Treatment of Bartholin’s Cyst and Abscess
The treatment of Bartholin’s cyst and abscess depends on the size, pain level, and presence of infection. Many small cysts require no intervention and resolve on their own. However, if the cyst is large, painful, or infected, medical treatment is necessary.
Home care for mild cases:
- Sitz baths: Soaking the genital area in warm water for 10–20 minutes, several times a day, can help relieve pain and encourage drainage.
- Pain relievers: Over-the-counter medications like ibuprofen can reduce inflammation and discomfort.
- Good hygiene: Gently wash with unscented soap and water, and avoid tight clothing.
Medical treatment options:
- Antibiotics
- Doctors prescribe antibiotics when they confirm or suspect an infection.
- If doctors identify an STI, they may also treat the patient’s partners to prevent reinfection
- Incision and drainage (I&D)
- For abscesses, a doctor may make a small cut to drain the pus and relieve pain.
- Doctors usually numb the area with a local anaesthetic before the procedure
- Word catheter placement
- Doctors insert a small balloon catheter into the drained cyst to keep it open and allow continuous drainage for several weeks
- This method reduces the chance of recurrence.
- Marsupialisation
- Surgeons perform a minor procedure to permanently suture the cyst wall open and prevent fluid buildup
- Often performed under local or general anaesthesia.
- Surgical removal
- In cases of frequent recurrence or for older women, complete removal of the Bartholin gland may be considered.
In South Africa, many government clinics and hospitals perform these procedures as part of women’s reproductive health services. However, access may be delayed in rural areas, and some women may be referred to district or regional hospitals.
Treatment of Bartholin’s Cyst and Abscess
Prompt treatment not only brings relief but also prevents complications, such as the spread of infection or repeated abscesses. Early intervention makes recovery faster and less invasive.
👉 [Next: Complications and Recurrence of Bartholin’s Cyst]
