Torbiel bartholina
Etiologia i przyczyny

Torbiel gruczołu Bartholina, występująca u około 2% kobiet w wieku rozrodczym, powstaje w wyniku zablokowania przewodu wyprowadzającego gruczołu, co prowadzi do zatrzymania wydzieliny i tworzenia się torbieli. Etiologia obejmuje czynniki mechaniczne (urazy, obrzęk sromu), hormonalne oraz infekcyjne, z dominującą rolą bakterii oportunistycznych, zwłaszcza Escherichia coli (43,7% przypadków), a także Staphylococcus aureus, Streptococcus, Neisseria gonorrhoeae i Chlamydia trachomatis. Zakażenie torbieli może prowadzić do powstania ropnia, charakteryzującego się bólem, zaczerwienieniem i obrzękiem. Ryzyko rozwoju torbieli zwiększają m.in. wiek (20-30 lat), aktywność seksualna, przebyte urazy sromu, infekcje przenoszone drogą płciową oraz zmiany hormonalne. Po menopauzie pojawienie się torbieli wymaga wykluczenia nowotworu gruczołu Bartholina.

Etiologia torbieli Bartholina

Torbiel bartholina (łac. cystis glandulae vestibularis majoris) to stosunkowo częste schorzenie ginekologiczne, które dotyka około 2% kobiet w wieku rozrodczym. Jest to wypełniona płynem zmiana torbielowata powstająca w obrębie gruczołu Bartholina w wyniku zablokowania jego przewodu wyprowadzającego. Gruczoły Bartholina to parzyste struktury wielkości grochu, które znajdują się po obu stronach wejścia do pochwy i w warunkach fizjologicznych nie są wyczuwalne. Ich podstawową funkcją jest wydzielanie śluzu nawilżającego przedsionek pochwy, co ułatwia stosunek płciowy.123

Mechanizm powstawania torbieli

Główną przyczyną powstawania torbieli Bartholina jest zablokowanie ujścia przewodu wyprowadzającego tego gruczołu, co prowadzi do zatrzymania wydzielanego śluzu i gromadzenia się płynu w gruczole. W konsekwencji dochodzi do poszerzenia przewodu oraz powstania torbieli.456 Kiedy przewód gruczołu Bartholina ulega niedrożności, płyn produkowany przez gruczoł nie może wydostawać się na zewnątrz i gromadzi się wewnątrz gruczołu, tworząc torbiel.7 Ten proces może trwać latami, zanim dojdzie do utworzenia się zauważalnej torbieli lub wystąpienia objawów.8

Zablokowanie przewodu gruczołu Bartholina może być spowodowane różnorodnymi czynnikami, takimi jak:910

  • Stan zapalny gruczołu lub tkanek otaczających
  • Uraz okolicy sromu
  • Obecność gęstej i lepkiej wydzieliny, która nie może swobodnie przepływać
  • Obrzęk sromu (miejscowy lub rozlany)
  • Zmiany hormonalne wpływające na skład wydzieliny gruczołowej

11

Czynniki infekcyjne w powstawaniu torbieli i ropni gruczołu Bartholina

Chociaż sama torbiel Bartholina nie jest zwykle spowodowana infekcją, to zakażenia bakteryjne mogą odgrywać istotną rolę w patogenezie, szczególnie w przypadku ropni gruczołu Bartholina. Jeśli dojdzie do zakażenia torbieli, może ona przekształcić się w ropień, który charakteryzuje się obecnością ropy, znacznym bólem, zaczerwienieniem i obrzękiem.1213

Najczęstsze patogeny bakteryjne związane z infekcjami gruczołu Bartholina to:1415

1617

Warto zauważyć, że badania z lat 70-80. XX wieku wskazywały na częsty udział Neisseria gonorrhoeae i Chlamydia trachomatis w powstawaniu ropni gruczołu Bartholina. Natomiast nowsze badania wykazują przewagę bakterii oportunistycznych, takich jak Staphylococcus, Streptococcus, a zwłaszcza Escherichia coli.18 Zakażenia mogą być również polimikrobialne – w jednym z badań retrospektywnych wykazano, że 7,9% przypadków było spowodowanych przez więcej niż jeden patogen.19

Czynniki ryzyka i predyspozycje

Określone czynniki mogą zwiększać ryzyko wystąpienia torbieli gruczołu Bartholina:2021

  • Wiek – torbiele występują głównie u kobiet w wieku rozrodczym, szczególnie między 20. a 30. rokiem życia
  • Aktywność seksualna – kobiety aktywne seksualnie są bardziej narażone na rozwój torbieli
  • Przebyte urazy okolicy sromu – w tym uszkodzenia podczas porodu, nacięcie krocza (episiotomia) lub inne urazy mechaniczne
  • Wcześniejsze torbiele lub ropnie gruczołu Bartholina – zwiększają ryzyko nawrotu schorzenia
  • Infekcje przenoszone drogą płciową – szczególnie rzeżączka i chlamydioza
  • Zmiany hormonalne – związane z miesiączką, ciążą lub menopauzą
  • Nieodpowiednia higiena okolic intymnych – może przyczyniać się do rozwoju infekcji

222324

Częstość występowania torbieli gruczołu Bartholina jest najwyższa po rozpoczęciu okresu dojrzewania i wzrasta z wiekiem aż do menopauzy.25 Po menopauzie torbiele występują rzadziej, a ich pojawienie się u kobiet w starszym wieku może budzić podejrzenie nowotworu gruczołu Bartholina i wymagać wycięcia w celu wykluczenia złośliwego charakteru zmiany.26

