Topic Overview
What are the Bartholin glands?
The Bartholin
glands are in a woman's genital area. They are two pea-sized organs under the
skin. They are on either side of the folds of skin (labia) that surround the
vagina and
urethra. Normally, you cannot feel or see the
Bartholin glands.
The Bartholin glands make a small amount of
fluid that moistens the outer genital area, or
vulva. This fluid comes out of two tiny tubes next to
the opening of the vagina. These tubes are called Bartholin ducts.
What are Bartholin gland cysts?
If a Bartholin
duct gets blocked, fluid builds up in the gland. The blocked gland is called a
Bartholin gland cyst
. (Sometimes it is called a Bartholin duct cyst.) These cysts
can range in size from a pea to a large marble. They usually grow slowly. If
the Bartholin gland or duct gets infected, it is called a Bartholin gland
abscess.
Bartholin gland cysts are often
small and painless. Some go away without treatment. But if you have symptoms,
you might want treatment. If the cyst is infected, you will need treatment.
What are the symptoms of a Bartholin gland cyst or abscess?
If a Bartholin gland cyst is not infected, you will
likely feel a painless lump in the vulva area. You may have some redness or
swelling. The size of a cyst can be about
0.25 in. (0.6 cm) to
1 in. (2.5 cm). You may find
the cyst on your own, or your doctor may notice it during a physical exam.
If a cyst gets infected, it will probably hurt a lot. An infected
cyst forms an
abscess. A gland is probably infected if you are in
extreme pain and have trouble even walking or sitting. This abscess can get
bigger over 2 to 4 days.
What causes a Bartholin gland cyst?
A Bartholin
gland duct can get blocked by infection, swelling, or thick mucus.1 When a duct gets blocked, fluid builds up and creates a cyst.
The cyst can get bigger after sex because the glands make more fluid during
sex.1
Can you prevent Bartholin gland cysts?
You cannot
prevent Bartholin gland cysts.
Infected Bartholin cysts are sometimes caused by
sexually transmitted diseases (STDs). You can lower
your risk of infection by using a condom when you have sex.
How are they treated?
In some cases, you may not
need to treat a Bartholin gland cyst. Some cysts go away without treatment. But
if you have symptoms, you might want treatment. If the cyst is infected and
painful, you will need treatment. Your gynecologist or family doctor can treat
a Bartholin gland cyst.
If the cyst is infected, it may break open and start
to heal on its own after 3 to 4 days. Call your doctor if you have a lot of
pain or a fever.
At home, you can take a nonprescription pain
medicine such as ibuprofen (Advil, Motrin) to relieve pain. To help healing,
soak the area in a shallow, warm bath, or
sitz bath. Do not have sex while a Bartholin cyst is
healing.
If a Bartholin gland abscess comes back several times,
your doctor may surgically remove the gland and duct.
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