Bartholin cyst

Last reviewed: 6 Jun 2022
Last updated: 28 Jun 2022

Summary

Definition

History and exam

Key diagnostic factors

  • vulval/perineal mass
  • vulval pressure or fullness
  • pain during sitting or walking
More key diagnostic factors

Other diagnostic factors

  • fever
  • dyspareunia
  • vulval erythema and induration
  • spontaneous rupture
Other diagnostic factors

Risk factors

  • woman of reproductive age
  • previous Bartholin cyst/abscess
  • sexual activity
  • direct trauma or surgery
More risk factors

Diagnostic investigations

Investigations to consider

  • microscopy and culture of abscess material
  • biopsy of vulval lesion
More investigations to consider

Treatment algorithm

ACUTE

asymptomatic Bartholin cyst

symptomatic Bartholin cyst

Bartholin abscess

Contributors

Authors

Colleen Kennedy Stockdale, MD, MS

Professor of Obstetrics and Gynecology

University of Iowa

Iowa City

IA

Disclosures

CKS is on the Executive Board for ISSVD and is an Associate Editor for the Journal of Lower Genital Tract Disease. CKS is an author of a number of references cited in this topic.

Lori A. Boardman, MD, ScM

Professor of Obstetrics and Gynecology

University of Central Florida College of Medicine

Orlando

FL

Disclosures

LAB declares that she has no competing interests.

Acknowledgements

Dr Colleen Kennedy Stockdale and Dr Lori A. Boardman would like to gratefully acknowledge Dr Laura K. Bonebrake, a previous contributor to this topic. LKB declares that she has no competing interests.

Peer reviewers

Robert Anderson, MB, MD, FRCOG

Consultant Gynaecologist

St Michael's Hospital

Bristol

UK

Disclosures

RA declares that he has no competing interests.

Kevin Ault, MD

Associate Professor

Department of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta

GA

Disclosures

KA declares that he has no competing interests.

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