What is the diagnosis of Bartholinitis?

Experts say that symptoms of Bartholinitis include pain and swelling on one side of the vulva, often accompanied by chills, fever and shivering. The lower 1/3 of the labia majora is locally red, painful and swollen. If an abscess forms, an egg-sized lump can be seen, with a sense of fluctuation and can rupture on its own. The lymph nodes in the corresponding area are swollen. So, what is the basis for diagnosing Bartholinitis?

Experts say that in clinical diagnosis of Bartholinitis, it is generally not difficult to diagnose based on medical history, local appearance and digital examination. However, attention should also be paid to any abnormalities in the urethral opening and paraurethral glands.

Because Bartholinitis can cause severe pain in patients, vaginal speculum examination is no longer possible and can be temporarily avoided if not necessary. Generally, secretions from the Bartholin gland opening, urethral orifice, and paraurethral glands should be taken for smear examination to check for pathogens.

Since Bartholinitis can cause great harm to the patient's health, women should actively prevent and treat Bartholinitis in their daily lives. So how to prevent and treat Bartholinitis?

Experts say that Bartholinitis is mainly caused by bacterial infection of the Bartholin glands, which in turn causes poor drainage of the gland duct opening. Therefore, keeping the vulva clean is the main way to prevent infection. Pay attention to hygiene, change and wash underwear frequently, and keep the vulva clean and dry.

At the same time, it is strictly forbidden to scratch the local area or squeeze the abscess. During the onset period, drink plenty of water and avoid spicy food. Sexual intercourse is prohibited before recovery. Wash the vulva every day, do not wear nylon underwear, and seek timely treatment for vulvitis, which can prevent the occurrence of vestibular glanditis to a certain extent.

The reference diagnostic criteria for Bartholinitis are as follows:

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. Having 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.

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 less common.

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

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.

If Bartholinitis is not cured in the early stage, other diseases may occur in the later stage. Patients must be careful. We need to pay attention to some health care matters in life to avoid fever and swollen lymph nodes. I hope women can understand this in their lives.