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    Why does bartholinitis occur?
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    The main task of the Bartholin glands is to produce a secret that keeps the vaginal mucosa moist and produces lubrication during moments of sexual arousal to facilitate the insertion of the penis.

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August 26, 2022
But when diagnosing a disease, not one, but several infectious agents are often isolated, that is, bartholinitis arose as a result of an attack by an association of microorganisms. However, not all women suffering from gonorrhea, or, for example, trichomoniasis, develop bartholinitis.

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August 26, 2022
weakening of the body's defenses (treatment with antibiotics, hypothermia, chronic stress, beriberi); the presence of chronic foci of infection (chronic tonsillitis or caries can serve as a starting point in the development of generic aldactone - pathogenic microorganisms reach the Bartholin gland by the hematogenous route); menstruation or the end of the second phase of the cycle; microtraumas in the vestibule of the vagina and / or labia (for example, during depilation); wearing narrow and tight underwear (compresses the excretory duct of the gland, due to which the secret is concentrated in the cavity of the gland and becomes infected); neglect of the rules of intimate hygiene; promiscuous sex (increases the risk of infection with sexual infections); gynecological intrauterine interventions or operations on the urinary tract in violation of the rules of asepsis; inflammation of the urethra or vagina (urethritis, vaginitis), when the infection easily penetrates into the excretory duct of the gland.

Depending on how the disease proceeds, acute and chronic bartholinitis is divided, which often recurs, so it is called recurrent. An acute process, in turn, can be in the form of a false and true abscess of the Bartholin gland. They say about a false abscess or canaliculitis when the external duct of spironolactone pills becomes inflamed, it becomes blocked, and the inflammatory exudate accumulates in the gland. With a true abscess, not only the gland itself, but also the tissues that surround it are involved in the inflammatory process.

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Chronic bartholinitis develops as a result of an untreated acute process, after spontaneous opening of the abscess. Acute phenomena subside, but periodically the disease worsens. In the case of chronic bartholinitis, a cyst of the Bartholin gland is formed. How is bartholinitis manifested?

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With the introduction of pathogenic microorganisms into the tissue of the gland, as well as into the tissue that surrounds it, a pyogenic (purulent) melting of spironolactone pills of the gland occurs with the formation of a capsule in which pus is localized. Both the small and labia swell, and on the unaffected side too, they turn red and are sharply painful when walking, at rest and when touched. The pain is so intense that the patient cannot walk. There is a significant increase in body temperature (above 38.5 degrees), there are signs of intoxication (weakness, chills, dyspeptic disorders).

With bartholinitis, the symptoms are so characteristic that it is difficult to confuse the disease with anything else. The pain is constant and pulsating in nature. On examination, hyperemia of aldactone and swelling are determined, the skin over the abscess is hot to the touch, does not move, and palpation reveals fluctuation (free movement of liquid contents in the focus of inflammation). In some cases, the inguinal lymph nodes are enlarged.

If the acute process is not treated in a timely manner, it will turn into a chronic form. In this case, the disease often recurs, and relapses are characterized by minor inflammation and pain. On palpation, the gland is somewhat thickened and sensitive. Chronic bartholinitis causes discomfort during intimacy.

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Diagnosis of the disease is quite simple. The diagnosis of bartholinitis can be made already at the first visit of the patient to the doctor. The clinical minimum of the examination includes: KLA, OAM, a smear for the vaginal microflora (see elevated leukocytes in a smear), blood from a vein for HIV infection and syphilis. A bacteriological culture of either a purulent discharge from the duct of the gland, or discharge from the vagina is prescribed without fail to determine the infectious agent and its sensitivity to antibiotics. Of the additional research methods, a PCR smear is prescribed to detect genital infections (chlamydia, genital herpes, trichomoniasis, human papillomavirus). If bartholinitis is detected, treatment should be started immediately. The earlier treatment is started, the better the prognosis of Spironolactone pills.