Czynniki środowiskowe i mechaniczne

Oprócz infekcji, istnieją również mechaniczne i środowiskowe czynniki, które mogą przyczyniać się do powstawania torbieli gruczołu Bartholina:2728

  • Uraz mechaniczny – wynikający z jazdy na rowerze, jeździectwa lub innych aktywności powodujących nacisk na obszar sromu
  • Drażniące środki higieny intymnej – mydła zawierające agresywne substancje chemiczne, produkty do higieny intymnej, dezodoranty
  • Zbyt ciasna, syntetyczna bielizna – może powodować podrażnienia i sprzyjać infekcjom
  • Korzystanie z sauny, basenów i publicznych plaż – zwiększa ryzyko infekcji
  • Zabiegi chirurgiczne w obrębie pochwy i sromu – mogą prowadzić do bliznowacenia i blokady przewodów
  • Przesunięcie pH pochwy w kierunku zasadowym – podczas krwawienia miesiączkowego

29

Nawracające torbiele gruczołu Bartholina

Niektóre kobiety doświadczają nawracających torbieli gruczołu Bartholina, co może być spowodowane:30

  • Urazami podczas porodu, które zwiększają podatność na powstawanie torbieli
  • Anatomicznym blokowaniem gruczołu przez fałd skórny pokrywający obszar ujścia
  • Zaburzeniami w odpowiednim drenażu płynu z gruczołów
  • Przewlekłymi stanami zapalnymi
  • Schorzeniami współistniejącymi, takimi jak cukrzyca, które mogą utrudniać zwalczanie infekcji

31

Nawracające torbiele są powszechnym problemem, a zidentyfikowanie przyczyny podstawowej, takiej jak cukrzyca, może być korzystne w zapobieganiu ich nawrotom.32

Nietypowe przyczyny torbieli gruczołu Bartholina

Chociaż większość torbieli Bartholina ma charakter łagodny, w rzadkich przypadkach mogą wystąpić nietypowe przyczyny:33

  • Nowotwory łagodne gruczołu Bartholina – mogą powodować obstrukcję przewodu
  • Nowotwór złośliwy gruczołu Bartholina – bardzo rzadki, ale może występować, szczególnie u kobiet po menopauzie
  • Zaburzenia immunologiczne – mogą wpływać na skład wydzieliny gruczołowej
  • Wrodzone anomalie anatomiczne – utrudniające prawidłowy drenaż gruczołu

34

Zapobieganie torbielom gruczołu Bartholina

Nie ma pewnego sposobu na zapobieganie powstawaniu torbieli gruczołu Bartholina, ponieważ często pojawiają się one bez wyraźnego powodu.3536 Jednak niektóre strategie mogą pomóc w zmniejszeniu ryzyka:37

  • Dbanie o odpowiednią higienę okolic intymnych
  • Noszenie bawełnianej, przewiewnej bielizny
  • Unikanie środków drażniących, takich jak silne mydła czy płyny do higieny intymnej
  • Szybkie leczenie infekcji pochwy i dróg moczowych
  • Stosowanie prezerwatyw podczas kontaktów seksualnych w celu zmniejszenia ryzyka infekcji przenoszonych drogą płciową
  • Regularne badania ginekologiczne

38

Podsumowanie etiologii torbieli Bartholina

Torbiel gruczołu Bartholina powstaje na skutek zablokowania przewodu wyprowadzającego tego gruczołu, co prowadzi do gromadzenia się wydzielanego płynu i tworzenia się torbieli. Chociaż dokładna przyczyna blokady często pozostaje nieznana, czynniki takie jak infekcje bakteryjne (szczególnie E. coli), choroby przenoszone drogą płciową (rzeżączka, chlamydioza), urazy okolicy sromu, zmiany hormonalne oraz środowiskowe mogą odgrywać istotną rolę w powstawaniu tych zmian.3940

Torbiele gruczołu Bartholina dotykają głównie kobiet w wieku rozrodczym, a ich występowanie zwiększa się od początku okresu dojrzewania aż do menopauzy. Nawracające torbiele mogą być związane z anatomicznymi czynnikami predysponującymi lub chorobami współistniejącymi. Mimo że nie ma pewnego sposobu na zapobieganie powstawaniu torbieli, odpowiednia higiena i szybkie leczenie infekcji mogą zmniejszyć ryzyko ich wystąpienia.4142

