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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
Causes and mechanisms of the disease
Pathogenic bacteria begin to spread through microscopic breaks in the integrity of the skin, and also through the blood and lymphatic vessels. Direct penetration of pathogenic flora into the mouth of the sweat gland is possible. Subsequently, the process involves the sebaceous glands, hair follicles and subcutaneous tissue.
Provoking factors are non-compliance with personal hygiene rules and careless hair removal during depilation. Wearing uncomfortable synthetic underwear can contribute to the development of skin irritation or diaper rash. Excessive sweating promotes the proliferation of microflora and the development of the pathological process. Metabolic disorders - obesity. Diabetes mellitus and endocrinopathies also create a favorable environment for the development of inflammation. A decrease in immunity after a serious illness or during pregnancy can help reduce the barrier functions of the skin and facilitate the entry of pathogens into tissues.
What symptoms do you see a surgeon for:
- Presence of hernial protrusion
- Daggering pains in the abdomen
- Bloating
- Pain in the right hypochondrium
- Bitterness in the mouth
- Nausea
- Presence of neoplasms on the skin
- Swelling and redness of the skin
- Bone fractures and bruises
- Wounds of any location
- Vomit
- Enlarged and painful lymph nodes
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.
Leading specialists in the treatment of bartholinitis in the Southern Federal District
Ermolaeva Elvira Kadirovna is a well-known and recognized specialist in the treatment of bartholinitis in the North Caucasus. She is a gynecologist, ultrasound doctor, physiotherapist-resortologist. Women who want to improve the aesthetics of the genital organs, reduce the size of the vagina and refresh intimate relationships from all regions of Russia and foreign countries turn to Elvira Kadirovna .
Ermolaev Oleg Yurievich Candidate of Medical Sciences, operating gynecologist with 25 years of successful experience in treating bartholinitis. Able to see relationships that elude others.
Shchepkin Petr Sergeevich Gynecologist, specialist in the treatment of bartholinitis and marsupalization of the Bartholin gland. Experienced ultrasound doctor.
About the doctors of the Clinic in detail...
INTERNATIONAL RECOGNITION of the reputation and achievements of the Women's Health Resort Clinic in the development and implementation of effective and safe treatment methods and the quality of medical services provided is the AWARDING of the Women's Health Resort Clinic in Pyatigorsk with the SIQS International QUALITY CERTIFICATE in the field of medicine and healthcare. International Socratic Committee, Oxford, UK and Swiss Institute for Quality Standards, Zurich, SWITZERLAND. |
We work seven days a week and on holidays:
Monday - Friday from 8.00 to 20.00, Saturday, Sunday, holidays from 8.00 to 17.00.
Treatment of bartholinitis, opening of the Bartholin gland and marsupalization of the Bartholin gland by appointment by multi-line phone 8 (800) 500-52-74 (free call within Russia), or +7 (for foreign calls).
The cost of opening the Bartholin gland WITHOUT PAIN is 4250 rubles.
ONLINE information about the treatment of bartholinitis can be found at: [email protected] REGISTER ONLINE for the treatment of bartholinitis here. REGISTER online for marsupalization of the Bartholin gland here. Buy coursework by phone +7 (928) 022-05-32 or here. |
Make an appointment with a gynecologist
If there is severe bursting and throbbing pain in the labia majora, high body temperature (more than 38°C) and/or poor health, we accept without a prior appointment outside the queue.
Treatment of bartholinitis with the help of phytotherapeutic and physiotherapeutic agents allows one to achieve a complete cure and prevent the transition to a chronic form and the formation of an abscess (pseudo-abcess) and a cyst of the Bartholin gland.
With respect for the religion and different habits of our Patients, we achieve high efficiency and comfort of treatment.
We are at your FULL DISPOSAL if you have any doubts or wishes.
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After spontaneous opening of a pseudoabscess of the Bartholin gland, the outpouring of purulent contents, as a rule, does not occur completely.
The pyogenic (pyogenic) capsule is preserved. And after gluing and scarring of the fistula tract, the process begins to mature again.
Spontaneous opening of a Bartholin gland pseudoabscess leads to the formation of a rough scar.
The only consolation for this is the thought of limited access for contemplation...
The cost of opening the Bartholin gland WITHOUT PAIN is 4250 rubles.
Make an appointment with a gynecologist
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.
