Modern aspects of the treatment of inflammatory diseases of the pelvic organs in women

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Bartholin's glands are located in the lower part of the labia majora (one on each side). The task of these glands is to moisturize the vaginal epithelium. They are the ones who produce mucus, which is released during sexual arousal. Bartholinitis is a disease in which inflammation of the Bartholin glands occurs.

Bartholinitis is the most common disease in sexually active women aged 20-30 years. What are the causes and symptoms of inflammation of the Bartholin gland?

TREATMENT OF BARTHOLIN'S GLAND CYST IS AVAILABLE IN THE BRANCHES:

Treatment of Bartholin gland cyst in the Primorsky region

Address: St. Petersburg , Primorsky district, st. Repisheva, 13

Treatment of Bartholin gland cyst in the Petrograd region

Address: St. Petersburg , Petrogradsky district, st. Lenina, 5

Treatment of Bartholin gland cyst in Vsevolozhsk

Address: Vsevolozhsk , Oktyabrsky Prospekt, 96 A

Causes of inflammation of the Bartholin gland

Typically, the cause of bartholinitis is a bacterial infection. Microorganisms enter the gland through the outlet of the gland duct, where they begin to multiply. As a result, inflammation, suppuration, swelling and blockage of the gland ducts occurs. The mucus in the ducts stagnates, which leads to the formation of a Bartholin gland cyst (accumulation of pus).

The most common cause of inflammation of the Bartholin gland is sexually transmitted diseases:

• gonorrhea
• trichomoniasis
• chlamydia

And:

• failure to comply with intimate hygiene rules (infection with staphylococci, streptococci, E. coli)
• development of inflammation due to candidiasis (thrush)

Factors that can stimulate bartholinitis in women include:

• hypothermia
• weakened immune system
• sexual intercourse during menstruation
• abortion and other uterine surgeries

Symptoms of bartholinitis

According to the stage of the disease, bartholinitis can be divided into types:

• spicy
• chronic
• recurrent

At the site of inflammation:

• canaliculitis - inflammation of the excretory duct of the gland
• Bartholin gland cyst

Bartholin's glands are normally the size of a pea. When the Bartholin gland is inflamed (usually occurring on one side), redness, swelling, or swelling is often observed at the base of the labia majora.

A characteristic symptom of bartholinitis is an unpleasant sensation when palpating the inflamed area in the vaginal area, as well as when walking, sitting, changing position, or sexual intercourse. When the inflammation process worsens, suppuration occurs in the gland and body temperature rises to 39 - 40 C, pain in the area of ​​inflammation becomes throbbing, weakness and headache appear. The inguinal lymph glands may also become enlarged.

In the chronic form of bartholinitis, the disease proceeds slowly, without pronounced symptoms. However, during exacerbations, the disease makes itself felt by acute pain in the vagina. As a result of the chronic form of bartholinitis, a Bartholin gland cyst can form.

What does “it” hide?

Inflammation is our body’s “response” to the invasion of foreign microorganisms or a “signal” of cell damage. Many of us know that the inflamed area hurts, swells, turns red, but few people know why this happens. In reality, a complex cascade of reactions is triggered in response to injury, and our blood vessels and protective cells play a key role in the inflammatory response. The inflammatory process can affect any organ: eyes, ears, liver, joints, stomach, and so on. And so, in order not to be confused in terms, it was decided to add the ending “-itis” to the Latin name of the diseased organ (or its part), which means its inflammation. For example, inflammation of the skin is “dermatitis”, inflammation of the ears is “otitis media”, and with an inflammatory process in the bronchi, the doctor diagnoses “bronchitis”. Perhaps, in gynecology, inflammatory processes occur most often, and they can affect both the external and internal genital organs. Such diseases include: vulvitis, vaginitis, adnexitis, endometritis, bartholinitis. Inflammation can be acute or chronic. The first occurs quickly and violently: with pain, a rise in temperature and a general reaction of the body. The second lasts long and tediously: exacerbations alternate with temporary improvements. If acute inflammation is not treated, over time it will become chronic.

