What tests are needed to diagnose Bartholinitis?

Bartholinitis is a common type of vulvitis, which is usually unilateral and can occasionally be bilateral. Most women will not seek medical attention immediately when they feel unwell. In order not to miss the opportunity for treatment, they should be examined and diagnosed in time. So, what examinations should be done to diagnose Bartholinitis?

Bartholinitis self-examination:

1. Look. You can use a small mirror, place it under the vulva, move the mirror back and forth, and use the mirror to observe your vulva. In addition, by observing the color, turbidity, and consistency of vaginal secretions, such as leucorrhea and menstrual blood, you can also find some clues. Normal leucorrhea is a thin liquid with a clear white color, and normal menstrual blood is bright red or light red. Some people may also have a few blood clots.

2. Smell, that is, use your nose to smell the odor of secretions, menstrual blood or the genitals. Normal odors are generally light fishy, ​​sweaty or odorless. If there is a fishy, ​​rancid or special odor, there may be a problem.

3. When touching, wash your hands first, and use the pulp of your index and middle fingers to touch the vulva from the "mons pubis" area, from top to bottom, until the anus. When you touch the vulva normally, it should feel smooth and soft. You will not feel pain even if you press hard. If you feel small nodules or lumps, you may be sick.

Internal examination by a gynecologist:

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.

Laboratory tests:

1. Secretion smear and bacterial culture examination: Generally, secretions are taken from the opening of the Bartholin's glands, the urethral orifice, and the paraurethral glands for smear examination to determine the pathogenic bacteria; or bacterial culture and drug sensitivity test can be performed directly.

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

Doctors remind: If Bartholin's gland inflammation cannot be cured for a long time, it may lead to bacterial infection, causing vaginitis, cervicitis and other diseases, causing the inflammation to worsen.