Snapshot A 39-year-old female comes her primary care physician complaining of vaginal pain. She reports that for a month she has had increased swelling of her labia. She has been trying to lose weight, and now the pain is affecting her ability to run and bike. It also hurts to have sex. She denies abnormal discharge. Her last menstrual period was 10 days ago and they occur regularly every month. On physical exam, there is swelling of the left labia, most prominently at the posterior vestibule. Introduction Clinical definition fluid collections that form in the Bartholin glands login to view 1 more bullet Epidemiology Demographics occurs in women of child-bearing age incidence increases from puberty to menopause Etiology Pathogenesis normally glands secrete mucus for vaginal/vulvar lubrication if orifice becomes obstructed, mucus accumulates and gland dilates Presentation Symptoms typically painless larger cysts can cause login to view 1 more bullet Physical exam unilateral swelling of the labia login to view 1 more bullet Studies Diagnostic testing diagnostic approach login to view 1 more bullet studies login to view 8 more bullets Differential Bartholin gland carcinoma painless and solid vulvar mass Treatment First-line conservative symptom management login to view 3 more bullets Second-line incision and drainage, followed by placement of Word catheter login to view 1 more bullet Complications Bartholin abscess epidemiology login to view 2 more bullets pathogenesis login to view 3 more bullets presentation login to view 5 more bullets studies login to view 3 more bullets treatment login to view 5 more bullets