Bartholin's Gland Abscess

Question 1

What can cause an obstruction of Bartholin gland?

Answer 1

Trauma or infection

Question 2

Are chronic Bartholin gland (cysts) a concern?

Answer 2

Often aseptic and benign

Question 3

Patient presents with periodic painful swelling on either side of introitus, dyspareunia, fluctuant swelling 1-4cm to labium minus and tenderness, what condition might they have?

Answer 3

Bartholin’s gland abscess

Question 4

What labs should be done on a patient with a Bartholin’s gland abscess?

Answer 4

Purulent discharge should be cultured for GC

Question 5

What is the treatment for Bartholin’s gland abscess?

Answer 5

Aspiration, I&D
Frequent warm soaks

Question 6

Are antibiotics necessary for Bartholin’s Gland abscess?

Answer 6

Unnecessary unless cellulitis is present or infection is spreading

Question 7

How should asymptomatic cysts of the Bartholins gland be treated?

Answer 7

Under 40: do not require therapy unless problem with intercourse
Over 40: biopsy/removal recommended to rule out vulvar carcinoma

Question 8

Who should patients with Bartholin’s gland abscess be referred to?

Answer 8

OB-GYN for reoccurrences