Bartholin's cyst

Question 1

What is a Bartholin’s cyst

Answer 1

When the ducts of the Bartholin’s glands become blocked, the Bartholin’s gland swells and becomes tender.

Question 2

Where are the Bartholin’s glands located

Answer 2

Either side of the posterior part of the vaginal introitus (vaginal opening).
Usually pea-sized and not palpable.
Produce mucus to help with vaginal lubrication.

Question 3

Bartholin’s cyst presentation

Answer 3

Unilateral swelling between 1 and 4cm on posterior part of vaginal opening.
May be tender

Question 4

Bartholin’s cyst complications

Answer 4

Cysts can become infected - Bartholin’s abscess

Will be hot, tender, red and potentially draining pus.

Question 5

Bartholin’s cyst differentials

Answer 5

Genital herpes, vulvar cancer, infection

Question 6

Bartholin’s cyst management

Answer 6

Usually resolve with simple treatment - good hygiene, analgesia, warm compress.
Bartholin’s abscess - antibiotics
May need surgical intervention:
Word catheter - incision made and pus drained, catheter inserted and inflated. Tissue heals around it.
Marsupialisation - incision made and abscess drained, sutured open. Prevents recurrence of the cyst or abscess.