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Bartholin’s Cyst – Symptoms, Causes, Treatment and Prevention PACE Hospitals – Best Hospitals in Hitech City, Hyderabad, India | Near Madhapur, Kukatpally, KPHB, Kondapur, Gachibowli, Jubilee Hills, Banjara HillsPACE Hospitals Contact Num
    https://www.pacehospital.com/bartholins-cyst-symptoms-causes-treatment-prevention
    Bartholin’s cyst is formed in the Bartholin glands. These glands are round, very small, nonpalpable, and located on either side of the entrance to the vagina and produces and secrets mucus (fluid) to help the vagina stay moist (provide lubrication). Tiny tubes called ducts transport fluid downwards. A blockage or obstruction of the duct could occur due to oedema, infection, or trauma, leading to mucus build-up, which dilates the duct, resulting in cysts or abscesses. […] The following are the common reasons for Bartholin’s cysts and abscesses: Bartholin’s cyst: Blockage: Bartholin gland cyst occurs when the ducts of the glands that carry fluid from the glands gets blocked, and the fluid (mucus) builds up, causing cyst. A woman may feel quite dry in the vagina due to absence of lubrication.
  • #2 Understanding Bartholin’s Cysts: Causes, Symptoms and Treatment | Virtus Medical
    https://virtusmedical.com/disease/bartholins-cyst?locale=en
    The Bartholins glands, also known as the vestibular glands, are located on both sides of the vaginal opening. Normally, they cannot be felt. Their primary function is to secret lubricating fluid during sexual activity to moisten the vagina. When the opening of the Bartholins gland becomes blocked due to chronic irritation, friction, or bacterial infection, the lubricating fluid cannot be released and becomes trapped, forming a cyst. […] Bartholins cysts are generally painless. However, if the cyst becomes infected, it can develop into an abscess, causing pain and potentially leading to fever. […] Recurrence of Bartholin’s gland cysts is common. In certain cases, removing the Bartholin’s gland or identifying underlying causes (such as diabetes) may be beneficial.
  • #3 Bartholin Gland Cyst and Bartholin Gland Abscess – Gynecology and Obstetrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gynecology-and-obstetrics/miscellaneous-gynecologic-disorders/bartholin-gland-cyst-and-bartholin-gland-abscess
    Bartholin glands are round, very small, nonpalpable, and located deep in the posterolateral vaginal orifice. Obstruction of the Bartholin duct causes the gland to enlarge with mucus, resulting in a cyst. Cause of obstruction is usually unknown. Rarely, the cysts result from a sexually transmitted infection (eg, gonorrhea). […] They result from ductal obstruction; the cause is usually unknown. […] Cysts may become infected, sometimes with MRSA, and form an abscess.
  • #4 Bartholin’s cyst // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/bartholin-s-cyst
    Experts believe that the cause of a Bartholin’s cyst is a backup of fluid. Fluid may accumulate when the opening of the gland (duct) becomes obstructed, perhaps caused by infection or injury. […] A Bartholin’s cyst can become infected, forming an abscess. A number of bacteria may cause the infection, including Escherichia coli (E. coli) and bacteria that cause sexually transmitted infections such as gonorrhea and chlamydia.
  • #5 Bartholin Cyst: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17737-bartholin-cyst
    A Bartholin cyst occurs when a blockage happens at the openings of one of these glands, causing the fluid to build up and form a lump. […] Healthcare providers dont know the exact cause or why some people are prone to getting them. Some possible causes of Bartholin cysts are: […] Bartholin cysts are typically not caused by a bacterial infection. They can become infected more commonly by E. coli (bacteria typically from your colon) and other bacterial infections or sexually transmitted infections like gonorrhea and chlamydia. These bacteria can clog the Bartholin gland and lead to a cyst. […] Other risk factors for Bartholin cysts are:
  • #6 Bartholin Cyst: Symptoms, Causes and Treatment
    https://www.careinsurance.com/blog/health-insurance-articles/bartholin-cyst-symptoms-causes-and-treatment
    A Bartholin cyst is primarily caused by a blockage in one of the Bartholin glands, which are small structures located on either side of the vaginal opening, within the labia majora (vaginal lips). […] The development of a Bartholin cyst occurs when there is a blockage at the openings of one of these Bartholin glands. This blockage disrupts the normal flow of mucus produced by the gland, leading to a buildup of this fluid within the gland itself. […] Each Bartholin gland has a tiny duct or tube that allows the produced fluid to flow from the gland to the vaginal opening. When this duct becomes blocked or obstructed, it prevents the mucus-like secretion from exiting the gland. Several factors can contribute to the blockage of the Bartholin duct, including: […] Infections, most commonly due to bacteria such as Escherichia coli (E. coli) or sexually transmitted infections (STIs) like gonorrhoea or chlamydia, can cause inflammation and swelling of the duct, leading to obstruction.
  • #7 Bartholin’s gland cyst Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/bartholin-s-gland-cyst.html
    A Bartholin’s gland cyst develops when the gland becomes blocked. The Bartholin’s gland can become blocked for a variety of reasons, such as infection, inflammation or long-term irritation. […] A cyst is a sac filled with liquid or semisolid material that forms under the skin or somewhere inside the body.
  • #8 Bartholin cyst or abscess: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001489.htm
    Bartholin abscess forms when a small opening (duct) from the gland gets blocked. Fluid in the gland builds up and may become infected. Fluid may build up over many years before an abscess occurs. […] The area will become very warm and swollen. Activity that puts pressure on the vulva, and walking and sitting, may cause severe pain.
  • #9 Bartholin Cyst: Symptoms, Causes and Treatment
    https://www.careinsurance.com/blog/health-insurance-articles/bartholin-cyst-symptoms-causes-and-treatment
