Clinical treatment of Bartholinitis

The Bartholin's glands are located on both sides of the vaginal opening and open in the vaginal vestibule. When the vulva is contaminated by sexual intercourse, childbirth or other situations, pathogens can easily invade and cause inflammation.

The pathogens are mostly staphylococci, Escherichia coli, streptococci and enterococci, often mixed infections. Most of them occur during the reproductive period.

Clinical manifestations and diagnosis

Acute Bartholinitis first invades the gland duct, presenting as acute suppurative inflammatory changes, with local redness, swelling, heat, and pain. Sometimes there is a feeling of heaviness and difficulty in urination and defecation, as well as systemic symptoms such as increased body temperature and increased white blood cell count. The gland duct opening is often blocked due to swelling or coagulation of exudate, and the pus cannot flow out to form an abscess, which is called Bartholin's gland abscess. There may be a sense of fluctuation locally, and when the pressure in the inguinal lymph nodes increases, the abscess cavity may rupture on its own. If the rupture is large and the drainage is unobstructed, the inflammation may subside and heal quickly. If the rupture is small and the drainage is not smooth, it may recur, often making the patient restless when walking or lying down.

When the acute inflammation disappears, the gland duct opening is blocked, the glandular secretion fluid cannot be discharged or the pus gradually turns into mucus to form a cyst, which is called Bartholin's gland cyst.

The diagnosis can be confirmed based on the medical history, subjective symptoms, and the presence of a red, swollen, tender mass or a sense of fluctuation at the Bartholin's gland in the vaginal opening.

[Oral]: Clears away heat, detoxifies, and promotes the flow of dampness

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[External washing]:

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