Bartholin's abscess is the buildup of pus that forms a lump (swelling) in one of the Bartholin's glands, which are located on each side of the vaginal opening.
A Bartholin's abscess forms when a small opening (duct) from the gland gets blocked. Fluid in the gland builds up and may become infected. Fluid may build up over many years before an abscess occurs.
A pelvic exam reveals an enlarged and tender Bartholin's gland. A biopsy may be recommended in older women to look for a tumor, although this is very rare.
Any vaginal discharge or fluid drainage will be sent to a lab for analysis.
Soaking in warm water four times a day for several days usually provides some relief and causes the abscess to open and drain on its own. However, the opening is usually very small and closes quickly, so the abscess often returns.
DRAINAGE OF THE ABSCESS
A small surgical cut can completely drain the abscess. This relieves symptoms and provides the fastest recovery.
Antibiotics may be prescribed, but they are not usually needed if the abscess is drained properly.
Women who have repeated abscesses may consider a minor surgical procedure called marsupialization.
Your health care provider may recommend that the glands be completely removed if abscesses keep coming back.
The chance of a full recovery is excellent. About 10% of the time, abscesses return.
It is important to treat any vaginal infection that is diagnosed at the same time as the abscess.
Call your health care provider if:
Abscess - Bartholin's; Infected Bartholin's gland
Eckert LO, Lentz GM. Infections of the lower genital tract: vulva, vagina, cervix, toxic shock syndrome, endometritis, and salpingitis. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2012:chap 23.
Butler KH. Incision and drainage. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 37.
Updated by: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington; and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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