    A Bartholin cyst is primarily caused by a blockage in one of the Bartholin glands, which are small structures located on either side of the vaginal opening, within the labia majora (vaginal lips). […] The development of a Bartholin cyst occurs when there is a blockage at the openings of one of these Bartholin glands. This blockage disrupts the normal flow of mucus produced by the gland, leading to a buildup of this fluid within the gland itself. […] Each Bartholin gland has a tiny duct or tube that allows the produced fluid to flow from the gland to the vaginal opening. When this duct becomes blocked or obstructed, it prevents the mucus-like secretion from exiting the gland. Several factors can contribute to the blockage of the Bartholin duct, including: […] Infections, most commonly due to bacteria such as Escherichia coli (E. coli) or sexually transmitted infections (STIs) like gonorrhoea or chlamydia, can cause inflammation and swelling of the duct, leading to obstruction.
  • #10 Bartholin Cyst: Symptoms, Causes and Treatment
    https://www.careinsurance.com/blog/health-insurance-articles/bartholin-cyst-symptoms-causes-and-treatment
    Any form of trauma or injury to the vaginal area, such as a vaginal tear during childbirth or other physical trauma, can damage the duct and result in a blockage. […] Hormonal fluctuations can impact the composition of the glandular secretions and may contribute to duct blockage in some cases. […] When the Bartholin duct is obstructed, the fluid produced by the gland cannot escape, causing it to accumulate within the gland itself. Over time, this trapped fluid builds up, leading to the formation of a cyst. […] In some instances, the stagnant fluid within the cyst can become a breeding ground for bacteria. This can result in an infection within the cyst, causing it to become enlarged, painful, and red. When this happens, it is referred to as a Bartholin abscess. […] Some women may experience recurrent Bartholin cysts, where new cysts form after the resolution of a previous one. This recurrence can be due to underlying factors that predispose the Bartholin glands to blockage, such as anatomical variations or chronic inflammation.
  • #11 Bartholin’s Cyst – Symptoms, Causes, Treatment and Prevention PACE Hospitals – Best Hospitals in Hitech City, Hyderabad, India | Near Madhapur, Kukatpally, KPHB, Kondapur, Gachibowli, Jubilee Hills, Banjara HillsPACE Hospitals Contact Num
    https://www.pacehospital.com/bartholins-cyst-symptoms-causes-treatment-prevention
    An obstruction is often caused by local or diffuse vulvar oedema (widespread swelling of the tissues around the vulva), trauma to the area, episiotomy (an incision through the region (perineum) between a women’s vaginal opening and anus), or childbirth. However, it may also happen without any identifiable cause. […] Infection: It’s often not clear (unknown) why the ducts become blocked or obstructed, but some cases are linked to local infection, sexually transmitted infections, or an injury to the vulval area that can cause blockage and infection of the gland. The following are the microbes which may cause the abscess: Single or polymicrobial opportunistic organisms may cause Bartholin’s gland abscesses. Most common isolates are Escherichia coli, and Staphylococcus aureus. […] Bartholin cysts are commonly caused by the obstruction of the Bartholin’s gland’s ductal region. However, there is no identifiable reason why blockage occurs. As per some studies, the Bartholin gland obstruction may happen after trauma to the area, episiotomy (An incision through the region (perineum) between a women’s vaginal opening and anus), or childbirth.
  • #12 Bartholin’s cyst: Causes, treatment, and symptoms
    https://www.medicalnewstoday.com/articles/185022
    A Bartholins cyst is a firm, tender, noncancerous lump. It develops due to a blockage in the Bartholins glands, between the vulva and the vagina. […] Bartholins cysts are firm, tender masses that do not always cause pain. Although infectious agents are not responsible for causing the cysts to develop, bacteria can enter the fluid in them once they have formed. If this occurs, the cysts may become abscesses. […] The Bartholins glands produce a lubricating fluid that helps reduce friction during sexual intercourse. […] If there is a blockage of mucus in these ducts, the lubricant accumulates. This buildup causes the ducts to expand and a Bartholins cyst to form. […] The reaction of the immune system to a bacterial infectious agent may cause the blockage and subsequent abscess. Examples of these agents include: Neisseria gonorrhoeae, which causes gonorrhea, a disease that is transmissible via sexual contact; Chlamydia trachomatis, which causes chlamydia; Escherichia coli, which can affect the water supply and cause hemorrhagic colitis; Streptococcus pneumoniae, which can cause pneumonia and middle ear infections; Haemophilus influenzae, which can cause ear infections and respiratory infections. […] While doctors do not consider Bartholins cyst to result exclusively from sexual transmission, N. gonorrhoeae is among the most common pathogens that doctors isolate when testing the cysts. […] The exact causes of duct blockage are often unclear, though bacteria have a role to play.
  • #13 Bartholin Gland Cyst and Bartholin Gland Abscess – Women’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/women-s-health-issues/miscellaneous-gynecologic-abnormalities/bartholin-gland-cyst-and-bartholin-gland-abscess
    Bartholin gland cysts are mucus-filled sacs that can form when the glands located near the opening to the vagina are blocked. […] If the duct to a Bartholin gland is blocked, the gland becomes filled with mucus and enlarges. The result is a cyst. These cysts develop in about 2% of women, usually those in their 20s. […] Typically, the cause of the blockage is unknown. Rarely, cysts can become infected with a sexually transmitted infection, such as gonorrhea. […] Very rarely, cancer can form in Bartholin glands.
  • #14 Bartholin Gland Diseases: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/777112-overview