Complications
The most common complication is the addition of a bacterial infection, resulting in the formation of an abscess. Other complications less common:
- Vulvovaginitis, cervicitis, urethritis and other inflammatory diseases. This can happen when the infection spreads to nearby organs.
- Formation of a fistula in the chronic course of the disease.
- Septic complications.
Another fairly common phenomenon is the re-formation of a cyst.
The likelihood of relapse depends on the quality of treatment provided.
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.
How to choose the right therapy
The only effective treatment method is surgery. The use of medications or folk remedies will not help get rid of the pathology. Surgical treatment is not indicated in all cases; the need for surgery is determined by two main factors:
- size of education;
- presence of complications.
Also, the operation can be performed at the request of the woman, due to a cosmetic defect.
Small size
Asymptomatic small cysts do not require surgical intervention. But they need to be monitored in order to begin timely treatment if necessary.
Before the operation, it is recommended to adhere to general rules that are aimed at preventing the development of complications:
- Follow the rules of intimate hygiene.
- Wear underwear made from natural materials.
- Do not wear tight underwear or thongs.
- Visit your gynecologist regularly and follow his recommendations.
These rules do not cure the disease, but significantly reduce the risk of cyst inflammation and abscess formation.
For large size
If the formation is large, elective surgery is indicated. There are two possible options for surgical intervention: marsupialization and enucleation.
- Marsupialization is an operation aimed at restoring the patency of the excretory duct of the gland. The main advantage of such an operation is to preserve the function of the gland (most often the operation is performed on the Bartholin glands). The disadvantage of marsupialization is frequent relapses. The essence of the operation is the temporary installation of a silicone catheter, which ensures the patency of the excretory duct.
- Husking is a more radical method of treatment. The tumor is removed along with the gland and duct. The operation is more traumatic than marsupialization, but does not lead to relapse of the disease.
For abscess
If an abscess forms, urgent surgical intervention is prescribed. The abscess is opened and drainage is installed.
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!
Diagnosis and treatment of inflammation of the external genitalia
The diagnosis can only be made by a gynecologist. At the same time, no special diagnostics are needed at the first stage. The doctor will immediately notice inflammation during a routine gynecological examination. Next, the doctor determines the cause of the inflammation, after which a treatment regimen is selected.
Depending on the cause of the development of the pathology - an allergic factor, injury, incorrectly selected underwear - it is enough to simply limit the direct contact of the provoking agent with the organs and apply symptomatic therapy (local treatment that relieves unpleasant symptoms). You can easily identify this cause by donating blood for allergies. The analysis will show the cause due to the presence in the blood of special antibodies that are formed only during allergic reactions.
When diagnosing the infectious nature of the disease, microbiological culture is carried out on nutrient media in order to identify the causative agent and the correct selection of antibiotic therapy. To do this, the gynecologist takes swabs from the genital tract and sends them to the laboratory.
There, they first determine the type of infection, and then test different drugs on the samples. Since almost all pathogens of sexual diseases easily adapt to medications, choosing pills that will help you completely recover is not easy. Sometimes specialists go through up to a dozen different medications.
Unfortunately, inflammation is rarely caused by a single pathogen; more often, the cause is a whole bunch of infections, starting with thrush and ending with gonorrhea. In such cases, it will not be enough to simply take smears - the examination will continue further. You will have to donate blood for syphilis, hepatitis and undergo a pelvic ultrasound, as the process quickly spreads through the genital tract, affecting internal organs.
