat-clearing and detoxifying Chinese medicine such as dandelion, viola yedoensis, honeysuckle, forsythia, etc. for local hot compresses or sitz baths.

④ Take a sitz bath with 1:5000 potassium permanganate water or apply local hot compress and then apply antibacterial ointment.

2. Surgical treatment:

1. If an abscess is formed, drainage and ostomy should be performed immediately.

2. Simple incision and drainage can only temporarily relieve symptoms. Cysts or repeated infections may still form after the incision is closed.

3. Perform abscess incision and drainage, and make sure the incision is large enough to prevent poor drainage of pus, which may lead to fistula formation or repeated abscess attacks.

3. Traditional Chinese Medicine Treatment:

1. Evil poison enters the body

Symptoms: Sudden swelling and pain on one side of the vulva, followed by swelling that rises, difficulty in movement, accompanied by fever, chills, bitter and dry throat, thick and foul-smelling vaginal discharge, dry stools and yellow urine. Red tongue, yellowish color, and rapid pulse.

Treatment method: Clear away heat, detoxify, promote blood circulation and remove blood stasis.

Prescription: Wuwei Xiaodu Yin with added ingredients: 30g of Taraxacum mongolicum, 30g of Herba Physiophorae, 20g of Flos Lonicerae, 20g of Fructus Forsythiae, 20g of Fructus Achyranthis Bidentatae, 10g of Frankincense, 10g of Myrrh, 15g of Cortex Moutan, and 15g of Radix Paeoniae Rubrae.

If the dryness and bitterness in the mouth are severe, add gentian 15g and raw rehmannia glutinosa 15g; if the high fever is severe, add gypsum 20g and gardenia 15g; if the stool is dry and hard to pass, add rhubarb 10g; if the leucorrhea is excessive, or even purulent and yellow, add wild yam 20g; if the swelling and pain are severe, add Panax notoginseng powder 5g and take it with water.

2. Excessive toxic heat

Symptoms: The swelling of the ulcer is getting worse, the skin of the swollen area is red, the shell is thin, and it is soft when pressed, or pus has been discharged from the ulcer, which is often foul-smelling, accompanied by fever, thirst, and heavy vaginal discharge. The tongue is red, the coating is thin and yellow, and the pulse is deep and rapid.

Treatment method: Clear away heat, detoxify, resolve blood stasis and discharge pus.

Prescription: Xianfang Huoming Drink. Honeysuckle 20g, Licorice 15g, Pangolin 15g, Gleditsia sinensis 15g, Angelica 15g, Red Peony 15g, Frankincense 10g, Myrrh 10g, Radix Trichosanthis 20g, Tangerine Peel 15g, Saposhnikovia 15g, Fritillaria 15g, White Poria 15g.

If the pus has been cleared, remove the pangolin and soapberry; if the bowel movements are constipated, add 10g of rhubarb and 10g of betel nut; if the heat is severe, add 10g of rhubarb and 15g of coptis chinensis; if the patient is irritable and thirsty, add 15g of radix rehmanniae, 15g of gardenia and 15g of scrophularia.

4. Other special treatments:

1. Local hot compress, infrared or microwave therapy.

2. When the pus cannot be completely drained, the lesion may recur.

The above are some answers about how to treat Bartholinitis. Symptoms After reading the above, you already know how to treat Bartholinitis. So, if you have this disease, treat it as soon as possible, so as not to delay the best time for treatment and make it difficult to treat. The above prescriptions are for reference only.