Bartholinitis
Einstein Health Glossary
ICD 10 - N75
What is it?
Bartholinitis is an infection and abscess formation of the Bartholin's gland. This gland is located near the vaginal introitus.
What are the signs?
The infection causes localized pain and swelling in the vulvar region. It is usually unilateral and may involve spontaneous drainage of purulent discharge.
Causes
The gland’s drainage can be blocked by mucus, leading to dilation of the duct. The accumulation of secretions creates an ideal environment for infections to develop.
The main microorganisms that cause bartholinitis are Escherichia coli, Staphylococcus aureus, group B Streptococcus, and Enterococcus spp. Infections may also be caused by multiple organisms.
What to do?
Seek a gynecologist if the patient presents the symptoms described above: swelling (edema) in the vulvar region associated with localized pain.
Diagnosis
The diagnosis is clinical, meaning it is made through the patient's history and gynecological examination, with no need for additional tests.
Prevention? Is it possible?
No.
Treatment
Treatment involves antibiotics and surgical drainage of the abscess. In cases of recurrence, removal of the Bartholin gland may be considered to prevent future episodes.