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Bartholin Cyst

WHAT YOU NEED TO KNOW:

A Bartholin cyst is a lump near the opening to your vagina. You may have pain in this area when you walk or have sex. A Bartholin cyst is caused by blockage of your Bartholin gland. You have a Bartholin gland on each side of your vagina. The glands produce fluid to moisten your vagina. Over time the fluid can build up in the gland and form a cyst. The cyst may become infected. You may be at risk for a Bartholin cyst if you have a sexually transmitted infection. An injury or surgery near your vagina may also increase you risk.

DISCHARGE INSTRUCTIONS:

Contact your gynecologist or healthcare provider if:

  • You have a fever.
  • Your cyst gets larger or becomes more painful.
  • Your cyst returns after treatment.
  • Your drain falls out.
  • You have pus, redness, or swelling where the cyst was drained.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • Antibiotics help prevent or treat a bacterial infection.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him of her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Self-care if your cyst was not drained:

  • Take a sitz bath 3 to 4 times each day or as directed. A sitz bath may help relieve swelling and pain. It will also help open your Bartholin glands so they drain normally. Place a clean towel on the bottom of your bath tub. Fill your bath tub with warm water up to your hips. You can also buy a sitz bath that fits in your toilet. Sit in the water for 10 minutes.
  • Apply a warm compress to your cyst. This may relieve swelling and pain. A warm compress will also help open your Bartholin glands so they drain normally. Wet a washcloth in warm, but not hot, water. Apply the compress for 10 minutes. Repeat 4 times each day.
  • Keep the area around your vagina clean. Always wipe front to back. Shower once a day. Gently pat the area dry after a shower.

Self-care after an incision and drainage of your cyst:

  • Take a sitz bath in 24 to 48 hours or as directed. You may need to wait to take a sitz bath until after your packing is removed. A sitz bath may help relieve swelling and pain. Take a sitz bath 3 to 4 times each day for 3 days. Place a clean towel on the bottom of your bath tub. Fill your bath tub with warm water up to your hips. You can also buy a sitz bath that fits in your toilet. Sit in the water for 10 minutes.
  • Wear a sanitary pad to absorb drainage from your wound. You may have drainage for a few weeks after your cyst is drained.
  • Ask your healthcare provider if it is okay to have sex. Sex may cause your drain to fall out. It may also increase your risk for an infection.
  • Keep the area around your vagina clean. Always wipe front to back. Shower once a day. Gently pat the area dry after a shower.

Follow up with your healthcare provider as directed:

If packing was placed in your wound, return in 24 to 48 hours to have it removed. If a drain was placed, you will need to return in 4 to 6 weeks to have it removed. Write down your questions so you remember to ask them during your visits.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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