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Antibiotics are not generally needed to treat a Bartholin's cyst. [3] The cause of a Bartholin's cyst is unknown. [4] An abscess results from a bacterial infection, but it is not usually a sexually transmitted infection (STI). [7] Rarely, gonorrhea may be involved. [4] [6] Diagnosis is typically based on symptoms and examination. [4]
From time to time, we all experience lumps and bumps around our genitals. That’s just a given. And because it’s so common, it’s hard to know when it’s time for a trip to the doctors and ...
About 2% of women will have a Bartholin's cyst at some point in their lifetime. Bartholin's cysts are fluid-filled lumps near the vaginal opening. Here's what women need to know about them.
It is possible for the Bartholin's glands to become blocked and inflamed resulting in pain. [14] This is known as bartholinitis or a Bartholin's cyst. [9] [16] [17] A Bartholin's cyst in turn can become infected and form an abscess. Adenocarcinoma of the gland is rare and benign tumors and hyperplasia are even more rare. [18]
Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT, through the skin, via the rectum, or transvaginal routes. [3] Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2]
Illustration of Bartholin glands vaginal abscesses. The adenoid cystic carcinoma of the Bartholin gland is another uncommon malignancy with symptoms that include local painful intermittent recurrences. The disease is slow to progress but it can result in lung cancer after a long time after the initial treatment.
After discharge from the hospital, oral antibiotics are continued for the length of time prescribed by the physician. [3]: 103 Treatment is different if the TOA is discovered before it ruptures and can be treated with IV antibiotics. During this treatment, IV antibiotics are usually replaced with oral antibiotics on an outpatient basis.
Treatment can include topical steroids to diminish the inflammation. Antibiotics to diminish the proportion of aerobic bacteria is still a matter of debate. The use of local antibiotics, preferably local non-absorbed and broad spectrum, covering enteric gram-positive and gram-negative aerobes, can be an option.