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title: "Bartholin's Cyst in Curitiba — Femi Saúde"
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"twitter:title": "Bartholin's Cyst in Curitiba — Femi Saúde"
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Clínica Femi Saúde — Home
Clínica Femi Saúde — Home
Individualized Clinical Treatment
# Bartholin's Cyst and Abscess
Painful lump at the vaginal entrance
Consulta
Acompanhamento periódico
## What it is
The Bartholin's glands are located on each side of the vaginal entrance and produce part of the lubrication. When the duct of one of them becomes blocked, fluid accumulates and forms a cyst — usually a painless lump, noticed when sitting or during intercourse. If the contents become infected, an abscess develops, with intense pain, redness, rapid swelling and, sometimes, fever. It is a common problem between ages 20 and 40. Small, symptom-free cysts can simply be monitored, with warm sitz baths. An abscess requires drainage, often with an antibiotic. When the problem recurs, the options are marsupialization, which creates a permanent drainage channel while preserving the gland, and laser excision of the gland (bartholinectomy), which removes it. The choice depends on each case and is decided during the consultation.
## Most common symptoms
- A lump on one side of the vaginal opening
- Feeling of heaviness or discomfort when sitting or walking
- Pain during intercourse
- Intense pain, redness and rapid swelling with an abscess
- Fever and malaise when there is infection
- Discharge of fluid when the abscess ruptures
## Causes and risk factors
- Blockage of the Bartholin's gland duct
- Infection by bacteria from the skin or intestine
- Sexually transmitted infections, such as gonorrhea and chlamydia
- Local trauma or previous surgery in the area
- A previous episode of cyst or abscess
## How it is diagnosed
Diagnosis is made at the consultation, based on the symptoms described and the gynecological exam, in which your gynecologist identifies the lump at the vaginal opening and assesses its size, pain and signs of infection. Additional tests are generally not needed. When there is an abscess, fluid may be collected for culture and testing for sexually transmitted infections. In women over 40, or when there are unusual features, a tissue biopsy may be recommended to rule out other causes.
## How we treat it at Femi Saúde
Small, symptom-free cysts can simply be monitored, with warm sitz baths that help with spontaneous drainage. An abscess needs drainage, performed under local anesthesia, often combined with an antibiotic. When the cyst or abscess forms again, Femi Saúde's gynecology team offers marsupialization, which creates a permanent drainage channel and preserves the gland, and CO₂ laser bartholinectomy, which removes the gland with greater precision and less bleeding, recommended for recurrent cases. The choice takes into account how often the episodes occur, the patient's age and preference, with guidance on care to prevent further episodes.
## When to see a gynecologist
See your gynecologist if you notice a lump at the vaginal opening, especially if there is increasing pain, redness, rapid swelling or fever — signs of an abscess that needs drainage. Also book a consultation when the cyst recurs or is bothersome when sitting, walking or during intercourse.
## What we offer
1
Relief of pain in cases of abscess
2
Drainage under local anesthesia
3
Marsupialization to preserve the gland
4
Laser excision (bartholinectomy) in recurrent cases
5
Guidance on care to prevent further flare-ups
## Gynecology specialists
[Dra. Melissa Amoroso
Gynecologist](https://femisaude.com.br/en/doctors/dra-melissa-amoroso) [Dra. Vanessa Amoroso
Gynecologist and Mastologist](https://femisaude.com.br/en/doctors/dra-vanessa-amoroso) [Dra. Aline Matos
Gynecologist](https://femisaude.com.br/en/doctors/dra-aline-matos) [Dra. Andrea Novellino
Gynecologist](https://femisaude.com.br/en/doctors/dra-andrea-novellino) [Dra. Fabiane Sloboda
Gynecologist](https://femisaude.com.br/en/doctors/dra-fabiane-sloboda) [Dr. Igor Chiminacio
Gynecologist](https://femisaude.com.br/en/doctors/dr-igor-chiminacio) [Dra. Isadora Goetten
Gynecologist and Obstetrician](https://femisaude.com.br/en/doctors/dra-isadora-goetten) [Dra. Sabrina Oliveira
Gynecologist](https://femisaude.com.br/en/doctors/dra-sabrina-oliveira)
## Gynecology treatments at Femi Saúde
[CO2 Laser Rejuvenation and Lubrication
Skin Improvement and Lubrication](https://femisaude.com.br/en/treatment/laser-co2-rejuvenescimento-lubrificacao) [Implanon® — Hormonal Contraceptive Implant
Freedom and safety in a small implant](https://femisaude.com.br/en/treatment/implanon) [Menopause and Perimenopause
Care and hormone therapy when indicated](https://femisaude.com.br/en/treatment/menopausa-climaterio) [Family Planning
Preparing for a healthy pregnancy](https://femisaude.com.br/en/treatment/planejamento-pre-concepcional) [IUD — Intrauterine Device
Preventing pregnancy effectively](https://femisaude.com.br/en/treatment/diu) [Pap Smear
Cervical cancer screening](https://femisaude.com.br/en/treatment/papanicolau)
[See all Gynecology treatments ](https://femisaude.com.br/en/specialties/ginecologia)
## Ready to schedule?
Schedule your consultation and discover how this procedure can transform your quality of life.
[Schedule via WhatsApp]()
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