What antibiotics treat Bartholin cyst?
Medication and antibiotics are used to treat Bartholin's cysts or abscesses as the infection is mostly caused by pathogens. Antibiotic therapy may not be necessary for healthy women with uncomplicated abscesses. Antibiotic therapies include Ceftriaxone, Ciprofloxacin, Doxycycline and Azithromycin.
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Bartholin's Cyst Treatment
Often a Bartholin's cyst requires no treatment — especially if the cyst causes no signs or symptoms. When needed, treatment depends on the size of the cyst, your discomfort level and whether it's infected, which can result in an abscess.
Treatment options your doctor may recommend include:
. Sitz baths. Soaking in a tub filled with a few inches of warm water (sitz bath) several times a day for three or four days may help a small, infected cyst to rupture and drain on its own.
. Surgical drainage. You may need surgery to drain a cyst that's infected or very large. Drainage of a cyst can be done using local anesthesia or sedation.
For the procedure, your doctor makes a small incision in the cyst, allows it to drain, and then places a small rubber tube (catheter) in the incision. The catheter stays in place for up to six weeks to keep the incision open and allow complete drainage.
. Antibiotics. Your doctor may prescribe an antibiotic if your cyst is infected or if testing reveals that you have a sexually transmitted infection. But if the abscess is drained properly, you may not need antibiotics.
. Marsupialization. If cysts recur or bother you, a marsupialization (mahr-soo-pee-ul-ih-ZAY-shun) procedure may help. Your doctor places stitches on each side of a drainage incision to create a permanent opening less than 1/4-inch (about 6-millimeter) long. An inserted catheter may be placed to promote drainage for a few days after the procedure and to help prevent recurrence.
Rarely, for persistent cysts that aren't effectively treated by the above procedures, your doctor may recommend surgery to remove the Bartholin's gland. Surgical removal is usually done in a hospital under general anesthesia. Surgical removal of the gland carries a greater risk of bleeding or complications after the procedure.
Azithromycin Dosage for Bartholin Cyst
If the swelling and pain is mild without fluctuance (bartholinitis) or if the abscess is small, the patient can be placed on antibiotics, such as metronidazole (Flagyl), 500 mg bid × 7 days, or clindamycin (Cleocin), 300 mg qid × 7 days, and instructed to take warm sitz baths. Early follow-up should be provided. If there is any risk for a sexually transmitted disease (STD) that cannot be ruled out with rapid testing, give azithromycin (Zithromax), 1 g orally in a single dose, or oral doxycycline, 100 mg twice a day for 7 days. Also give ciprofloxacin (Cipro), 500 mg orally in a single dose.
Lifestyle And Home Remedies
Daily soaking in warm water, several times a day, may be adequate to resolve an infected Bartholin's cyst or abscess.
After a surgical procedure to treat an infected cyst or abscess, soaking in warm water is particularly important. Sitz baths help to keep the area clean, ease discomfort and promote effective drainage of the cyst. Pain relievers also may be helpful.