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.
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.
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.
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.
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.
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.
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.
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.
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.
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.