Bartholin gland Abscess

Introduction: Bartholin glands are locate on either side of the lower third of the vaginal introitus near the labia minora.
A cyst or abscess may result from an obstructed duct, often secondary to trauma or inflammation. Infection of the cyst is usually with mixed vaginal or fecal flora (Escherichia coli) but may also contain N gonorrhoeae and Chlamydia trachomatis.

Clinical Features: Cysts or abscesses may be asymptomatic or may lead to increasing pain, swelling,
an dyspareunia. A tender, fluctuant cystic mass with surrounding labial edema is easily appreciate on examination.

Differential diagnosis: Differentials should include

• epidermal inclusion cysts and sebaceous cysts of the labia majora, 
• hidradenitis suppurativa, 
• vulvar hematomas, 
• leiomyomas, 
• lipomas, and 
• fibromas.

Vaginitis - Types And Management

Introduction:

Vaginitis is an inflammation of the vagina that can result in discharge, itching and pain. The cause is usually a change in the normal balance of vaginal bacteria or an infection. Reduced estrogen levels after menopause and some skin disorders can also cause vaginitis.

The most common types of vaginitis are described below: 
Candidal vaginitis is characterized by a thick, clumping, white discharge and vulvar discomfort. Intense vulvar erythema, pruritus, and /or burning are often present.

Predisposing factors may include
oral contraceptive,
antibiotic, or corticosteroid use;
pregnancy; and
diabetes.

Characteristics: White, thick, clumping discharge, vaginal pH <4.5, microscopic findings include: Hyphae andspores in KOH

Diagnosis: A microscopic slide prepare with 10% potassium hydroxide yielding characteristic branched chain hyphae and spores establishes the diagnosis.
Sexually transmitted diseases are not usually associated with isolated Candidal vaginitis.