Treatment FAQ

how do you know when to seek medical treatment for a bartholin cyst

by Dan Hane I Published 2 years ago Updated 2 years ago

When to Contact a Medical Professional
  1. You notice a painful, swollen lump on the labia near the vagina opening and it does not improve with 2 to 3 days of home treatment.
  2. Pain is severe and interferes with your normal activity.
  3. You have one of these cysts and develop a fever higher than 100.4°F (38°C).

Medication

A Bartholin's cyst or abscess typically occurs on only one side of the vaginal opening. Call your doctor if you have a painful lump near the opening of your vagina that doesn't improve after two or three days of self-care — for instance, soaking the area in warm water (sitz bath).

Procedures

Some Bartholin cysts are small and don't cause any pain. If the cyst becomes infected with bacteria, an abscess can form. When infected, Bartholin cysts can be painful and may require medical treatment. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission.

Self-care

Alternatively, if the cyst persists, you may opt for medical treatments such as pain medications, surgical drainage, marsupialization, and/or antibiotics if your cyst is concurrently infected. After treating your Bartholin cyst, it is equally important to take steps to ensure proper recovery and full healing.

When to call the doctor for a Bartholin cyst?

Is a Bartholin cyst painful?

What are the treatments for Bartholin cysts?

Is an infected Bartholin cyst an emergency?

Many women with a Bartholin gland abscess seek out emergency care, but this infection also appears to be a common complaint in the general practitioner's office, and it presents pathology that is quite applicable to outpatient therapy.

How long does it take for a Bartholin cyst to turn into an abscess?

Management of Bartholin Gland Abscesses Bartholin gland abscesses usually develop over two to four days and can become larger than 8 cm.

Should I get a Bartholin cyst checked?

If you have a lump in the opening of your vagina, get it checked by a GP. If it turns out to be a Bartholin's cyst and it does not bother you, it's often better to leave it alone.

What happens if a Bartholin cyst goes untreated?

If a Bartholin's abscess worsens and goes untreated, the infection could spread to other organs in your body. The infection may enter your bloodstream, a condition called septicemia. This condition is dangerous because the infection can be carried throughout your whole body.

When should you go to the hospital for a cyst?

If you have any of the following symptoms of a ruptured cyst, head to the ER right away: Pain with vomiting and fever. Severe abdominal pain that comes on suddenly. Weakness, faintness, or dizziness.

Why is my Bartholin cyst getting bigger?

Things like thick mucus or swelling can block a Bartholin gland duct and cause a cyst. The cyst can get bigger after sex, because the glands make more fluid during sex. Infected Bartholin cysts are sometimes caused by sexually transmitted infections (STIs).

When should you go to the hospital for a Bartholin cyst?

Call your provider if: You notice a painful, swollen lump on the labia near the vagina opening and it does not improve with 2 to 3 days of home treatment. Pain is severe and interferes with your normal activity. You have one of these cysts and develop a fever higher than 100.4°F (38°C).

When does a Bartholin cyst need antibiotics?

The catheter stays in place for up to six weeks to keep the incision open and allow complete drainage. Antibiotics. Your doctor may prescribe an antibiotic if your cyst is infected or if testing reveals that you have a sexually transmitted infection. But if the abscess is drained properly, you may not need antibiotics.

Why is my Bartholin cyst not going away?

Treatment for Bartholin cysts depends on the symptoms. If a cyst is small, painless and doesn't appear infected, it may not need treatment. If symptoms persist or the cyst grows, then you may be developing an abscess (infection). In severe cases, abscesses may need surgically drained.

Can a Bartholin cyst go away without bursting?

If a Bartholin abscess bursts, it may resolve on its own in a few days without treatment. However, it is advisable to visit the doctor to avoid the spread of the infection. Your doctor will usually advise you to soak the labia in warm water (sitz bath) and prescribe you antibiotics and pain medications.

Can Urgent Care drain a Bartholin cyst?

If the gland is causing problems, your Reddy Urgent Care healthcare provider may treat it in one of several ways: A small cut may be made over the gland, making an opening so fluid can drain out from the cyst.

How long does a Bartholin cyst last?

It can stay in place for up to 6 weeks. You'll feel better right away after the fluid is gone. But you may need to take pain medication for several days afterward. Keep in mind that a Bartholin's cyst or abscess may come back and need treatment again.

How to diagnose Bartholin cyst?

