Bartholin Gland Diseases Workup

Updated: Oct 24, 2022
  • Author: Antonia Quinn, DO; Chief Editor: Erik D Schraga, MD  more...
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In otherwise healthy, afebrile adults, blood tests are not necessary to evaluate an uncomplicated abscess or cyst.

Sexually transmitted disease (STD) testing should be available at the request of the patient; however, Bartholin abscesses are very rarely caused by sexually transmitted pathogens.

Cultures are rarely useful in treatment of abscess; furthermore, routine culturing of drained fluid is not recommended.

The following features are suggestive of Bartholin gland malignancy. Patients who present with any of these features should be referred to a gynecologist for biopsy:

  • Age older than 40 years

  • Chronic or gradually progressive, painless mass

  • Solid, nonfluctuant, painless mass

  • Prior history of labial malignancy