    Uncomplicated Bartholin cysts are filled with nonpurulent mucous. Several studies have aimed to identify the most common bacterial pathogens responsible for Bartholin abscess formation. Studies from the 1970-1980s named Neisseria gonorrhoeae and Chlamydia trachomatis as common pathogens. More recent studies report the predominance of opportunistic bacteria such as Staphylococcus species, Streptococcus species, and, most commonly, Escherichia coli. […] In a retrospective study, Kessous et al found that a substantial percentage of patients with Bartholin gland abscess were culture-positive, with E coli being the single most common pathogen (43.7%); 10 cases (7.9%) were polymicrobial. Culture-positive cases were significantly associated with fever, leukocytosis, and neutrophilia. Infection with E coli was significantly more common in recurrent infection than in primary infections (56.8% compared with 37%).
  • #15 Bartholin’s Cyst | Hull University Teaching Hospitals NHS Trust
    https://www.hey.nhs.uk/patient-leaflet/33725/
    A Bartholins cyst is caused by an obstruction that blocks the duct (tube) leading from the Bartholins gland into the vagina. This leads to a build-up of fluid, which can turn into a cyst. […] Several different types of bacteria can cause an infection that blocks the duct. Some types of bacteria can be passed on through sexual contact while others are found in the environment. Bacteria that may cause a Bartholins cyst include: […] Gonococcus: Usually responsible for gonorrhoea (a sexually transmitted infection) and may be responsible for around a third of Bartholins cysts. […] Chlamydia trachomatis: Usually responsible for chlamydia (another sexually transmitted infection). […] Escherichia coli: Often responsible for food poisoning. […] Streptococcus pneumoniae: Responsible for pneumococcal infections, such as infections of the inner ear or sinuses. […] Haemophilus influenza: Responsible for a number of infections such as epiglottitis, an infection of the epiglottis, an infection of the epiglottis (the flap of tissue at the back of your throat).
  • #16 Bartholin’s abscess: Causes, diagnosis, and management
    https://www.medicalnewstoday.com/articles/322390
    When bacteria spreads to a cyst in one of the Bartholins glands, it can cause a buildup of pus and lead to an abscess. […] If the glands become blocked, the fluid can become trapped, causing a cyst to form. If bacteria enter a Bartholins cyst, an abscess might develop. […] A Bartholins abscess typically occurs when bacteria, such as Escherichia coli (E. coli), enter a cyst in one of the glands. Rarely, sexually transmitted infections (STIs), such as chlamydia and gonorrhea, are responsible. […] A study of 219 women with Bartholins abscesses found that 43.7% of the abscesses were primarily due to E. coli. […] Other bacteria species that play a role in abscess development include: Brucella melitensis, Hypermucoviscous, Klebsiella varicola, Neisseria sicca, Pasteurella bettii, Pseudomonas aeruginosa, Salmonella Panama, Staphylococcus aureus, Streptococcus species.
  • #17 Bartholin’s cyst: Causes, treatment, and symptoms
    https://www.medicalnewstoday.com/articles/185022
    A Bartholins cyst is a firm, tender, noncancerous lump. It develops due to a blockage in the Bartholins glands, between the vulva and the vagina. […] Bartholins cysts are firm, tender masses that do not always cause pain. Although infectious agents are not responsible for causing the cysts to develop, bacteria can enter the fluid in them once they have formed. If this occurs, the cysts may become abscesses. […] The Bartholins glands produce a lubricating fluid that helps reduce friction during sexual intercourse. […] If there is a blockage of mucus in these ducts, the lubricant accumulates. This buildup causes the ducts to expand and a Bartholins cyst to form. […] The reaction of the immune system to a bacterial infectious agent may cause the blockage and subsequent abscess. Examples of these agents include: Neisseria gonorrhoeae, which causes gonorrhea, a disease that is transmissible via sexual contact; Chlamydia trachomatis, which causes chlamydia; Escherichia coli, which can affect the water supply and cause hemorrhagic colitis; Streptococcus pneumoniae, which can cause pneumonia and middle ear infections; Haemophilus influenzae, which can cause ear infections and respiratory infections. […] While doctors do not consider Bartholins cyst to result exclusively from sexual transmission, N. gonorrhoeae is among the most common pathogens that doctors isolate when testing the cysts. […] The exact causes of duct blockage are often unclear, though bacteria have a role to play.
  • #18 Bartholin Gland Diseases: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/777112-overview
    Uncomplicated Bartholin cysts are filled with nonpurulent mucous. Several studies have aimed to identify the most common bacterial pathogens responsible for Bartholin abscess formation. Studies from the 1970-1980s named Neisseria gonorrhoeae and Chlamydia trachomatis as common pathogens. More recent studies report the predominance of opportunistic bacteria such as Staphylococcus species, Streptococcus species, and, most commonly, Escherichia coli. […] In a retrospective study, Kessous et al found that a substantial percentage of patients with Bartholin gland abscess were culture-positive, with E coli being the single most common pathogen (43.7%); 10 cases (7.9%) were polymicrobial. Culture-positive cases were significantly associated with fever, leukocytosis, and neutrophilia. Infection with E coli was significantly more common in recurrent infection than in primary infections (56.8% compared with 37%).
  • #19 Bartholin Gland Diseases: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/777112-overview
    Uncomplicated Bartholin cysts are filled with nonpurulent mucous. Several studies have aimed to identify the most common bacterial pathogens responsible for Bartholin abscess formation. Studies from the 1970-1980s named Neisseria gonorrhoeae and Chlamydia trachomatis as common pathogens. More recent studies report the predominance of opportunistic bacteria such as Staphylococcus species, Streptococcus species, and, most commonly, Escherichia coli. […] In a retrospective study, Kessous et al found that a substantial percentage of patients with Bartholin gland abscess were culture-positive, with E coli being the single most common pathogen (43.7%); 10 cases (7.9%) were polymicrobial. Culture-positive cases were significantly associated with fever, leukocytosis, and neutrophilia. Infection with E coli was significantly more common in recurrent infection than in primary infections (56.8% compared with 37%).
