General Practice 2022

Bartholinitis: what é, symptoms, causes and treatment

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Bartholinitis: what é, symptoms, causes and treatment
Bartholinitis: what é, symptoms, causes and treatment
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Bartholinitis is the inflammation of the Bartholin glands, which are present in the front of the vagina and whose purpose is to promote lubrication in the region. Bartholinitis occurs mainly as a result of infections in the region, caused by poor hygiene habits or lack of condom use during sexual intercourse, for example.

Inflammation of the Bartholin glands results in the formation of a cyst that contains fluid inside and that can cause discomfort when walking, sitting and during sexual intercourse, in addition to other symptoms such as fever, redness and swelling of the site..

Treatment for bartholinitis should always be guided by the gynecologist, who may indicate the use of medication or surgery to drain the fluid or remove the Bartholin's gland. Learn more about Bartholin's glands and how to care for them.

Symptoms of bartholinitis

The main symptoms of bartholinitis are:

  • Cyst that contains pus inside;
  • Pain during intercourse;
  • Redness, increased temperature and local swelling;
  • Discomfort when sitting and/or walking;
  • Fever.

In the presence of these signs and symptoms, it is important that the gynecologist is consulted so that an evaluation of the genital region is carried out and the most appropriate treatment is indicated.

How long does it last?

In most cases, bartholinitis disappears in 3 to 5 days, with the treatment indicated by the doctor, with anti-inflammatories or antibiotics.

However, in cases of need for surgery to drain pus or remove Bartholin's glands, for example, the duration varies, being generally around 4 weeks for recovery.

Main causes

Inflamed Bartholin's gland is usually the result of infection by bacteria, mainly Escherichia coli, Staphylococcus aureus, Neisseria gonorrhoeae and Chlamydia trachomatis, which can be favored by poor hygiene habits, multiple sexual partners and non-use of condoms in sexual relations.

Which doctor to consult

The most suitable doctor to treat bartholinitis is the gynecologist, who will evaluate the symptoms, confirm the diagnosis and indicate the best form of treatment.

How the treatment is done

Treatment for an inflamed Bartholin's gland should be guided by the gynecologist according to the characteristics of the inflammation and signs and symptoms presented by the woman, and the use of medication or surgical procedures may be recommended.

1. Remedies

Treatment is usually done with the use of anti-inflammatory drugs, such as Ibuprofen or Naproxen, and analgesics, such as Paracetamol or Dipyrone, for example, reducing the symptoms of inflammation.

In case the symptoms last for more than 5 days, the gynecologist may recommend the use of antibiotics, such as Cephalexin or Ciprofloxacin, for example, especially if there is a suspicion of infection or sexually transmitted infection.

2. Surgical drainage

Surgical drainage serves to remove the fluid that is accumulating in the glands, reducing the symptoms of inflammation. For this, the doctor applies local anesthesia and then makes a small incision in the area to allow the accumulated fluid to be removed. It is important for the woman to return to the gynecologist about 2 days after the procedure so that the doctor can see if there is a buildup of fluid again.

3. Marsupialization

Marsupialization corresponds to a surgical technique normally indicated by the gynecologist in recurrent cases, that is, when even after draining the fluid, the gland accumulates fluid again. To do this procedure, you open the glands and then join the edges of the gland to the skin, preventing it from accumulating again.

As with surgical drainage, it is important that the woman returns to the gynecologist in at least 48 hours to check for fluid buildup again.

4. Bartholinectomy

Bartholinectomy is surgery to completely remove the Bartholin's gland and is the last treatment option when none of the other treatments have had an effect or when inflammation of these glands is frequent. Understand how bartholinectomy is performed and recovery.

5. Home treatment

The best home treatment for Bartholin's gland inflammation is a sitz bath with warm water at 35ºC for 15 minutes, at least 3 to 4 times a day. The sitz bath helps the glands to relax and release the fluid that is accumulating inside them, decreasing inflammation and all the associated discomfort.

However, it is also possible to add to the sitz bath some medicinal plants with anti-inflammatory, anti-bactericidal, antiseptic or gynecological healing properties, such as barbatimão or aroeira, which will speed up medical treatment.

Ingredients

  • 15 g of barbatimão bark;
  • 15 g of mastic bark;
  • 1 liter of water.

Preparation mode

Bring the ingredients to a boil for 10 minutes. Then let it cool down, strain and do the sitz bath for at least 15 minutes, 3 times a day.

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