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The Bartholin glands are two small organs under the skin in a woman's genital area. They are on either side of the folds of skin (labia) that surround the
urethra. Most of the time, you can't feel or see these 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.
If a Bartholin
duct gets blocked, fluid builds up in the gland. The blocked gland is called a
Bartholin gland cyst. (Sometimes it's 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's called a Bartholin gland
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.
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 the glands make more fluid during
Infected Bartholin cysts are sometimes caused by
sexually transmitted infections (STIs). You can lower
your risk of STIs by using a condom when you have sex.
You may not have any symptoms if the Bartholin gland cyst is small. But a large cyst or an infected cyst (abscess) can cause symptoms.
Symptoms of a cyst that is not infected include:
Symptoms of an infected cyst include:
You may find
a Bartholin gland cyst on your own, or your doctor may notice it during a physical exam.
Unless it is causing symptoms, you may not know you have one.
An abscess is diagnosed based on signs of infection, such as fever or swelling, and pain in the vulva area.
In some cases, especially if you are older, your doctor may remove the cyst to make sure that it isn't cancer or another problem.
Some Bartholin gland cysts go away without treatment. You can take a nonprescription pain
medicine such as ibuprofen (Advil or Motrin, for example) to relieve pain. To help healing,
soak the area in a shallow, warm bath, or a
sitz bath. Don't have sex while a Bartholin cyst is
If the cyst is infected, it may break open and start
to heal on its own after 3 to 4 days. But if the cyst is painful, your doctor may drain it. You may also need to take antibiotics to treat the infection.
To keep the cyst from closing and filling up again, your doctor may put a small drainage tube with a small balloon at one end inside the cyst. The balloon is inflated inside the cyst to keep the cyst open. After the gland has healed, the tube and balloon are removed.
Sometimes a carbon dioxide laser or silver nitrate is used to prevent a cyst from growing back. For severe cysts that keep coming back, you may have surgery to remove the Bartholin gland and duct.
There is a procedure called marsupialization in which a pouch is created by making a cut over the cyst and stitching the sides together. This allows the cyst to drain.
Learning about Bartholin gland cysts:
Other Works Consulted
Hillard PJA (2012). Benign diseases of the female reproductive tract. In JS Berek, ed., Berek and Novak's Gynecology, 15th ed., pp. 374–437. Philadelphia: Lippincott Williams and Wilkins.
Mazdisnian F (2007). Bartholin's duct cyst and abscess
section of Benign disorder of the vulva and vagina. In AH DeCherney et al.,
eds., Current Diagnosis and Treatment in Obstetrics and Gynecology, 10th ed., pp. 618–619. New York: McGraw-Hill.
ByHealthwise StaffPrimary Medical ReviewerSarah Marshall, MD - Family MedicineSpecialist Medical ReviewerFemi Olatunbosun, MB, FRCSC - Obstetrics and Gynecology
Current as ofFebruary 20, 2015
Current as of:
February 20, 2015
Sarah Marshall, MD - Family Medicine & Femi Olatunbosun, MB, FRCSC - Obstetrics and Gynecology
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