To diagnose a Bartholin cyst, a doctor will do a physical exam to look at the vagina. If the cyst produces discharge, your doctor may test the fluid for sexually transmitted infections (STIs) or other bacterial infections. In women older than age 40, doctors may perform a test called a biopsy to rule out cancer of the vulva.

What are the symptoms of a Bartholin cyst?

If a Bartholin cyst forms an abscess (infection), symptoms may include pain, change in size with swelling, drainage, redness and fever. Larger cysts that aren't infected may cause symptoms including: Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission.

What is a cyst in the vagina?

A Bartholin cyst develops when a blockage occurs in a Bartholin gland in the vagina. This blockage causes a lump that can cause irritation and pain during sitting, walking or sex.

Where are the Bartholin glands located?

The Bartholin glands are two small glands located on either side of the opening of the vagina. The glands produce mucus that helps lubricate (moisten) the vagina. A Bartholin cyst occurs when a blockage happens in the openings of one of these glands, causing the mucus to build up and form a lump. Bartholin cysts occur in about 3% of all women.

How to treat a cyst that is small and doesn't appear infected?

However, your doctor may recommend watching it for growth. If the area has signs of infection and is painful, your doctor may recommend self-care treatments including sitting in a warm bath a few times a day for several days.

What is the test for cancer of the vulva?

In women older than age 40, doctors may perform a test called a biopsy to rule out cancer of the vulva. During this test, the doctor will remove a small sample of tissue and look at it under a microscope.

Can Bartholin help with abscess?

If symptoms persist or the cyst grows, then you may be developing a Bartholin's abscess. Your doctor may want to drain the abscess or give you antibiotics.

How do you know if you have Bartholin cysts?

Symptoms that Bartholin's cysts can cause include: Painless Bartholin's cysts can sometimes be felt by pushing on the area between the outside of the vaginal opening and the inside of the vaginal canal . The bump may feel fluid-filled when pressed.: Bartholin cysts can sometimes be felt by pushing on the area between the outside ...

What is a bartholin cyst?

A Bartholin's cyst is a fluid-filled mass that can develop near the opening of the vagina. They can be painful or painless and are caused by a buildup of fluid in a small gland near the vaginal canal. Symptoms predominantly include the presence of a painless bump near the vaginal opening as well as pain or discomfort in ...

How does Bartholin's cyst drain?

In this procedure, the Bartholin's cyst is cut open and allowed to drain like an incision and drainage, and then the sides of the cyst are sutured, leaving an opening. This allows any fluid that accumulates to directly drain through the opening and prevents the Bartholin's cyst from reforming. This procedure is usually done in ...

How long does it take for a word catheter to heal?

After at least four weeks , the Word catheter can be deflated and removed in the office without anesthesia.

Where are the Bartholin glands located?

The Bartholin's glands, also known as the greater vestibular glands, are two glands located on either side of the vaginal opening at the four and eight o'clock positions. The glands are connected to ducts that open to the vaginal canal and normally produce the mucus that provides lubrication. If the opening to the vaginal canal becomes blocked, ...

Can a carbon dioxide laser be used to vaporize cysts?

A carbon dioxide laser can be directed at the cyst to vaporize it. This procedure can be done in the office with local anesthesia and has good outcomes, but is generally used less often because the laser equipment and expertise required is not widely available.

Can Bartholin cysts be removed?

In rare cases of Bartholin's cysts that recur despite multiple surgeries, the Bartholin's gland can be removed. This procedure is done in the operating room and prevents the Bartholin's cyst from reforming. However, this procedure has a higher rate of complications, such as bleeding and scarring, compared to the other surgical options.

How to prevent Bartholin cysts?

Maintaining a healthy urinary tract may also help prevent Bartholin’s cysts and abscesses from developing. Drink plenty of fluids throughout the day, and avoid waiting a long time to urinate. Cranberry supplements may help support good urinary tract health.

What is the procedure for Bartholin's abscess?

If, after your treatment, the Bartholin’s abscess comes back repeatedly, your doctor may suggest a procedure called marsupialization. Marsupialization is a surgery that’s similar to the other drainage procedure.

What happens if you have a cyst on your vagina?

A Bartholin’s abscess can occur when one of the Bartholin’s glands, located on either side of the vaginal opening, develop an infection. When the gland is blocked, a cyst will usually form. If the cyst becomes infected, it can lead to a Bartholin’s abscess.

How long does a catheter stay in place after abscess surgery?

The catheter may remain in place for several weeks. Once the abscess heals, your doctor will remove the catheter or allow it to fall out on its own.

How long does it take for a Bartholin abscess to heal?

Once the abscess has drained, recovery time is minimal. Most women feel better within 24 hours after a Bartholin’s abscess has drained. If your abscess needs surgical removal, your recovery time will vary depending on the details of your procedure.

What is the best treatment for an abscess?

Using a mix of tea tree and castor oil as a topical ointment on the abscess may promote drainage. Tea tree oil is known for its antibacterial properties, which may help clear an infection. Castor oil is thought to promote blood circulation in the affected area, which can reduce inflammation.

How big is a Bartholin's abscess?

A Bartholin’s abscess can be more than an inch in diameter . It usually causes significant pain. While most people with a Bartholin’s abscess completely recover, in some cases the cyst will return and become infected again. Women of childbearing age are the most affected population.

How do you know if you have a Bartholin cyst?

Symptoms. If you have a small, noninfected Bartholin's cyst, you may not notice it. If the cyst grows, you might feel a lump or mass near your vaginal opening. Although a cyst is usually painless, it can be tender. A full-blown infection of a Bartholin's cyst can occur in a matter of days.

What happens if you have a Bartholin cyst?

A Bartholin's cyst or abscess is common. Treatment of a Bartholin's cyst depends on the size of the cyst, how painful the cyst is and whether the cyst is infected. Sometimes home treatment is all you need.

What is a lump on the side of the vagina?

A tender, painful lump near the vaginal opening. Discomfort while walking or sitting. Pain during intercourse. Fever. A Bartholin's cyst or abscess typically occurs on only one side of the vaginal opening.

Why does Bartholin's cyst form?

Experts believe that the cause of a Bartholin's cyst is a backup of fluid. Fluid may accumulate when the opening of the gland (duct) becomes obstructed, perhaps caused by infection or injury. A Bartholin's cyst can become infected, forming an abscess.

How to treat a lump in the vagina?

Call your doctor if you have a painful lump near the opening of your vagina that doesn't improve after two or three days of self-care — for instance, soaking the area in warm water (sitz bath). If the pain is severe, make an appointment with your doctor right away.

Where is the cyst on the vagina?

Bartholin's cyst. Bartholin's cyst. The Bartholin's glands are located on each side of the vaginal opening. They secrete fluid that helps lubricate the vagina. Sometimes the ducts of these glands become obstructed and fluid backs up, forming a cyst.

Can Bartholin's cyst be treated with antibiotics?

In other cases, surgical drainage of the Bartholin's cyst is necessary. If an infection occurs, antibiotics may be helpful to treat the infected Bartholin's cyst.

What to do if you suspect a Bartholin cyst?

If you suspect that you may have a Bartholin cyst, it is important to see your family doctor for a pelvic exam to confirm the diagnosis. In addition to a pelvic exam, your doctor will likely test for STIs (sexually transmitted infections).

What to do if Bartholin cyst persists?

Alternatively, if the cyst persists, you may opt for medical treatments such as pain medications, surgical drainage, marsupialization, and/or antibiotics if your cyst is concurrently infected. After treating your Bartholin cyst, it is equally important to take steps to ensure proper recovery and full healing. Steps.

How to get rid of Bartholin cyst?

The most effective way to get rid of a persistent Bartholin cyst is via surgical drainage. You can see your family doctor, who may do it themselves (if they are experienced with the procedure). Alternatively, they may refer you on to another physician to have the procedure performed.

How does the Bartholin gland work?

The gland's primary function is to secrete mucus through the Bartholin duct to create vulvar and vaginal lubrication. If the opening of the duct becomes obstructed, the mucus accumulates, causing swelling next to the obstruction. There are a variety of strategies you can try to get rid of a Bartholin cyst.

Why do you need a catheter for Bartholin cysts?

This is usually only done for cases of recurrent Bartholin cysts. The purpose of the catheter is to keep the cyst open, so that any further fluid that accumulates can drain out immediately. Keeping the cyst open prevents fluid buildup and, as such, allows the cyst to naturally heal.

How to remove Bartholin gland?

If you have a particularly bad cyst, or have had recurrent cysts, one of the "last resort" treatments is to have your Bartholin gland completely removed surgically, or removed via a laser procedure. Both of these are simple procedures that do not require an overnight hospital stay.

Is Bartholin cyst asymptomatic?

This is more complicated to treat than a simple cyst, so it is best to be proactive. If you are under 40 and you the cyst is asymptomatic (no pain, fever, etc.), then often no medical intervention is necessary. If you notice signs of a fever alongside your Bartholin cyst, see your doctor for treatment.

What is a Bartholin Cyst?

A Bartholin cyst is a small cyst that you will find forming in the Bartholin’s glands, which are located on the inside of the labia. These glands are responsible for helping to lubricate the vagina, and oftentimes they get plugged up, which causes fluid buildup and infection.

Signs of a Bartholin Cyst

While medical professionals aren’t quite sure what causes Bartholin’s cysts to form, they often crop up in women in the reproductive age, with the chance of them decreasing as a woman ages and hits menopause. There are several signs to watch out for when you think you may have a Bartholin’s cyst.

How to treat Bartholin cyst?

Bartholin cyst treatment. Soaking in a few inches of warm watereither in a tub or sitz bath four times a day for a few days may resolve even an infected Bartholin cyst. Taking over-the-counter painkillers, such as naproxen (Aleve, Naprosyn), acetaminophen (Tylenol), or ibuprofen (Advil, Motrin), may help with discomfort.

How long does it take for a Bartholin cyst to heal?

But you may need to take oral pain medication for several days afterwards. If the cyst is infected, it may break open and start to heal on its own after 3 to 4 days. Keep in mind that a Bartholin's cyst or abscess may come back and need treatment again.

What happens if a cyst bursts?

If left untreated, benign cysts can cause serious complications including: Infection – the cyst fills with bacteria and pus, and becomes an abscess. If the abscess bursts inside the body, there is a risk of blood poisoning (septicaemia).

What is a lump on the side of the vagina?

A distinct mass (lump) on either side of the opening to the vagina can be the sign of a Bartholin gland carcinoma. More often, however, a lump in this area is from a Bartholin gland cyst, which is much more common (and is not a cancer ). Read more about: Bartholin cyst drainage aftercare.

Why does Bartholin cyst grow?

Experts believe that the cause of a Bartholin's cyst is a backup of fluid. Fluid may accumulate when the opening of the gland (duct) becomes obstructed, perhaps caused by infection or injury. Things like an infection, thick mucus, or swelling can block a Bartholin gland duct and cause a cyst. The cyst can get bigger after sex, because ...

What is the cyst in the vagina called?

Sometimes the openings of these glands become obstructed, causing fluid to back up into the gland. The result is relatively painless swelling called a Bartholin's cyst.

Where are the Bartholin glands located?

They are on either side of the folds of skin (labia) that surround the vagina and urethra. Most of the time, you can't feel or see these glands. it can cause a painful collection of pus (abscess) to develop in 1 of the Bartholin's glands.

What is a bartholin cyst?

WHAT YOU NEED TO KNOW: A Bartholin cyst is a lump near the opening to your vagina. You may have pain in this area when you walk or have sex. A Bartholin cyst is caused by blockage of your Bartholin gland. You have a Bartholin gland on each side of your vagina.

How to open Bartholin glands?

It will also help open your Bartholin glands so they drain normally. Place a clean towel on the bottom of your bath tub. Fill your bath tub with warm water up to your hips. You can also buy a sitz bath that fits in your toilet. Sit in the water for 10 minutes. Apply a warm compress to your cyst.

How to take a sitz bath?

You may need to wait to take a sitz bath until after your packing is removed. A sitz bath may help relieve swelling and pain. Take a sitz bath 3 to 4 times each day for 3 days. Place a clean towel on the bottom of your bath tub. Fill your bath tub with warm water up to your hips. You can also buy a sitz bath that fits in your toilet. Sit in the water for 10 minutes.

How to get rid of a cyst in the bowel?

Sit in the water for 10 minutes. Apply a warm compress to your cyst. This may relieve swelling and pain. A warm compress will also help open your Bartholin glands so they drain normally. Wet a washcloth in warm, but not hot, water. Apply the compress for 10 minutes. Repeat 4 times each day.

What happens if a cyst drains?

You have a fever. Your cyst gets larger or becomes more painful. Your cyst returns after treatment. Your drain falls out. You have pus, redness, or swelling where the cyst was drained. You have questions or concerns about your condition or care.

How to treat a swollen stomach?

You may need any of the following: 1 Antibiotics help prevent or treat a bacterial infection. 2 NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions. 3 Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him of her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Can a bartholin cyst be infected?

Over time the fluid can build up in the gland and form a cyst. The cyst may become infected. You may be at risk for a Bartholin cyst if you have a sexually transmitted infection. An injury or surgery near your vagina may also increase you risk.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9