Cyst and Bartholin Gland Abscess
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Cyst and Bartholin gland abscess occur in modern women very often. They are easily diagnosed and quite well to treatment, provided that the treatment takes competent gynecologist. However, the women themselves are aware of this pathology is not enough? Which leads to the appearance of cysts and abscesses of Bartholin’s gland is time to identify and properly treat the disease — let’s see.
Bartholin gland abscess — a large pair of glands located in the labia on both sides of the entrance to the vagina. Sami gland located in the labia lips and their outlets — on the inner surface of the labia. If sexual arousal is during sex and these glands secrete a fluid (secret), which moisturizes the vagina and prevents injury vestibular mucosa during intercourse. If you violate cross excretory ducts and outlets Bartholin glands in their accumulation of secretions occurs, which leads to the formation of a painless tumor, known as the Bartholin gland abscess cyst. The contents of the cyst can become infected, leading to the formation of an abscess — a cavity filled with pus and surrounded by inflamed tissue.
Bartholin gland abscess cyst is a common disease, with the principles of diagnosis and treatment, each of which is the familiar gynecologist. The nature of treatment will depend on the size of the cyst, its symptoms and the presence / absence of signs of infection. The most common treatment of Bartholin gland cyst is conservative and is conducted on an outpatient basis (at home). Less often there is a need for the surgical drainage (empty) cyst. Infected cyst / abscess necessarily treated with antibiotics.
Symptoms of Bartholin gland abscess
For small non-infected Bartholin gland abscess, the cyst is characterized by a long asymptomatic existence. This cyst usually detected incidentally during a pelvic exam. By increasing the size of the cyst can appear foreign body sensation or pressure in the vagina. Expressed pain cannot be, although some patients with a cyst Bartholin gland note increased a sensitivity of the vulva.
The number and severity of symptoms increase significantly in the case of infection of Bartholin gland abscess cyst. The most common symptoms of an infected cyst (abscess) are:
- Presence of sensitive, painful compression in the area of the vagina;
- Discomfort in the perineum while walking or in the sitting position;
- Pain during intercourse.
It should be noted that generally the cyst or abscess Bartholin gland abscess is a one-way process. Bilateral cyst / abscess are rare and usually related diseases, sexually transmitted diseases, such as gonorrhea.
Given the symptoms of the cyst / abscess Bartholin’s gland, it is clear that the appearance of painful swelling near the vagina, do not disappear within 2-3 days — it is an occasion for a visit to the doctor. If the seal is causing discomfort or pain, and if the presence of cysts accompanied by fever is should go to the doctor immediately.
Causes of cysts Bartholin gland abscess
As mentioned above, the cause of the Bartholin gland abscess cyst is a blockage of ductless, violation of the outflow of fluid accumulation and secretion. Blockage of the flow and the formation of cysts often cause inflammation and injury.
By the formation of an abscess is the infection of the cyst caused by pathogenic and opportunistic microorganisms. Often the cause of the inflammation becomes E. coli and pathogens, sexually transmitted diseases such as trichomonas’s, gonorrhea and chlamydia. Often in the investigation of the inflamed gland secretions found two or more microorganism, connected with the development of inflammation. The risk of inflammation is increased by poor personal hyenas, wearing tight underwear, promiscuous, and any immunodeficiency presence in the body of foci of chronic infection.
Complications cyst / Bartholin gland abscess
The main complication of a cyst / abscess Bartholin’s gland is a chronic disease with relapses that require re-treatment. In severe cases, if left untreated, the inflammation can go to the surrounding prostate tissue with the development of the severe purulent process. Another complication of inflammation of Bartholin’s gland may be a violation of its function, which may lead to insufficient moisture and symptoms of vaginal dryness.
Examination of suspected diseases of Bartholin gland abscess
Diagnosis of diseases of Bartholin gland abscess should deal with the gynecologist. Before examining doctor will ask you about your symptoms, ask questions about sex and drugs taken by you. In addition, to the survey on an armchair, the doctor will take swabs for analysis. In some cases, it can be assigned to additional tests / examinations, such as detection of diseases, sexually transmitted diseases.
After the inspection, examination and diagnosis of the doctor prescribe treatment and answer all your questions. You can ask about everything that interests you, including asking questions such as:
- What led to the development of cysts and the appearance of symptoms?
- Do I have to pass an additional examination?
- Will the cyst to disappear by itself or need treatment?
- Do you want to sexual abstinence during treatment of abscess / cyst?
- What treatment can help relieve the symptoms?
- Is recurrent cyst / abscess and how to prevent it?
- Treatment of cysts / Bartholin gland abscess
Treatment of diseases of Bartholin gland can be conservative and surgical. Conservative treatment is used in small and asymptomatic cysts, inflammation of the prostate without the formation of a cyst or abscess, as well as before surgery on the gland (for transfer of disease remission and reduce the risk of complications). Surgical treatment is applied at a large scale development of cysts and abscess.
Conservative treatment of diseases of Bartholin’s gland includes:
- Restorative treatment (vitamins, adaptogens);
- Local treatment (hypertonic solution, Vishnevsky ointment, ointment, disinfectants);
- Physical therapy (magnetic therapy, UHF, etc.);
- Receiving anti-inflammatory, antipyretic and analgesic drugs.
Surgical treatment of cysts or Bartholin gland abscess is aimed at emptying and drainage (creation of a permanent outflow) of the cavity and is usually performed under local anesthesia. On opening the cyst, the doctor inserts a small tube into the cavity (drainage) that ensures the outflow of secretion and prevents the recurrence of the cyst. Drainage is left in place for several days. To prevent recurrence of the disease often runs — formation of a new outflow tract secretion Bartholin gland abscess.
With the ineffectiveness of the above methods and procedures carried out the removal of Bartholin’s gland. This operation is performed in a hospital under general anesthesia. Removal of cancer is rare, as it is related to the risk of major bleeding and surgical complications.
If the treatment of the cyst / Bartholin gland abscess surgery used, great importance is the proper management of the postoperative period. Be sure to observe good personal hygiene, to keep the perineum clean and dry. Often it used physical therapy and local treatment with ointments. Sometimes the doctor prescribes painkillers.
In identifying the diseases, sexually transmitted diseases, specific treatment is required to be appointed, and should be treated not only the woman but also her sexual partners.
Disease Prevention Bartholin gland abscess
Methods of specific disease prevention Bartholin gland abscess does not exist. The methods of nonspecific prophylaxis are careful personal hygiene, sanitation of foci of chronic infections and safe sex.