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 General Gynecology

Bartholin’s abscess

Bartholin’s abscess

Female reproductive anatomy
Female reproductive anatomy

Definition:

Bartholin's abscess is the build-up of pus that forms a lump (swelling) in one of the Bartholin's glands, which are located on each side of the vaginal opening.

Alternative Names:
Abscess - Bartholin's; Infected Bartholin's gland
Causes, incidence, and risk factors:

A Bartholin's abscess forms when a small opening (duct) from the gland gets blocked. Fluid in the gland builds up and may become infected. The infection is usually not caused by a sexually transmitted disease (STD). However, many types of bacteria associated with STDs, such as gonorrhea, can lead to infection.

Often the abscess appears and become very hot and swollen within 2 or 3 days. Any activity that puts pressure against the vulva, even walking and sitting, may cause excruciating pain.

Symptoms:
  • A tender lump on either side of the vaginal opening
  • Fever
  • Pain with sexual intercourse
Signs and tests:

A pelvic examination reveals an enlarged and tender Bartholin's gland.

  • Tests may be done to determine if gonorrhea is the cause.
  • Fluid drainage may be collected for lab analysis.
  • A biopsy may be recommended in older women to rule out an underlying Bartholin's gland tumor.

Review Date: 9/19/2006
Reviewed By: Audra Robertson, MD, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.

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