Bartholin’s Cyst and Abscess: Symptoms, Causes, Treatment and When to See a Doctor

You feel a lump beside the vaginal opening — swollen, sore, hard to sit on — and many women are alarmed but too embarrassed to see a doctor · Symptoms like these may be a “Bartholin’s cyst / abscess”, which is more common than people think and can be treated · What the Bartholin gland is, what the symptoms feel like, when you need to see a doctor quickly, and how to care for yourself · This article explains it plainly — nothing to be embarrassed about.

Lubricating gland
One on each side
of the vaginal opening
Cyst vs abscess
The difference is
infection
See a doctor
If pain is severe,
red and swollen, or fever

The Bartholin’s gland is a pair of small glands sitting at the vaginal opening, one on the left and one on the right whose job is to produce lubricating fluid · When the duct of the gland becomes blocked, the fluid backs up and forms a “Bartholin’s cyst” · And if infection sets in as well, it becomes a “Bartholin’s abscess”, which is very painful and needs treatment from a doctor · This is a medical condition that must be diagnosed and treated by a doctor — it is not something you can treat yourself with a supplement.

1 Symptoms — how a cyst differs from an abscess

Type Symptoms
Bartholin’s cyst (not infected) A soft lump you can feel beside the vaginal opening · Usually painless or only slightly sore · Some women have no symptoms at all
Bartholin’s abscess (infected) A swollen, red, hot lump that is very painful · Hurts when sitting, walking or during sex · There may be a fever · The lump grows quickly over 2-3 days

A small cyst with no symptoms sometimes goes away on its own · But once it turns into an abscess, a doctor usually has to drain the pus — it does not clear up by itself and you should never squeeze it yourself

2 Causes and contributing factors

  • A blocked gland duct — the main cause, which makes the fluid back up
  • Bacterial infection — this is what turns a cyst into an abscess
  • Irritation or injury to the area
  • Most common in women of reproductive age, because the glands are still very active

3 ⚠️ When you must see a doctor (very important)

See a doctor when: you feel a lump around the vaginal opening · the lump is swollen, red, hot and very painful · you also have a fever · the lump is growing fast · it hurts too much to sit or walk · it keeps coming back
Important: women aged 40 and over who feel a lump in this area should always see a doctor to have it properly checked, because other conditions need to be ruled out · Never squeeze or lance it yourself — you risk spreading the infection

4 How doctors treat it

Method Details
Soaking in warm water (Sitz bath) For small cysts — it eases the discomfort and the cyst may drain on its own (as advised by your doctor)
Antibiotics When there is an infection — only on a doctor’s prescription
Incision and drainage (I&D) The main approach for an abscess · The doctor makes a small cut to drain it and may insert a drainage tube (Word catheter)
Marsupialization For women who get repeated episodes, to reduce the chance of it coming back

All of these treatments must be carried out by a doctor · Leaving an abscess untreated can let it spread and become more painful

5 Caring for yourself during and after treatment

  1. Follow your doctor’s instructions strictly, especially with antibiotics (finish the full course)
  2. Take warm sitz baths as your doctor advises to help you feel more comfortable
  3. Keep the area clean, dry and comfortable — wear cotton underwear that is not too tight
  4. Avoid irritating soaps and douches in the intimate area
  5. Avoid sex while the area is still inflamed
  6. Get enough rest and look after your overall health so your body can recover well

💡 Look after your body so it recovers well while you heal · While your body is recovering from inflammation or after treatment, rest and overall health care matter · BLB U is a dietary supplement focused on supporting immunity and general recovery with ingredients such as 4 kinds of mushroom, 90% beta-glucan, cordyceps and Korean ginseng · It is a dietary supplement, not a medicine. It has no effect in preventing, treating or curing disease and cannot replace a doctor’s treatment · Anyone with a Bartholin’s cyst or abscess must see a doctor for proper treatment

6 Frequently asked questions (FAQ)

Can a Bartholin’s cyst go away on its own?

A small cyst that is not infected sometimes settles by itself · But once it becomes an abscess (red, swollen, very painful, with fever) it usually will not clear up on its own and a doctor needs to drain the pus

Can I squeeze it myself?

Absolutely not · Squeezing or lancing it yourself risks spreading the infection and making the wound more inflamed · Let a doctor do it under sterile conditions

If I have had one, will it come back?

It can come back · If it happens often, your doctor may suggest marsupialization to reduce the chance of it returning

Is a Bartholin’s cyst sexually transmitted?

The Bartholin’s cyst itself is not a sexually transmitted infection · But some of the infections involved can be related, and your doctor may run further tests where appropriate

Can supplements treat a Bartholin’s cyst?

No · A Bartholin’s cyst has to be treated by a doctor · A supplement is only there to support your overall health and recovery — it is not a medicine and cannot be used in place of treatment

7 Precautions

  • Never squeeze, puncture or cut it yourself — you risk a serious spreading infection
  • Fever, severe pain or a rapidly growing lump = see a doctor immediately
  • Women aged 40 and over who feel a lump in this area should always be checked by a doctor
  • Antibiotics must come from a doctor — do not buy them yourself, and finish the course as prescribed
  • A dietary supplement is not a medicine — it has no effect in preventing, treating or curing disease and cannot be used in place of a doctor’s treatment

8 Summary

  • A Bartholin’s problem is a cyst or abscess of the lubricating gland beside the vaginal opening — it is common and nothing to be ashamed of
  • A cyst usually does not hurt much · An abscess is very painful, red and swollen, and may come with fever
  • An abscess has to be drained by a doctor — never squeeze it yourself
  • If it keeps coming back, or you are 40 or older, see a doctor to be sure

The most important thing is not to let embarrassment stop you seeing a doctor — a Bartholin’s cyst is a common condition and it can be treated · The sooner it is treated, the less it hurts and the lower the chance of it spreading · While you are recovering, look after your overall health so your body can heal well

References

  1. Mayo Clinic — Bartholin’s cyst.
  2. NIH / MedlinePlus — Bartholin gland cyst.
  3. ACOG — Vulvar cysts and abscesses.
  4. StatPearls — Bartholin Gland Cyst and Abscess.
This article is provided for educational purposes and is not medical advice. A Bartholin’s cyst or abscess must be diagnosed and treated by a doctor. Never squeeze or lance it yourself.
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