Bartholin's Gland Abscess

Question 1

Signs and symptoms of what issue?
(1) Periodic painful swelling on either side of the introitus
(2) Dyspareunia (Pain just before, during, or after sex)
(3) Fluctuant swelling 1-4 cm in diameter lateral to either labium minus
(a) Sign of occlusion of Bartholin duct
(4) Tenderness is evidence of active infection

Answer 1

Bartholin’s Gland Abscess

Question 2

Bartholin’s Gland Abscess can be caused by what?

Answer 2

(a) Gonorrhea
(b) Chlamydia
(c) Polymicrobial

Question 3

True/False
Bartholin’s Gland Abscess purulent drainage should be cultured

Answer 3

TRue

Question 4

Treatment Bartholin glands abscess

Answer 4

(1) Manual aspiration or incision and drainage of the abscess
—-(a) May reoccur
(2) Antibiotics are unnecessary unless cellulitis is present or spreading infection are present
—-(a) If STI is suspected but culture is not available presumptively treat for both Gonorrhea and Chlamydia.
(3) Frequent warm soaks
(4) Marsupialization may be required for frequent reoccurrence. Done by OB/GYN
(5) Women under 40 years of age, asymptomatic cysts do not require therapy unless large or cause problem with intercourse

Question 5

When treating Batholin Gland Abscess
Women over age __, biopsy or removal are recommended to rule out vulvar carcinoma

Answer 5

40

Question 6

Follow up Bartholin Gland Abscess

Answer 6

May need referral to OB-GYN for reoccurrences
–(a) Surgical therapy (marsupialization) is indicated