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Local changes Pronounced swelling (edema) of the labia majora on the side of the lesion, which sometimes reaches up to 5-7 cm in diameter. The skin over the swelling is motionless, and its color is bright red. Probing the swelling is sharply painful. Sometimes the inguinal lymph nodes are enlarged. An abscess may open on its own. At the same time, the general condition of the woman improves: the body temperature drops, swelling and pain decrease.

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Sometimes acute bartholinitis proceeds with erased general and local signs: the pain is not expressed and, as a rule, the body temperature does not rise, and the general condition of the woman does not change. It was then that they talk about subacute bartholinitis.

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Consequences of acute bartholinitis. An acute or subacute process may result in complete recovery. However, the most common outcome is the transition to chronic bartholinitis or the formation of a cyst of the large gland of the vaginal vestibule. The disease proceeds for a long time with periods of subsidence and exacerbation (relapses) of the symptoms of the disease, which can be triggered by various reasons: hypothermia, menstruation, and others. Outside of the exacerbation, the woman feels well, but may complain of slight pain on the side of cleocin pills and pain during intercourse.

The period of exacerbations is characterized by all the symptoms of acute bartholinitis.

Unfortunately, the most common outcome of chronic bartholinitis is the formation of a cyst of the large gland of the vaginal vestibule. Bartholin gland cyst. If the cyst is small, it does not cause any discomfort to a woman, who, sometimes, without even knowing about her illness, can live with her for many years. Things are different when the cyst is large or it has become inflamed. In this case, the symptoms of the disease are as follows: Bartholinitis during pregnancy.

If the expectant mother fell ill during the period from the moment of conception to the twenty-second week of cleocin pills, then infection of the fetus can lead to its death (miscarriage).

Perhaps we should start with the fact that the abscess sometimes opens on its own, after which the patient's condition improves much. However, this is not at all a reason not to see a doctor, since the abscess can open not outward along the excretory duct, but inward and melt the tissues. Therefore, it is necessary to contact a gynecologist as soon as possible for timely treatment. Treatment of bartholinitis, depending on the severity of the disease and its course, can be conservative (without surgery) and surgical (with surgery). Treatment of acute bartholinitis without surgery.

If a woman becomes ill in the last weeks of pregnancy, the likelihood of infection of the fetus and premature birth is very high.

In addition, in this case, sometimes the infection of the child occurs already during childbirth, leading to damage to the eyes, lungs and umbilical ring. Treatment of acute bartholinitis.

As a rule, it is carried out in a hospital. However, with a mild course of the disease, bartholinitis can be treated at home.

The main thing is to follow all medical recommendations. The goals of treatment are to reduce pain and swelling, relieve symptoms of intoxication, and prevent the formation of a true abscess and cyst of the large gland of the vaginal vestibule. For this, local treatment is applied, painkillers, antipyretics and antibiotics are prescribed.

For the treatment of bartholinitis, 8-10% saline is widely used.

It starts with an ice pack, which must be wrapped in a cloth and applied to the site of inflammation for 40 minutes, then take a break for 15-20 minutes and reapply. And so for several hours. In addition, ointments and hypertonic compresses are used. Hypertonic saline solution for bartholinitis.

Its application is based on its ability to absorb liquid without destroying erythrocytes, leukocytes and tissues.

Method of cleocin: take three tablespoons of salt without top and mix thoroughly in one liter of warm water. How to use: moisten a gauze pad in saline solution, then apply it to the sore spot for 30-40 minutes. Repeat the procedure three to six times a day. Treatment of bartholinitis with Vishnevsky ointment and Levomekol ointment.

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Both ointments are also widely used. How to use: Apply ointment to a gauze pad, then apply it to the abscess and fix it. It is better to alternate applications with ointments. For example, Vishnevsky's ointment is for the night, and Levomekol - in the afternoon. Use of disinfectant solutions.

It is prescribed when the patient's condition improves (usually on the third or fourth day from the onset of the disease), and the signs of general intoxication (fever, chills) decrease.

Ideally, antibiotics are used to which the pathogens that cause the disease are susceptible. However, it is not always possible to wait for the results of bacteriological analysis. Therefore, the appointment of cleocin pills antibiotics is practiced: Azithromycin, Amoxiclav, cephalosporins (Ceftriaxone, Cefazolin), fluoroquinolones (Ofloxacin, Ciprofloxacin), macrolides (Clarithromycin, Ermitromycin) and others. Trichopolum and Tinidazole (preparations of the imidazole group) are also used.

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In addition, painkillers (analgin, baralgin) and anti-inflammatory (ibuprofen) drugs are prescribed. Surgery for acute bartholinitis. Indications for its implementation - abscess of the Bartholin gland.

To combat the infection, bartholinitis is treated with antibiotics. The course is about 7-10 days.

During manipulation, a purulent focus is opened and its contents are removed. Then the resulting cavity is treated with 3% hydrogen peroxide, and for the outflow of pus, a drainage tube is inserted into it, which is removed after 5-6 days. In parallel, antibiotics, compresses with hypertonic solution and applications with ointments are prescribed. During the treatment of acute bartholinitis, it is recommended to observe bed rest, refrain from sexual intercourse and prevent hypothermia.

This is a complex and lengthy process, since the large gland of the vaginal vestibule has a very dense capsule through which antibiotics and other drugs do not penetrate well.

Therefore, there are two ways in the treatment of cleocin bartholinitis: conservative (without surgery) and surgical (with surgery). Treatment of chronic bartholinitis without surgery.

The goal is to achieve remission (subsidence of symptoms of acute inflammation) for further surgical intervention. In the period of exacerbation, conservative treatment is carried out, corresponding to that used for acute bartholinitis.

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After the acute symptoms of the disease subside, the following is prescribed: local physiotherapy (ozocerite, infrared laser, magnetotherapy, UHF therapy) sitz baths with decoctions of herbs (chamomile, calendula, oak bark, sage) restorative agents (vitamins) Upon reaching stable remission, the issue of surgical treatment.


The main problem of surgical treatment of chronic bartholinitis is that it is not enough just to open an abscess or cyst. Since after the dissection of the tissues, their rapid adhesion occurs, which leads to the fact that the duct closes again.

Therefore, the operation can be carried out in two versions: the creation of an artificial duct of the gland (marsupialization) or the removal of the Bartholin gland (extirpation). The most preferred method of treatment.

clindamycin - frequent exacerbations of the disease, improvement in the appearance of the external genital organs, as well as large cysts that interfere with sexual and daily active life. The goal is to form a non-sticky channel through which the secret produced by the gland will be excreted into the vestibule of the vagina.

Stages of the operation: Under anesthesia, a small incision (3-5 mm) is made in the cyst or abscess. The cavity is washed, then a Word catheter is inserted into it at the end, which inflates a ball that prevents the catheter from falling out. After 4-5 weeks, the catheter is removed. This time is enough for a new excretory duct to form.

It is noteworthy that after the installation of the catheter in the rehabilitation period, no treatment is required.


Relapses of the disease with this technique are rare (according to various sources, from 2 to 10%). As a rule, they are associated with re-infection or catheter prolapse. However, it can always be installed again and this is much better than losing a large gland of the vaginal vestibule altogether.

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