Understanding Bartholin Cyst and Abscess

What causes a Bartholin cyst or abscess?

A cyst can form when the duct of a Bartholin gland becomes blocked. The mucus can’t come out of the gland. It builds up. If the cyst becomes infected, it may turn into an abscess.

A blockage in the gland can occur from an injury or an infection, such as a sexually transmitted infection (STI).

Symptoms of a Bartholin cyst or abscess

A Bartholin cyst starts as a small bump. It may cause no other symptoms. Or it may grow bigger. It can then cause swelling and pain. If an abscess forms, it can be very painful. You may have a fever. You may have trouble walking, sitting, or having sex.

Treatment for a Bartholin cyst or abscess

A cyst that doesn’t cause any symptoms may not need to be treated. It may go away on its own. But if you feel discomfort or pain, treatment options include:

• Medicine. Over-the-counter pain medicines can help. In some cases, you may need antibiotics if an infection is severe, or a cyst or abscess comes back. If your doctor prescribes antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

• Sitz bath. Soaking the genital area in warm water can ease pain and sometimes help the cyst to drain on its own.

• Drainage. Cutting open the cyst allows the fluid inside it to drain. This eases discomfort and pain. The doctor may insert a tube (catheter) to help with drainage. The catheter may need to stay in place for up to 3 weeks.

• Surgery. You may need to have the Bartholin glands removed if other treatments don’t work.

When to contact your doctor

Call your doctor right away if:

• You have a fever of 100.4°F (38°C) or higher, or as directed by your doctor.

• You have redness, swelling, or fluid leaking from the cyst that gets worse.

• Your pain gets worse.

• Your symptoms don’t get better, or get worse.

• You have new symptoms.