Bartholin gland or vulvar abscess is an uncommon symptom that may occur in women of reproductive age. Therefore, it is important not to be complacent or neglect it for an extended period. For proper care, it is advisable to consult a doctor promptly. First, let's examine the symptoms of Bartholin gland inflammation, its causes, and whether it is self-limiting.
Information for women about the Bartholin gland:
This is a condition that commonly occurs in women of reproductive age. Patients typically experience pain in the area inside the genitalia, especially the labia. A palpable lump is present along with noticeable swelling and redness, often on one side. The pain intensifies during walking, sitting, or sexual intercourse. Some individuals may experience pus leakage from inflamed Bartholin glands.
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In cases where symptoms are severe, fever may be present. Patients often exhibit symptoms of a Bartholin's cyst, which include a palpable lump, swelling into a fluid-filled sac inside the labia and near the vaginal opening, which is usually painless. While walking, it may feel like there is a lump in the genital area.
The doctor's choice of treatment depends on the severity of the inflamed Bartholin's gland and the symptoms present. The most commonly used and effective treatment method is called marsupialization, which involves making an incision to drain pus and connecting the Bartholin gland wall to the skin layer.
This prevents the gland's ducts from becoming blocked again and ensures proper drainage of pus. Oral or injectable antibiotics and pain relievers are often prescribed to reduce inflammation. Additionally, there are other surgical techniques available, but the choice depends on the doctor's evaluation of the treatment.
After treatment, it is recommended to soak the wound in warm water three times a day (warm sit bath) to promote faster healing and better inflammation reduction. It's also important to follow up with the doctor regularly to closely evaluate the symptoms. Simple surgery to drain the pus or suctioning out the pus may lead to recurrence, so it's not recommended.
However, treatment of Bartholin's glands may vary for each patient and depends on the doctor's assessment of the individual's condition. It is advisable to consult with the doctor again to determine the most appropriate and effective treatment.
Compiled by Nattawadee Sriborisut, MD.
Last Update : 30/01/2024
