Bartholin glands are glands that produce the secretion that provides lubrication during sexual intercourse
and are located on both sides of the entrance to the vagina. After puberty
as sexual stimulation increases, Bartholin glands become active and facilitate penis penetration by providing vaginal wetness during sexual intercourse.
Bartholin glands open in front of the hymen (hymen) through a thin canal. If these channels are blocked for any
reason, a cystic structure forms in the gland. This is called Bartholin cyst
. If this cyst swells, turns red and causes severe pain due to infection, this
It is called bartholin abscess.
Symptoms
-Very small cysts may not cause symptoms.
-Unilateral or bilateral swelling that usually grows on the outer lips
-Pain
-Difficulty in walking and sitting
Causes
Anything that blocks the Bartholin gland can cause a cyst. Trauma, irritation, infection
Like.
Bartholi's abscess is usually caused by infection and microbes. The most frequently encountered microbes are sexually transmitted Chalmidia and Neiseria Gonorrhea.
Treatment
If the Bartholin cyst is not very large and does not cause pain, it does not need to be treated.
If the cyst grows or begins to form an abscess, surgical treatment is applied along with antibiotic treatment
. Bartholin gland-preserving surgery should be preferred, especially in young women. Surgical treatment;
1-Marsupalization: A few centimeter incision is made on the skin. Through this incision
the contents of the abscess are drained. Then, the clogged ducts are opened towards the skin to try to prevent cyst formation again.
2-Removal of the gland: Sometimes in older women or in cases where the abscess recurs a lot
In some cases, the Bartholin gland is completely removed. However, it should not be forgotten that this situation may cause dryness and pain during intercourse in the following period.
Repeat after surgery
No matter how successful the procedure is, approximately once in 6 months. /3 rate
may repeat. Marsupalization process needs to be done again.
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