What are the aspects of the examination method for Bartholinitis?

Bartholinitis is a common disease among women. It is an inflammation of the Bartholin's gland caused by pathogenic bacteria such as Escherichia coli, Streptococcus, Staphylococcus, anaerobic bacteria, gonococci and enterococci. In the acute stage, there is local pain and redness. The pain is most severe when a Bartholin's gland abscess forms. There are often symptoms such as fever. If the Bartholin's gland abscess is not treated in time, it will form a Bartholin's gland cyst. So what tests and diagnoses are needed for Bartholinitis? Gynecologists give detailed introductions:

Symptoms of Bartholinitis:

1. Vulvar swelling and pain: The infection is mostly unilateral, with local swelling and pain in the acute phase. If an abscess is formed, the pain will worsen.

2. Fever: Fever is common, but chills are less common.

Signs of Bartholinitis:

1. Vulvar swelling and pain: The infection is mostly unilateral, with local swelling and pain in the acute phase. If an abscess is formed, the pain will worsen.

2. Fever: Fever is common, but chills are rare. (Health Network - Health Class www.jkkt.com)

3. Swollen lymph nodes: If the inflammation persists or recurs, the inguinal lymph nodes may be swollen.

Diagnostic criteria include:

1. A red, swollen, hard lump can be seen at the lower 1/3 of the labia majora on one side, with obvious tenderness or obvious fluctuation.

2. There are systemic symptoms such as fever.

3. Laboratory examination: The total white blood cell count may increase, and pathogens may be found in the secretions of the lesions

Bartholinitis physical examination:

1. Gynecological examination:

A hard lump can be seen at the lower 1/3 of the labia majora on one side, which is obviously painful. When an abscess is formed, the lump may increase to the size of a chicken egg or a goose egg, and may be obviously painful and fluctuate. The surface skin becomes thinner, and may even rupture naturally and ooze out a large amount of pus. Vaginal examination with a speculum is often difficult and can be postponed depending on the condition.

2. Laboratory diagnosis:

1. Secretion smear and bacterial culture examination: Generally, secretions are taken from the opening of the Bartholin's glands, the urethral opening, and the paraurethral glands for smear examination to determine the pathogens; or bacterial culture and drug sensitivity test are performed directly. (Health Classroom jkkt.com)

2. Routine blood test: The total white blood cell count may increase significantly.

3. Differential diagnosis:

It is mainly differentiated from Bartholin's gland cyst: their common feature is that both have lumps in the Bartholin's glands. However, Bartholinitis is characterized by fever, and examination shows that the lumps are red, with obvious swelling and pain, and fluctuating sensations. When pressure is applied, pus can be seen overflowing from the gland opening, while Bartholin's gland cysts have unchanged skin color, cystic lumps, no tenderness, no pus overflowing when pressure is applied, and no systemic symptoms such as fever.

Experts remind: Early detection, early prevention and early treatment of any disease are the fundamentals of maintaining health. If the above symptoms occur, you should go to a professional gynecological hospital for treatment in time to avoid delaying treatment and increasing the difficulty of later treatment.