Soaking in warm water four times a day for several days can ease the discomfort. It can also help the abscess open and drain on its own. However, the opening is often very small and closes quickly. Therefore, the abscess often returns.
DRAINAGE OF THE ABSCESS
A small surgical cut can completely drain the abscess. This relieves symptoms and provides the fastest recovery.
The procedure can be done under local anesthesia in a doctor's office.
A catheter (tube) may be inserted and left in place for 4 - 6 weeks to continue to allow draining while the area heals.
You should begin soaking in warm water 1 - 2 days afterward. You cannot have sexual intercourse until the catheter is removed.
Antibiotics may be prescribed if there is pus or other signs of infection.
Women can also be treated with a minor surgical procedure called marsupialization.
The procedure involves creating a small, permanent opening to help the gland drain.
The procedure can sometimes be done in the clinic with medicine to numb the area. In other cases it may need to be done in the hospital with general anesthesia so that you are asleep and pain-free.
You should begin soaking in warm water 1 - 2 days afterward. You cannot have sexual intercourse for 4 weeks after surgery.
You can use oral pain medicines after the procedure. Your doctor may prescribe narcotic pain medicines if you need them.
Your health care provider may recommend that the glands be completely removed if abscesses keep coming back.
The chance of a full recovery is excellent. The abscesses return in about 1 in 10 cases.
It is important to treat any vaginal infection that is diagnosed at the same time as the abscess.
When to Contact a Medical Professional
Call your health care provider if:
You notice a painful, swollen lump on the labia near the vagina opening and it does not improve with 2 - 3 days of home treatment.
Pain is severe and interferes with your normal activity.
You have one of these cysts and develop a fever higher than 100.4 degrees Fahrenheit.
Holtzman LC, Hitti E, Harrow J. Incision and drainage. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Saunders Elsevier; 2013:chap 37.
Cynthia D. White, MD, Fellow American College of Obstetricians and Gynecologists, Group Health Cooperative, Bellevue, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.