| Etiology |
- Bartholinitis is inflammation of bartholin gland on both
sides of the lower 1/3 of the labia majora. Its diameter
is about 0.5-1.Ocm. The duct length is 1.5-2.Ocm. The gland's
opening near the hymen is located inside the labia minora.
During sexual stimulation, they secrete mucus for lubrication.
due to the location of the gland pathogens causing bartholinitis
can easily penetrate.
- These pathogens can invade during sexual intercourse and
childbirth, etc.
- Bartholin gland infections often involve the duct first
with congestion and edema due to inflammation and obstruction.
of secretions and exudate. Efflux can be difficult may form
a Bartholin's abscess.
- The disease is often a combination of infection due
to endogenous pathogens and sexually transmitted disease,
mostly domestic staphylococcus, streptococcus, E coli,
neisseria and gonorrhea, but also by anaerobic bacteria
including Bacteroides.
- A Bartholin's cyst, or Bartholin's duct cyst, occurs when the duct of the Bartholin's gland is blocked, resulting in the development of a fluid-filled cyst. It may sometimes be caused by an infection, but a Bartholin's cyst is not an infection.
Signs and Symptoms:
A small, noninfected Bartholin's cyst may not be noticed. If the cyst grows, it might feel a lump or mass near the vaginal opening. Although a cyst is usually painless, it can be tender.
A full-blown infection of a Bartholin's cyst can occur in a matter of days. If the cyst becomes infected, there may be:
- A tender, painful lump near the vaginal opening
- Discomfort while walking or sitting
- Pain during intercourse
- Fever
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Clinical Manifestations
|
- Swelling and pain in the vagina or
- Suppuration and rupture
- Chills and fever
- Burning sensations
- Tenderness
- Painful urination
- Difficulty walking
- Sometimes difficult urination
- May be unilateral or bilateral
- After thinning of the skin tumor surface, there may
be:
Edema surrounding the area
A sense of volatility
Development of an abscess mostly the size of an egg
- Often accompanied by inguinal lymph node swelling
- Severe cases:
Fever
Headache
- If not treated, abscesses may rupture on their own.
- After pus is expelled, there is local pain relief
- After congestion and edema are reduced , symptoms can
disappear
- When the abscess pressure increases, the surface of
the skin thins and the abscess ruptures on its own
- If a large hole develops and drainage occurs, inflammation
rapidly subsides and recovery occurs.
- If the hole is small and pus cannot drain, the lesion
can be exacerbated
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