Cyst symptoms

Symptoms of a cyst vary in severity depending on its condition:

• in the absence of inflammation - periodic mild pain in the labia majora, discomfort when walking or palpating
• with inflammation of the cyst - pain in the external genital area, aggravated by physical activity, increased body temperature, weakness, severe swelling and redness at the site of cyst formation.

After inflammation, the cyst can spontaneously open with the release of purulent contents, which can positively affect the woman’s overall well-being.

However, it is important to remember that even in this case it is necessary to consult a gynecologist, since if the cyst is arbitrarily opened, complete cleansing of pus does not occur and surgical intervention is necessary. In addition, it is necessary to pay attention that squeezing out suppuration on your own is PROHIBITED, as it can lead to infection entering the blood and causing general infection (sepsis).

The lack of adequate treatment can lead to the formation of a non-healing fistula (unnatural opening), the spread of infection through the vaginal mucosa, and the spread of inflammation to the urethra. Also, when visiting a gynecologist, you can consult on questions that interest you, for example, painful PMS, as well as undergo the prevention of gynecological diseases, such as ectropion of the cervix.

Make an appointment

You can make an appointment with gynecologists or urologists at JSC “Medicine” (academician Roitberg’s clinic) through the website: the interactive form allows you to select the general specialization of the doctor or the name and surname of a specific employee of any department.

Clinic administrators are ready to accept requests for appointments by telephone; calls are processed around the clock.

Convenient location on the territory of the central administrative district of Moscow (CAO) - 2nd Tverskoy-Yamskaya lane, building 10 - allows you to quickly reach the clinic from the Mayakovskaya, Novoslobodskaya, Tverskaya, Chekhovskaya and Belorusskaya metro stations.

Treatment of bartholinitis

As in any area of ​​health, self-monitoring and timely consultation with a doctor in the early stages of inflammation are important. In this case, antibacterial therapy and pain relief are used. In the early stages of bartholinitis, “home methods” of treatment can be prescribed, including sitz baths or compresses with chamomile, oak bark, miramistin, chlorhexidine, Vishnevsky ointment and levomikol. Treatment is carried out only after consultation with a doctor and in accordance with his recommendations!!!

But when dealing with the acute stage of inflammation or a Bartholin gland cyst, a more categorical intervention is necessary, which boils down to opening the purulent focus, disinfection and removal of the contents. In this case, it is necessary to maintain bed rest, abstain from sexual relations and prevent hypothermia for a certain period of time.

In some cases, inflammation and suppuration may occur again after surgery. In this case, the extription method is used - removal of the Bartholin gland.

Preparing to visit the clinic

A visit to a gynecologist for acute bartholinitis is carried out according to standard rules. Before visiting a doctor, girls are advised to take a shower and put on clean underwear. Intimate hygiene using detergents will distort the clinical picture of the disease, so on the eve of visiting a doctor you should avoid soap, gels, etc.

You should empty your bladder two hours before the examination. Gynecologists prescribe sexual abstinence for several days before visiting the clinic, but if you notice symptoms of bartholinitis after sexual intercourse, you should not delay consultation with a specialist.

Bartholinitis and pregnancy

Infections that a woman is infected with and that cause bartholinitis can negatively affect the course of pregnancy and the development of the child. Infected mother's blood, entering the child's body through the placenta, can lead to disturbances in the formation of the baby's organs. In the early stages of pregnancy, infection can cause fetal death.

Do not delay visiting your doctor if you have symptoms of inflammation of the Bartholin gland. You can diagnose bartholinitis in our clinic, and also receive qualified help, advice and recommendations by making an appointment with a gynecologist by phone. or the feedback form at the bottom of the page.

Watch yourself, appreciate yourself and be healthy!

Diagnostics

The most used types of diagnosing bartholinitis are:

1. Visual examination is the most commonly used method for diagnosing bartholinitis. The diagnosis is determined by external examination of the organs. Seals and the condition of the Bartholin gland are revealed precisely with this method of examination.

2. The causes of the disease can be determined by studying the secretions of the gland using a microscope. As a rule, these are certain pathogenic bacteria.

3. The presence of bacteria is determined by taking swabs from the vagina.

Cost of treatment for Bartholin gland cyst: