A Bartholin's cyst develops when the duct exiting the Bartholin's gland becomes blocked. The fluid produced by the gland then accumulates, causing the gland to swell and form a cyst. An abscess occurs when a cyst becomes infected. Bartholin's abscesses can be caused by any of a number of bacteria.
These include bacterial organisms that cause sexually transmitted diseases such as chlamydia and gonorrhea as well as bacteria normally found in the intestinal tract, such as Escherichia coli. It is common for these abscesses to involve more than one type of organism
What Are the Symptoms?
You may not have any, unless the cyst is large or becomes infected. If infection sets in (doctors call this an “abscess”), you’ll likely have extreme
pain at the site of the cyst. Sex -- and even
walking -- may hurt. If the cyst is large, it can make one side of your labia majora (the large folds of skin on the outside of your vagina) hang lower than the other.
You might also have fever and an unusual
vaginal discharge.
Treatments
1.antibiotics: If your exam shows that you have an STI, or if your cyst is infected, your doctor will prescribe an antibiotic.
2.Sitz bath: A simple sitz bath may help the cyst go away on its own. Simply fill a tub with 3 to 4 inches of water (enough to cover your vulva), and gently sit. Do this several times a day for three or four days. The cyst may burst and drain on its own.
3.Surgical drainage . Your doctor will make a small cut in the cyst. He’ll then place a small rubber tube (catheter) into the opening to allow it to drain. It can stay in place for up to 6 weeks. You’ll feel better right away after the fluid has been drained.
4.Marsupialization. If cysts bother you or come back, this procedure may help. Your doctor cuts the cyst to open it. He then stitches the skin around the cyst to form a small pouch. This allows the fluid to drain out.
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