Dr. Pınar Kadiroğulları

What is a Bartholin Cyst and Abscess? How Is It Treated?

The Bartholin glands are located on both sides of the vaginal entrance and produce fluid that provides lubrication. When the ducts of these glands become blocked, fluid can accumulate inside, forming a Bartholin cyst. If this cyst becomes infected, it can develop into a painful Bartholin abscess.

Symptoms of Bartholin Cyst and Abscess

Bartholin Cyst:
  • Usually small and painless.
  • A lump may be noticed at the vaginal entrance.
  • Often shows no symptoms, but if large, it can cause discomfort.
Bartholin Abscess:
  • Severe pain and tenderness at the vaginal entrance
  • A growing, red, and warm swelling
  • Fever and fatigue (in advanced cases)
  • Difficulty walking or sitting

Causes of Bartholin Cyst and Abscess

  • Blockage of Bartholin ducts
  • Bacterial infections (e.g., E. coli)
  • Sexually transmitted infections
  • Poor genital hygiene
  • Recurrent infections

Treatment Methods for Bartholin Cyst and Abscess

1. For Small and Painless Cysts:
  • Warm sitz baths
  • Keeping the area clean and dry
2. For Infected or Large Cysts:
  • Antibiotic treatment
  • Abscess drainage (small incision to release pus)
  • Placement of a Word catheter
3. For Recurrent Abscesses:
  • Marsupialization (surgical opening procedure)
  • Rarely, surgical removal of the Bartholin gland

When Should You See a Doctor?

  • If there is a painful lump at the vaginal entrance
  • If infection symptoms such as high fever and chills appear
  • If the cyst or abscess recurs frequently
A Bartholin cyst is usually harmless, but if infected, it requires treatment. Early intervention can help reduce pain and prevent the spread of infection.

What is Vaginal Yeast Infection?

Vaginal yeast infection occurs when Candida fungus overgrows. It is common among women and presents with symptoms such as itching, discharge, and burning.

Causes of Vaginal Yeast Infection

  • Weakened immune system
  • Use of antibiotics
  • Hormonal changes (pregnancy, birth control pills)
  • Diabetes
  • Wearing tight and synthetic underwear
  • Excessive vaginal cleaning and douching

Symptoms of Vaginal Yeast Infection

  • Severe itching and burning in the vagina
  • White, cottage cheese-like discharge
  • Pain during sexual intercourse
  • Burning sensation while urinating

Treatment Methods

  • Antifungal creams, suppositories, or oral pills
  • Local treatment is sufficient for mild infections
  • Systemic treatment may be required for severe infections
  • Natural supports: wearing cotton underwear, keeping the area dry, reducing sugar intake

Preventive Measures Against Recurrence

  • Pay attention to vaginal hygiene
  • Prefer cotton underwear
  • Avoid excessive cleaning and vaginal douching
  • Strengthen the immune system

When Should You See a Doctor?

  • If symptoms appear for the first time
  • If recurrent infections occur
  • If symptoms persist despite treatment
Vaginal yeast infection is usually not serious, but when recurrent, it can affect quality of life. It is important to consult a gynecologist for proper diagnosis and treatment.
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