  • #20 Bartholin’s Gland Cyst Treatment in Delhi, India | Symptoms & Causes
    https://www.maxhealthcare.in/our-specialities/obstetrics-and-gynaecology/conditions-treatments/bartholins-gland-cyst
    Bartholin’s cysts can develop due to various causes and risk factors, including: […] The primary cause of Bartholin’s cysts is the blockage or obstruction of the ducts that normally allow the fluid produced by Bartholin’s glands to exit the body. This obstruction can occur due to various reasons, such as inflammation, trauma, or infection. […] Infections, particularly bacterial infections, can lead to inflammation and swelling of the Bartholin’s glands, resulting in the obstruction of the gland ducts. […] Certain sexual activities or practices may increase the risk of developing Bartholin’s cysts, particularly those that cause friction or trauma to the area around the vaginal opening. […] Fluctuations in hormone levels, such as those occurring during menstruation, pregnancy, or menopause, can affect the function of the Bartholin’s glands and increase the likelihood of cyst formation.
  • #21 Vaginal Cyst: Symptoms, Prevention, and Treatments | Thomson Medical
    https://www.thomsonmedical.com/blog/vaginal-cyst
    One of the most common types of vaginal cysts is Bartholin’s cyst, a small fluid-filled lump that forms when the Bartholins glands, which produce lubricating vaginal fluid, become blocked. […] The exact reason for the blockage of Bartholins gland is unclear, but possible causes include: Long-term irritation, Injury to the area, including after childbirth with or without an episiotomy, Sexually transmitted infections (STIs) like gonorrhoea or chlamydia, Bacterial infections like E. coli. […] Risk factors for developing a Bartholins gland cyst include: Being in the reproductive age group, Having experienced trauma or injury to the area, Having a history of Bartholins cysts, Having been exposed to a sexually transmitted infection (STI).
  • #22 What Causes Bartholin Cysts?
    https://www.miracleshealth.com/blog/what-causes-bartholin-cysts
    Bartholin cysts are fluid-filled sacs that form on the Bartholin glands, which are situated on either side of the vaginal opening. […] Understanding the causes of Bartholin cysts, their symptoms, and the available treatment options is important for those experiencing this condition. […] A Bartholin cyst primarily forms due to a blockage in the duct of the Bartholin gland. When the duct becomes blocked, the gland’s fluid cannot be released into the vagina, and instead, the fluid builds up inside the gland, forming a cyst. This blockage can happen for various reasons, including: […] Infection from sexually transmitted infections (STIs) such as gonorrhea or chlamydia can lead to inflammation and block the duct. […] Hormonal changes, infections, or injury to the area can physically block the duct.
  • #23 What Causes Bartholin Cysts?
    https://www.miracleshealth.com/blog/what-causes-bartholin-cysts
    If a female has had previous surgeries or trauma to the area, scar tissue can block the gland’s duct. […] One of the leading causes of Bartholin cysts is infection, especially bacterial infections. A blocked duct creates an ideal environment for bacteria to grow, potentially causing an infection. […] STIs play an important role in the development of Bartholin cysts. Both gonorrhea and chlamydia can cause infection and inflammation of the Bartholin glands. […] Fluctuations in hormone levels can also play a role in the development of Bartholin cysts. […] The hormonal changes during pregnancy may influence the gland’s function, making it more sensitive to blockages. […] Hormonal changes before and during menstruation can also cause the Bartholin gland to become more active, potentially leading to fluid buildup and cyst formation.
  • #24 What Causes Bartholin Cysts?
    https://www.miracleshealth.com/blog/what-causes-bartholin-cysts
    As females age, hormonal changes that accompany perimenopause and menopause can affect glandular function, possibly increasing the possibility of cyst development. […] While personal hygiene itself doesn’t directly cause Bartholin cysts, poor hygiene can increase the risk of infection and irritation. […] Physical trauma or injury to the vaginal area, such as from sexual activity, childbirth, or accidents, can damage the Bartholin glands.
  • #25 Bartholin Gland Cyst – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK532271/
    A Bartholin gland cyst is a benign blockage of the Bartholin gland that is usually unilateral, asymptomatic, and maybe incidentally found during a pelvic exam or imaging studies. Bartholin gland obstruction may occur after trauma to the area, episiotomy, or childbirth; however, it may also occur without an identifiable cause. […] Bartholin cysts/abscesses are predominantly found in women of child-bearing age. The incidence of Bartholin cysts is most often noted at the onset of puberty and increases with age until menopause.
  • #26 Bartholin Cyst: Causes and At-Home or Medical Treatment
    https://www.verywellhealth.com/bartholins-cyst-overview-4176350
    A Bartholin’s cyst, also known as Bartholin’s gland cyst or a Bartholins duct cyst, occurs when one of two glands at the vaginal opening fills up with fluid. […] The openings of the Bartholin’s glands are located at either side of the vaginal entrance. They can get blocked by something like an infection. If this happens, the buildup of fluid leads to a cyst. […] The cause of a Bartholin’s cyst is often unknown. Known causes may include: Bacterial vaginal infections (e.g., E. coli), Extra thick vaginal mucus, Vaginal injury, Sexually transmitted infections (STIs) (e.g., gonorrhea or chlamydia). […] Around 2% of people with a vagina will develop a Bartholin’s cyst at some point in their lives. It’s most common in sexually active people between the ages of 20 and 30. The older you get, the less likely you are to develop these cysts, as the glands will typically shrink and produce less mucus after the age of 30. […] Having persistent Bartholin’s gland cysts at an older age might raise suspicion for Bartholin’s gland cancer and warrant removal.
  • #27 Bartholin’s cyst: Symptoms and causes | HealthShots
    https://www.healthshots.com/daily-health/bartholins-cyst/
