Bartholinitis

Bartholinitis is a fairly common gynecological disease that is caused by inflammation of the Bartholin gland located on the threshold of the vagina and responsible for its moisturizing during sexual arousal.

Causes of

Bartholinitis may be caused by E. coli, streptococci, gonococcus, staphylococci, chlamydia, Trichomonas and viruses. This disease develops due to the penetration of microbes through the opening of the discharge stream, opening on the threshold of the vagina and located on the inner surface of the labia minora, directly into the tissue of the gland itself. In this regard, the most common pathogens fall into the gland from the urethra or vagina with urethritis and colpitis. Getting into the gland, microorganisms begin to multiply actively, resulting in inflammation and often suppuration of the gland with the formation of an abscess. Bartholinitis is one or two-sided( usually characteristic of gonorrheal infection )

Symptoms and signs of the disease

Usually B. proceeds in stages. Initially, infectious disease leads to the appearance of a small compaction and easy soreness at the very base of the large labia. At the next stage, as a consequence of the inflammatory process, the Bartholin ducts are clogged and the entire secret that is secreted by the gland accumulates in the duct, resulting in the formation of the cyst of the Bartholin gland( a slightly painful small rounded seal at the base of the labia majora).With the further course of the disease, the cyst gradually becomes filled with pus, and the infection penetrates into the very depth of the gland, as a result of which the abscess of the Bartholin gland develops( a large rounded formation in the thickness of the labia).

The main symptoms and signs of bartholinitis:

- The presence of an incomprehensible seal in the thickness of the large labia, which, depending on the current stage of the disease, can be of various sizes. Along the perimeter of the seal is generally observed

redness - On palpation of the inflamed area observed painful sensations that are almost not expressed at the very beginning of the disease and intense enough, if commenced development of an abscess Bartholin gland. Pain intensified when walking and are pulsating character

- With festering cyst at the base of the labia majora is observed intensification of pain and increased body temperature

- In the case of an independent autopsy abscess of Bartholin's gland appears purulent discharge

Since most often the diseaseDevelops against the background of sexually transmitted diseases, along with the symptoms of B. can manifest themselves and the symptoms of the underlying disease( redness of the external genitalia, itching, appearanceDifferent vaginal discharge, etc.).

Chronic B. has a flaccid course with a constant / periodic separation of a small amount of pus from the Bartholin gland. Pain sensations as a rule are practically absent, and body temperature is observed within the limits of the norm.

Treatment of

When developing acute B. the patient is hospitalized. Appointed bed rest, cold compresses on the area of ​​the affected gland, sulfa drugs or antibiotics for seven to ten days, painkillers. In cases of formation of a true or false abscess, its opening and subsequent drainage of the abscess cavity is performed. Treatment of exacerbations of chronic B. and adolescent B. is the same as in acute process.

In chronic B( outside the period of relapse) shows the use sitz baths t ° 38-39 ° C with potassium permanganate solution( for one liter of water one item. Spoon 2% potassium permanganate solution).Also recommended are the passage of such physiotherapeutic procedures as inductothermy and UHF therapy. In the case of developing a retention cyst, surgical removal of the affected gland with its capsule is necessary.

In cases where Bartolini trichomoniasis or gonorrhea etiology - held etiotropic treatment

Prevention and forecast

Basic in the prevention of this disease is the observance of the rules of hygiene of sexual life, as well as general personal hygiene and proper hygiene of the genital organs. Mandatory timely and effective treatment of urethritis and colpitis .Prevention of venereal diseases will help to avoid the development of B. trichomonas and gonorrhea etiology.

The forecast of the further life at timely diagnosing of disease and adequately spent treatment quite favorable.