Cost of treatment for Bartholin gland cyst:
Services list | Price in rubles | |
Saint Petersburg | Vsevolozhsk | |
Initial appointment with a 1st stage obstetrician-gynecologist | 1850 | 1500 |
Repeated appointment with a 1st stage obstetrician-gynecologist | 1650 | 1300 |
Primary appointment with an obstetrician-gynecologist, stage 2 | 2100 | — |
Repeated appointment with an obstetrician-gynecologist, stage 2 | 1900 | — |
MANIPULATION | ||
Insertion of obstetric pessary | 1500 | 1500 |
Insertion of an intrauterine device (IUD) | 2500 | 2500 |
Insertion of the Mirena intrauterine device | 4000 | 4000 |
Introduction of the implantable contraceptive IMPLANON (without the cost of the contraceptive) | 2500 | 2100 |
Videocolposcopy | 1700 | 1700 |
Smear collection (gynecological) | 400 | 400 |
Instrumental removal of the intrauterine device (IUD) | 2500 | 2100 |
Intravaginal administration of suppositories (without the cost of medications), 1 procedure | 500 | 500 |
Therapeutic treatment of the vagina | 700 | 700 |
Medical termination of pregnancy | 8000 | — |
Local treatment of the external genitalia | 700 | 700 |
Removing the obstetric pessary | 1000 | 1000 |
Removing the intrauterine device (IUD) | 1500 | 1500 |
Removal of the Mirena intrauterine device | 3000 | 3000 |
Removal of the implantable contraceptive IMPLANON | 2500 | 2300 |
Removing a foreign body from the vagina | 1800 | 1800 |
Line biopsy of the endometrium (pipe diagnostics) | 1500 | 1200 |
PRP therapy | — | 3500 |
ULTRASONIC AND FUNCTIONAL DIAGNOSTICS | ||
Ultrasound of the pelvic organs (one sensor) | 1600 | 1300 |
Ultrasound of the pelvic organs (two sensors) | 1900 | 1500 |
CTG (fetal cardiotocography) | 1800 | — |
CTG (multiple pregnancy) | 2300 | — |
Folliculometry (1 study) | 1400 | 1400 |
Folliculometry (4 studies) | 3900 | 3900 |
LASER SURGERY | ||
Cervical biopsy + histology | 5000 | 4000 |
Single cervical cyst | 1500 | 1500 |
Single papillomas and condylomas of the vaginal walls | 3000 | 3000 |
Common condylomatosis, papillomatosis | from 6000 | from 6000 |
Removal of single condylomas, papillomas of the vulva, cervix (for 1 unit) | 600 | 600 |
Ectopia (erosion) of the cervix (less than 2 cm) | 6000 | 4000 |
Ectopia (erosion) of the cervix (more than 2 cm) | 9000 | 9000 |
Endometriosis of the cervix (single lesion) | 1000 | 1000 |
RADIOSURGERY | ||
Biopsy of the cervix with a radioknife | 2500 | 2000 |
Treatment of leukoplakia and vulvar kraurosis using a radiosurgical knife | 5300 | 5100 |
Treatment of cervical pathology with a radiosurgical knife up to 1 cm | 5000 | 3700 |
Treatment of cervical pathology using a radiosurgical knife up to 2 cm | 6500 | 6000 |
Removal of cervical polyps using a radiosurgical knife | 4000 | 2500 |
Fulguration of cysts, endometrioid lesions using a radiosurgical knife | 3500 | 2200 |
Electrocoagulation of condylomas on the skin in the perineal area with a radio knife (for 1 unit) | 800 | 800 |
Electrocoagulation of condylomas, papillomas of the vulva with a radio knife | 1400 | 1400 |
Electrocoagulation of condylomas, vaginal papillomas with a radio knife | from 3200 | from 3200 |
OPERATIONS | ||
Intimate contouring | — | 26000 |
Surgical defloration | 8000 | 8000 |
Complications of hidradenitis on the labia
Treatment of hidradenitis at any stage in our clinic is usually highly effective.
If timely and adequate treatment is not carried out, hidradenitis on the labia can lead to a number of complications:
- If the abscess cavity is not opened in a timely manner, the pus may spread deep into the tissues. An abscess of the soft tissues of the genital organs develops.
- Decreased immunity and the presence of severe concomitant diseases can lead to the development of an abscess or phlegmon in the pelvic cavity.
- Penetration of a pyogenic infection into the bloodstream can cause the development of thrombosis of the veins of the lower extremities, iliac veins and pelvic veins.
- In severe cases, when the pathological process is at an advanced stage and against the background of severe immunodeficiency, sepsis and infectious-toxic shock can develop.
Diagnosis of the disease is usually made on the basis of clinical data. If you seek medical help in a timely manner, the prognosis of the disease is usually quite favorable.
Diagnostic methods in surgery:
- Doppler in surgery
- Colonoscopy
- Angiography
- CT scan
- Gastroscopy
- MRI
- Abdominal ultrasound
- X-ray
- Endoscopy
Prices:
Code | Name of service | Prices |
1 | Initial appointment | 1200 |
2 | Repeated appointment | 900 |
3 | Calling a surgeon to your home | 3500 |
4 | Abdominal ultrasound | 2200 |
5 | Ultrasound of veins and vessels | 2400 |
6 | Doppler 2-3 trimester | 1200 |
7 | Rectoscopy | 1500 |