A culture of a vaginal smear discharged from the Bartholin's gland is the most accurate way to identify pathogenic microflora and its sensitivity to antibiotics. At the first signs of bartholinitis and acute symptoms of an abscess, the following conservative methods of treatment are prescribed: antibiotics (Amoxicillin, Ciprofloxacin, Cefazolin, Clarithromycin, Trichopolum) - taking 7-10 days, usually two drugs from different groups are combined; painkillers (Baralgin, Ibuprofen); irrigation with disinfectant solutions (Chlorhexidine, Miramistin), herbal decoctions (oak bark, calendula, chamomile, etc.); lotions with 8-10% salt solution for 30-40 minutes. 3-6 times a day; physiotherapy (magnetic therapy, UHF) - it is advisable to carry out for 3-4 days; ointments (Vishnevsky, Levomekol) - the maximum therapeutic effect is achieved by their combination (one in the morning, the other in the evening).
Traditional medicine can also be used - they have an anti-inflammatory effect and relieve disturbing symptoms for a while. Treatment of bartholinitis at home should be carried out only after consulting a doctor in parallel with the main, conservative therapy. In the chronic form of bartholinitis without exacerbation, sitz baths with infusion of robaxin, calendula, eucalyptus for 15-20 minutes are indicated. With an exacerbation of the symptoms of the disease, they can be used in combination with the main treatment (for example, in combination with antibiotics) to quickly relieve symptoms. However, it should be remembered that all folk remedies have only a temporary effect and do not cure bartholinitis. In the presence of an abscess or cyst of the Bartholin gland, treatment is strictly surgical.
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With asbscesses, the purulent focus is opened, its contents are removed. The cavity is treated with disinfectant solutions (3% hydrogen peroxide). A drainage rubber tube is inserted into the cavity to drain the discharged pus, which is removed 5-6 days after the operation. In parallel with surgical treatment, antibiotics and vitamins are prescribed. In the first days after surgery, the wound must be carefully treated with a solution of robaxin peroxide or furacilin. When the pus stops separating, it is necessary to introduce a turunda with levomekol or Vishnevsky ointment into the cavity. 5 days after the operation, the patient can be discharged from the hospital and transferred to outpatient treatment. The appointment of antibiotics is recommended (taking into account the sensitivity to them), physiotherapy, desensitizing therapy are indicated. In addition, it is important to carefully observe personal hygiene and do not wear pressure underwear.