What tests can be done to diagnose Bartholinitis?

Bartholinitis is caused by inflammation of the Bartholin glands, which leads to blockage of the opening and inability to discharge secretions. After the acute inflammation subsides, the pus gradually turns into clear mucus. It can also be caused by vaginal and vulvar damage during childbirth, which damages the Bartholin gland ducts and causes them to become blocked. So, what tests can be done to confirm Bartholinitis?

1. Examination of Bartholinitis:

1. When the cyst is small, the patient usually has no subjective symptoms and it is often discovered during a gynecological examination. When the tumor grows larger, the patient may feel a swelling sensation in the vulva or discomfort during sexual intercourse, and can touch the tumor on one side of the vulva.

2. During the examination, the affected side of the vulva is swollen and a cystic mass can be felt. It is mostly oval and adheres to the skin. The labia minora on that side is flattened and the vaginal opening is pushed toward the healthy side. Repeated infection can cause the cyst to enlarge.

3. Bartholin's gland cysts vary in size, and most of them gradually increase in size, and some can remain unchanged for several years. If the cyst is small and not infected, the patient may have no symptoms; if the cyst is large, the patient may feel a sense of heaviness in the vulva or discomfort during sexual intercourse. Examination shows that the cysts are mostly unilateral or bilateral, and most of the cysts are oval.

4. The cyst is not difficult to diagnose based on its location, appearance and the absence of inflammation during local palpation. Local puncture can be performed when necessary to differentiate it from an abscess based on its contents. The entire removed cyst can then be pathologically examined for diagnosis.

2. Differential diagnosis of Bartholinitis

Care should be taken to differentiate it from labia majora inguinal hernia. The latter has a sense of impulse similar to inguinal mass, with air bursting downward and the mass slightly swollen, and a tympanic sound when percussed. It usually appears suddenly after excessive force. Based on these characteristics, differentiation is generally not difficult.

3. Laboratory diagnosis:

1. Secretion smear and bacterial culture examination: Generally, secretions are taken from the opening of the Bartholin's glands, the urethral orifice, and the paraurethral glands for smear examination to determine the pathogenic bacteria; or bacterial culture and drug sensitivity test can be performed directly.

2. Routine blood test: The total white blood cell count may increase significantly.

The above diagnosis basis of Bartholinitis is summarized by experts over the years. After understanding the diagnosis basis of Bartholinitis, you must consult relevant experts and go to a regular hospital to treat this disease. I wish you have a healthy body and enough ability to manage your family and career.