Bartholin’s Cyst/Abscess

A Bartholin’s cyst or abscess occurs when the Bartholin’s glands, located on either side of the vaginal opening, become blocked, leading to fluid buildup and sometimes infection. These glands produce lubricating mucus, and when their ducts are obstructed by infection, injury, or swelling, a cyst forms. If bacteria enter the blocked duct, the cyst can become infected and develop into a painful abscess. Symptoms include a tender lump near the vaginal opening, swelling, redness, pain during walking or sitting, and sometimes fever or foul-smelling discharge if infected.

Most cysts are painless unless large or infected, but abscesses cause significant discomfort and may require medical intervention. Treatment options include warm sitz baths, antibiotics for infection, and surgical drainage or catheter placement for larger or recurrent cases. In rare cases, marsupialization or excision may be needed. Early diagnosis and management help prevent complications like recurrent abscesses or scarring.?