    Bartholin’s cyst is primarily caused by the blockage of ducts in the Bartholins glands, which can occur due to infections, inflammation, or physical injuries, says Dr Rashmi. When their ducts become obstructed, the fluid they produce cannot drain properly, leading to the formation of a cyst. […] The blockage is often linked to bacterial infections, with common bacteria being Escherichia coli (E. coli). It is normally found in the intestinal tract, and can move to the genital area and infect the ducts. Other bacteria that may cause obstructions include Staphylococcus and Streptococcus, as well as Neisseria gonorrhea and Chlamydia trachomatis that cause sexually transmitted infections (STIs). Infections like gonorrhea and chlamydia can cause inflammation and swelling around the Bartholins glands, further preventing the normal outflow of fluid.
  • #28 Bartholin’s cyst: Symptoms and causes | HealthShots
    https://www.healthshots.com/daily-health/bartholins-cyst/
    Injury or trauma to the vaginal area can cause swelling or scar tissue, which may block the duct of the Bartholins gland. This can happen from activities like cycling or riding a horse. It can also happen during sexual activity, which can lead to friction or pressure on the glands. […] Vaginal itching or irritation can be due to many reasons. One of the major causes is using products that are more like irritants. The list includes soaps with harsh chemicals, feminine hygiene products, and deodorants. This irritation may contribute to gland inflammation, and increase the risk of cyst development, says Dr Khandelwal.
  • #29 Symptoms and causes of Bartholin’s cyst – Mysurgeryabroad – Medicare Hospital Hungary
    https://mysurgeryabroad.com/blog/bartholins-cyst/
    Inflammation of the Bartholins gland occurs when bacteria reach the opening of the gland, so the openings become obstructed, causing fluid to back up into the gland. […] If the fluid within the cyst becomes infected, it may develop a collection of pus surrounded by inflamed tissue (abscess). […] Bacteria are particularly overbalanced healthy vaginal flora balance by vaginal infections. […] There are several reasons why the vaginal microflora becomes abnormal, for example: use of antibiotics, taking contraceptives, lack of follicular hormone (elderly vaginitis), unprotected intercourse, excessive use of toiletries, lifestyle stress, vaginal pH shift in alkaline (bleeding), trespass (injury, abortion, birth, surgery), tight synthetic lingerie, use of saunas, swimming pools, and public beaches.
  • #30 What Causes Bartholin Cysts to Recur and What Can Be Done to Stop it? – David Ghozland
    https://www.davidghozland.com/what-causes-bartholin-cysts-to-recur/
    Bartholin cysts can be a recurring problem in which many women develop them over and over again sometimes right after having one of the cysts drained and removed. […] While there arent many answers as to what causes these cysts to recur, a few key ideas can help pinpoint why these cysts continue to form among some women. For one, women who have developed an injury during childbirth can be more susceptible to cysts. Another cause of frequent Bartholin cysts has been linked to the Bartholin glands becoming blocked with fluid due to a skin flap over the area, or the inability to drain the fluid from the glands properly. This can cause buildup as well as recurring cysts that can get infected or become problematic.
  • #31 What Causes Bartholin Cyst: Know Who’s at Risk | Updated 2024 | Credihealth
    https://www.credihealth.com/blog/what-causes-bartholin-cyst-whos-at-risk
    Therefore, women with thick fluid in these glands are more at risk of developing a blockage and have a higher chance of forming this cyst. […] Surgery is stressful to the vagina and its surrounding regions. […] This extra layer of skin can burden the fluid flow across the gland and may sometimes cause a block in the normal flow across the Bartholin gland. […] Certain medical conditions, such as diabetes, can make it more difficult for the body to fight off infections, increasing the risk of cyst formation. […] Bartholin Cyst occurs in women in the age group of 20-30. […] The common causes of a Bartholin cyst are infection, non-cancerous (benign) tumors, and injury to that area.
  • #32 Understanding Bartholin’s Cysts: Causes, Symptoms and Treatment | Virtus Medical
    https://virtusmedical.com/disease/bartholins-cyst?locale=en
    The Bartholins glands, also known as the vestibular glands, are located on both sides of the vaginal opening. Normally, they cannot be felt. Their primary function is to secret lubricating fluid during sexual activity to moisten the vagina. When the opening of the Bartholins gland becomes blocked due to chronic irritation, friction, or bacterial infection, the lubricating fluid cannot be released and becomes trapped, forming a cyst. […] Bartholins cysts are generally painless. However, if the cyst becomes infected, it can develop into an abscess, causing pain and potentially leading to fever. […] Recurrence of Bartholin’s gland cysts is common. In certain cases, removing the Bartholin’s gland or identifying underlying causes (such as diabetes) may be beneficial.
  • #33 Bartholin Gland Cyst and Bartholin Gland Abscess – Women’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/women-s-health-issues/miscellaneous-gynecologic-abnormalities/bartholin-gland-cyst-and-bartholin-gland-abscess
    Bartholin gland cysts are mucus-filled sacs that can form when the glands located near the opening to the vagina are blocked. […] If the duct to a Bartholin gland is blocked, the gland becomes filled with mucus and enlarges. The result is a cyst. These cysts develop in about 2% of women, usually those in their 20s. […] Typically, the cause of the blockage is unknown. Rarely, cysts can become infected with a sexually transmitted infection, such as gonorrhea. […] Very rarely, cancer can form in Bartholin glands.
  • #34 Bartholin gland masses – UpToDateDiagnosis_of_vulvovaginal_m.htm
    https://www.uptodate.com/contents/bartholin-gland-masses/print
