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Bartholin glands are a common site of inflammation, when they become obstructed fluid will back up into the gland. The result is a Bartholin cyst, a relatively painless swelling, with pus and red inflamed tissue (abscess). Treatment depends on the size, the pain and whether the cyst is infected. (green-yellow discharge is an indication of infection.)

Using a hot pack against the area, a clean cloth with very warm, not hot water for 10 minutes, 4 times a day, or a sitz bath - a small pan filled with warm water that you sit in, several times a day will help promote drainage and may allow the cyst to empty on it's own.

Using a small bottle of warm water to clean the vaginal area after using the toilet, to clean thoroughly. Use a clean panty liner or change your panties after each time you hot pack, don't wear a thong at this time as it can irritate and spread germs. Cotton panties are preferable, as the material will breathe and not trap moisture against your skin.

Your doctor may manually drain the cyst by making a small incision after using local

anesthesia, this can be done in the office or if the cyst is very large, you and the doctor may opt to do this in the hospital. You may also need antibiotics to clear out any bacteria.

Bartholin cysts can be persistent, they may need further treatment. A procedure called marsupialization is usually effective in preventing recurrences. Your doctor places small stitches on each side of an incision, creating a very small permanent opening, s/he may insert a small drainage tube to insure the cyst drains for a few days. The doctor will probably recommend sitz baths at this time also. Your doctor will most likely drain the abscess and give you antibiotics to get rid of any infection, before performing the marsupialization.

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Q: Bartholin cyst and the drainage site discharges a gas and yellowish green discharge?
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