What are the early symptoms of Bartholin's gland cyst? This has always been a topic of concern for female friends, because only by understanding the early symptoms of Bartholin's gland cyst can we achieve early detection and early treatment. Let's take a look at the early symptoms of Bartholin's gland cyst. (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. (B) During the examination, the affected side of the vulva is swollen and a cystic mass 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. (iii) 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. Diagnostic tests Acute Bartholinitis first invades the glandular duct, presenting as acute suppurative inflammatory changes with local redness, swelling, heat, and pain. Sometimes there are systemic symptoms such as feeling of heaviness, difficulty in urination and defecation, increased body temperature, and increased white blood cell count. The opening of the gland duct is often blocked due to swelling or coagulation of exudate, and the pus cannot flow out, forming an abscess, which is called Bartholin's gland abscess. There may be a local sense of fluctuation and enlarged inguinal lymph nodes. When the pressure inside the abscess cavity increases, it may rupture on its own. If the wound is large and the drainage is smooth, the inflammation can be eliminated and healed quickly. If the wound is small and the drainage is not smooth, the disease may recur, often making the patient restless when walking or lying down. When the acute inflammation disappears, the gland duct opening is blocked, the glandular secretion fluid cannot be discharged or the pus gradually turns into mucus to form a cyst, which is called Bartholin's gland cyst. It is generally not difficult to diagnose based on medical history, local appearance and digital examination. But at the same time, attention should also be paid to whether there are any abnormalities in the urethral opening and paraurethral glands. Due to severe pain, vaginal speculum examination is no longer possible and can be temporarily postponed if not necessary. Generally, secretions should be taken from the opening of the Bartholin's glands, the urethral orifice, and the paraurethral glands for smear examination to check for pathogens. |
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