    The Bartholin glands (also called the greater vestibular glands) are located bilaterally in the vulvar vestibule, and blockage of the Bartholin ducts is a common etiology of a vulvar mass. […] If the orifice of the Bartholin duct becomes obstructed, mucus produced by the gland accumulates, leading to cystic dilation proximal to the obstruction. Obstruction is often caused by local or diffuse vulvar edema. Bartholin cysts are usually sterile. […] An obstructed Bartholin duct can become infected and form an abscess. While originally Bartholin abscesses were thought to be polymicrobial infections, subsequent studies have found that the most common pathogen is Escherichia coli. Sexually transmitted infections (STIs) may also contribute to infection, but this proportion has been declining. […] While there are no established risk factors for Bartholin cysts and abscesses, a previous Bartholin cyst or abscess is a risk factor for recurrence. […] Benign tumors of the Bartholin gland and Bartholin gland carcinoma are rare.
  • #35 Bartholin’s Cyst: Symptoms, Causes, and Treatment
    https://patient.info/womens-health/vulval-problems-leaflet/bartholins-cyst-and-abscess
    Bartholin’s cyst is a fluid-filled sac that develops in one of the Bartholin’s glands. This fluid-filled swelling usually develops because the tube (duct) that drains the fluid has become blocked. The reason why a Bartholin’s duct may become blocked and lead to a cyst is not clear. […] Many types of germs (bacteria) can infect a Bartholin’s cyst or gland to cause an abscess. Most are the common germs that cause skin or urine infections, such as Staphylococcus (which lives on the skin normally) and Escherichia coli (which lives in the gut normally). Some cases are due to sexually transmitted infections (STI’s) such as gonorrhoea or chlamydia. […] Bartholin’s cysts and abscesses cannot usually be prevented. Most occur 'out of the blue’ for no apparent reason.
  • #36 Bartholin’s Gland Cyst (Bartholin Cyst) Symptoms – familydoctor.org
    https://familydoctor.org/condition/bartholins-gland-cyst/
    While most aren’t, some Bartholin’s gland cysts can be infected. Your doctor may want to check the fluid in the cyst. Most infected cysts (called abscesses) contain the normal bacteria (germs) found on your skin. Some are caused by bacteria that are transmitted sexually. […] There is no sure way to prevent a Bartholin’s gland cyst from forming. Good hygiene may play a role in prevention. However, sometimes the cysts appear no matter how good your personal hygiene.
  • #37 Bartholin’s Cyst and Abscess: Causes and Care
    https://maygrant.com/blog/understanding-bartholins-cyst-and-abscess/
    While it is not always possible to prevent Bartholin’s cysts or abscesses, certain measures can reduce the risk. Practicing good hygiene, wearing breathable underwear, and avoiding irritants like harsh soaps or douches can help maintain the health of the vaginal area. Additionally, addressing any underlying infections promptly can prevent the development of an abscess.
  • #38 Bartholin Gland Cyst | The Children’s Hospital at Montefiore
    https://www.cham.org/health-library/article?id=tw2685
    If a Bartholin duct gets blocked, fluid builds up in the gland. The blocked gland is called a Bartholin gland cyst. (Sometimes it’s called a Bartholin duct cyst.) These cysts can range in size from a pea to a large marble. They usually grow slowly. […] Things like thick mucus or swelling can block a Bartholin gland duct and cause a cyst. The cyst can get bigger after sex, because the glands make more fluid during sex. […] Infected Bartholin cysts are sometimes caused by sexually transmitted infections (STIs). You can lower your risk of STIs by using a condom when you have sex.
  • #39 Bartholin’s cyst – Wikipedia
    https://en.wikipedia.org/wiki/Bartholin%27s_cyst
    The cause of a Bartholin’s cyst is unknown. […] Blockage may be caused by an infection or a mucus plug. […] An abscess results from a bacterial infection, but it is not usually a sexually transmitted infection (STI). […] Rarely, gonorrhea may be involved.
  • #40
    https://www.iowaclinic.com/specialties/pelvic-health/obstetrics-gynecology/gynecology/bartholin-cyst/
    Bartholin cysts can be caused by a number of factors, including: […] Blockage of the Bartholin duct: The Bartholin duct is a small tube that carries fluid from the Bartholin gland to the outside of the vagina. If the duct becomes blocked, the fluid can back up and form a cyst. […] Infection: Bartholin cysts can also be caused by an infection of the Bartholin gland. This type of cyst is called a Bartholin abscess. […] Trauma: Trauma to the vulva, such as from childbirth or sexual intercourse, can also damage the Bartholin duct and lead to a cyst.
  • #41 Bartholin’s Cyst | Appearance, Causes & When to Get Treated | Buoy
    https://www.buoyhealth.com/learn/bartholin-cyst
    A Bartholin’s cyst is a fluid-filled mass that can develop near the opening of the vagina. They can be painful or painless and are caused by a buildup of fluid in a small gland near the vaginal canal. […] If the opening to the vaginal canal becomes blocked, such as by swollen tissues near the opening of the vagina, mucus can build up in the duct, creating a Bartholin’s cyst. […] Bartholin’s cysts are found in about three percent of women. There are no known risk factors for developing a Bartholin’s cyst, although it may be more common with increasing age until menopause.
  • #42 Bartholin’s Cyst Symptoms, and Treatment – Cyprus IVF Center
    https://en.cypruscrownivf.com/bartholins-cyst-symptoms-and-treatment/
    Bartholins cysts form when the ducts of the Bartholin glands become blocked, leading to fluid buildup and swelling. […] Various factors can contribute to the blockage, including infections, cyst formation, or inflammation. Understanding these causes can help identify potential risk factors associated with Bartholins cyst. […] Infections are a common contributor to the development of Bartholins cysts. Conditions such as sexually transmitted infections (STIs) like gonorrhea and chlamydia can lead to inflammation and blockage of the gland ducts. […] Additionally, other types of infections, including bacterial infections, can exacerbate the risk. […] Another significant risk factor includes hormonal changes linked to menstrual cycles and pregnancy. Fluctuations in hormone levels can affect the secretion of fluids from the Bartholin glands, potentially leading to cyst formation. […] Certain lifestyle factors, such as smoking and having a compromised immune system, may increase susceptibility to Bartholins cysts. Understanding these causes and risk factors is essential for proactive management and prevention strategies related to Bartholins cyst health.