> Bartolinite: symptoms, causes and treatment of cysts of Bartholin

Definition

glands of Bartolino (or even Dhl) are located on both sides of the vaginal opening. These glands secrete fluid that helps lubricate the vagina. Sometimes the opening of these glands becomes clogged causing the accumulation of fluid in the gland. The result is a swelling relatively painless called the cysts Bartolino (or bartolinite).

If the fluid in the cysts is infected, you canò to develop a collection of pus surrounded by inflamed tissue (abscess).

The cysts of Bartholin is common. Its treatment depends on the size, if it is painful or infected. Sometimes a homemade remedy is sufficient, in other cases it is required surgical drainage of the cyst. In the case of an infection that can be used antibiotics.

Sintomi

If the cyst is small and not infected, può go unnoticed. If it grows, you canò to feel a lump or mass near your vaginal opening. In a matter of a few days, può experience an overt infection. If the cyst becomes infected, you canò verify:

    the

  • a dent is painful and soft.
  • the

  • discomfort when walking or sitting;
  • the

  • pain during intercourse
  • the

  • fever.

When to see a doctor

Call your doctor if you have a lump painful near the opening of the vagina that has not improved after two or three days of treatments for the household, for example, immersing it in hot water (sitting in the bath or in the bidet). If the pain is strong, make an appointment with the doctor.

Call your doctor even if you have the lump and have more than 40 years. Although rare, such a nodule può be a sign of a problem più serious, such as cancer.

Cause

experts believe that the cause of the cyst, of Bartolino is an accumulation of fluid. The liquid può accumulate when the opening of the gland (duct) is obstructed, perhaps due to infection or injury. The cysts of Bartolino può become infected, forming an abscess.

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A number of fight può to cause the infection including Escherichia coli (E. coli) and bacteria that cause sexually transmitted infections as gonorrhea or chlamydia.

Complications

A cyst of Bartolino, or an abscess may recur and require treatment.

Diagnosi

diagnosis of cysts of Bartholin, the doctor può:

    the

  • ask questions about the illnesses you have had previously;
  • the

  • perform a pelvic examination
  • the

  • to take a sample of vaginal secretions or cervix to verify the presence of any sexually transmitted infections;
  • the

  • to recommend a biopsy (test of tissue) to check for the presence of cancerous cells if you are in post menopause or more than forty years.

Cura

Often the cysts, Bartolino does not require any treatment, especially if the cysts do not cause symptoms. When necessary, treatment depends on the size of the cyst, how much discomfort it causes, if it is infected, or if it is an abscess.

The treatment options that the doctor may; recommend include:

    the

  • the A warm bidets: fill a tub with a few inches of hot water più times per day, for three or four days, this canò help a small cyst infected, and breakage can; it discharges on its own.
  • the

  • the A surgical drainage. You may need surgery to drain a cyst that is infected or that is very large. The drainage of a cyst can be carried out using local anesthesia or sedation. For the procedure, the doctor makes a small incision of the cyst, you can download it, and then places a small rubber tube (catheter) in the incision. The catheter remains for up to six weeks to allow complete drainage.
  • the

  • the Antibiotics. The doctor can; prescribe an antibiotic if your cyst is infected, or if testing reveals a sexually transmitted infection. But if the abscess is drained properly, it might not be necessary to use antibiotics.
  • the

  • the close window to return to. If the cysts are back or bother, può help procedure close window to return to. The doctor will insert points on each side of the incision of the drainage to create a permanent opening, long &1/4; inch (about 6 millimeters. A catheter may be inserted to help the drainage for a few days after the procedure, and help prevent recurrence.
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Rarely, the cysts persistent that are not actually treated with the above procedures, the doctor may; recommend a surgery to remove the gland of Bartolini. Surgical removal is usually done in a hospital under general anesthesia. The surgical removal of the gland leads to an increased risk of bleeding or complications after the procedure.

lifestyle and home remedies

soak it in water più times per day, may be sufficient to resolve a cyst or an abscess of the Bartolino infected.

After a surgical intervention for the treatment of a cyst is infected, or an abscess, immersion in hot water is especially important. The diving was great help to keep the area clean, relieve discomfort and help the drainage of the cyst. Also the pain killers are useful.

Non c’è a way to prevent a cyst of Bartolino. However, the practice of safe sex, in particular condoms and the maintenance of good habits of hygiene can help prevent infection of a cyst and the formation of an abscess.

Prepare for an appointment with the doctor

The first date will be; probably with your family doctor or a gynecologist.

What can you do to prepare for the appointment:

  • write the symptoms, even those that seem to be not connected with your condition.
  • the

  • make a list of all medications, vitamins or supplements that you take, with dosages.
  • the

  • bring a notebook to write down information you are given during your visit;
  • the

  • to prepare questions to ask the doctor, by listing them according to importance, to be sure not to scordarle.
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For the cysts of Bartholin some basic questions to ask are:

  • what is possibly causing my symptoms?
  • the

  • which kind of tests might I need?
  • the cysts andrà via alone, or avrò need treatment?
  • the

  • how long should I wait after treatment before having sex?
  • the

  • which measures of self medication can relieve the symptoms?
  • the cysts può come again?
  • you have the printed materials or brochures which I can take?
  • the

  • which web sites do you recommend?

do Not hesitate to ask other questions during your appointment if you are in the mind.

What to expect from your doctor

Some potential questions your doctor might ask include:

    the

  • for how long have you had the symptoms?
  • the

  • how severe are the symptoms?
  • the

  • do you have pain during intercourse?
  • the

  • do you have pain during normal activities; daily?
  • c’è something that improves the symptoms?

    c’è something that worsens the symptoms

Source: Mayo Clinic

22 aprile 2015