How to check for Bartholinitis?

Bartholinitis is a disease problem that cannot be ignored, especially when the cyst is still very small. Many patients do not even notice it, and can only be discovered through some gynecological examinations. Therefore, it is also recommended to have regular gynecological examinations.

1. Examination of Bartholinitis:

1. When the cyst is small, the patient usually has no subjective symptoms and it is often discovered during a gynecological examination. When the tumor grows larger, the patient may feel a swelling sensation in the vulva or discomfort during sexual intercourse, and can touch the tumor on one side of the vulva.

2. During the examination, the affected side of the vulva is swollen, and a cystic tumor can be felt. It is mostly oval in shape and adheres to the skin. The labia minora on that side is flattened, and the vaginal opening is pushed toward the healthy side. Repeated infections can cause the cyst to enlarge.

3. Bartholin's gland cysts vary in size, most of which gradually increase in size and some may persist for several years. If the cyst is small and not infected, the patient may have no symptoms; if the cyst is large, the patient may feel a sense of heaviness in the vulva or discomfort during sexual intercourse. Examination showed that the cysts were mostly unilateral but could also be bilateral, and were mostly oval in shape.

4. The cyst is not difficult to diagnose based on its location, appearance and the absence of inflammation during local palpation. Local puncture can be performed when necessary to differentiate it from an abscess based on its contents. The entire removed cyst can then be pathologically examined for diagnosis.

2. Differential diagnosis of Bartholinitis

Care should be taken to differentiate it from labia majora inguinal hernia. The latter has a feeling of impulse similar to inguinal mass, with air bursting downward and the mass slightly swollen, and a tympanic sound when percussed. It usually appears suddenly after excessive force. Based on these characteristics, differentiation is generally not difficult.

3. Laboratory diagnosis:

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.

The above-mentioned diagnostic basis for Bartholinitis has been summarized by experts over many years. After understanding the diagnostic basis for Bartholinitis, everyone is required to consult relevant experts and go to a regular hospital to treat this disease. May you have a healthy body and have enough ability to manage your family and career.