Patient's question:
What are the symptoms of Bartholinitis?Doctor's answer:
1. Symptoms of Bartholin ductitis: In the initial stage of infection, it is mostly ductitis, with local redness, swelling, pain, and dyspareunia. Examination reveals white small spots at the opening of the Bartholin glands on the affected side, with significant tenderness.2. Symptoms of Bartholin abscess: Swelling of the vulva, severe pain, even dysuria, and difficulty walking. During examination, the affected side of the vulva appears red, swollen, warm, and painful. A mass can be palpated on the affected side. If an abscess has formed, the mass may have a fluctuating sensation and significant tenderness, usually unilateral. The size of the abscess is typically 3-6 cm in diameter. The skin may become thin, and as the abscess continues to grow, it may rupture spontaneously, leading to symptom relief. If the rupture opening is small, poor drainage of pus can cause recurrent symptoms. Systemic symptoms include fever, elevated white blood cell count, and swollen inguinal lymph nodes on the affected side.
3. Symptoms of Bartholin cyst: When the cystic mass is small, patients often experience no symptoms. As the mass enlarges, swelling occurs on the affected side of the vulva. Examination reveals swelling on the affected side of the vulva, with a palpable cystic mass that may be adhered to the skin. The labia minora on the affected side are flattened, and the vaginal opening is pushed to the healthy side. When the cyst is large, local swelling and dyspareunia may occur. If left untreated and becomes infected with bacteria, it can lead to a Bartholin abscess.
Advice: Patients can use traditional Chinese medicine powder for treatment. A good option is the Miao medicine formula for Bartholin fumigation, which has the functions of dispelling wind, removing dampness, reducing swelling and pain, nourishing blood, and moisturizing dryness. Wishing you a speedy recovery!