A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
XYZ
List of All Topics
Bartholin Cyst
Introduction
Bartholin cyst is the painless swelling of Bartholin glands which are located on each side of the vaginal opening. These glands secrete fluid that helps lubricate the vagina. Sometimes the openings of these glands become obstructed causing fluid to back up into the gland, resulting in relatively painless swelling called a Bartholin cyst. At times, this fluid may become infected, creating a small area of pus surrounded by inflamed tissue (abscess).
A Bartholin cyst or abscess is uncommon. Treatment of Bartholin cyst depends on the size of the cyst, the pain and whether it's infected. Sometimes, home treatment is all you need. In other cases, surgical drainage of the Bartholin cyst is necessary. If an infection occurs, antibiotics may be necessary to treat the Bartholin cyst.
Signs And Symptoms
If the cyst remains small and no infection occurs, you may not notice it. If it grows, you might feel the presence of a lump or mass near your vaginal opening. Although a cyst is usually painless, it can be tender.
If the cyst becomes infected — a full-blown infection can occur in a matter of days — you may experience the following signs and symptoms:
- A tender or painful lump near the vaginal opening.
- Discomfort while walking or sitting.
- Pain during intercourse.
- Fever.
Causes
Experts believe that the cause of a Bartholin cyst is a backup of fluid. Fluid may accumulate when the opening of the gland (duct) becomes obstructed, perhaps by the growth of a flap of skin.
A cyst can become infected, forming an abscess. A number of bacteria may cause the infection, including common bacteria, such as Escherichia coli (E. coli), as well as bacteria that cause sexually transmitted diseases, such as gonorrhea and chlamydia.
Treatment
Treatment of a Bartholin cyst depends on the size of the cyst, the amount of discomfort it causes and whether it's infected, resulting in an abscess. Here are some of the treatment options your doctor may recommend:
- Sitz baths. Sometimes, soaking in a tub filled with a few inches of warm water (sitz bath) several times a day for three or four days helps a small, uncomplicated cyst to rupture and drain on its own.
- Surgical drainage. A cyst that's infected or very large generally requires drainage by a doctor. Drainage of a cyst can be done in your doctor's office under local anesthesia, but in some cases, you and your doctor may opt for general sedation, if that makes you more comfortable. To do the drainage procedure, your doctor makes a small incision in the cyst to allow it to drain. Then he or she places a small rubber tube (catheter) in the incision. The catheter stays in place for four to six weeks to keep the opening from closing up and to allow complete drainage. After that, the catheter is removed and the incision heals completely.
- Antibiotics. If the cyst is infected, or if testing reveals a sexually transmitted disease, your doctor may prescribe antibiotics to ensure that the bacteria causing the infection are destroyed. But if the abscess is drained properly, you may not need antibiotics.
- Marsupialization. If cysts recur, your doctor may perform a technique called marsupialization. This method is usually effective in preventing recurrences. It's similar to the surgical drainage procedure, only your doctor places a few stitches on either side of the incision to create a permanent opening, less than one-quarter inch (about 5 millimeters) long. Your doctor may insert a catheter to promote draining for a few days to prevent recurrence. This procedure can be done in your doctor's office but, depending on the complexity of the cyst, may be done in an operating room in the hospital under general anesthesia. Since marsupialization isn't recommended when an active infection is present, your doctor will likely want to drain the abscess first and get rid of the infection, then perform the marsupialization.
Some doctors are using laser therapy to treat Bartholin cyst but this type of treatment is still in the experimental phase.
Prevention
There's no real way to prevent a Bartholin cyst. However, practicing safe sex — in particular, using a condom — and maintaining good personal hygiene may help to prevent infection of a cyst and the formation of an abscess. If you detect a cyst, treating it right away by soaking in warm water (sitz bath) may help prevent abscess formation, as well.
Information obtained from National Institute of Health