January 15, 2017 Liza Colimon, MD Bartholin’s Glands are located just inside the vagina at the 5 and 7 o’ clock positions. These glands may become blocked resulting in fluid build up under the vaginal and labial skin. Patients with a bartholin’s gland cyst complain of the following: Pain Discomfort with sitting, walking, intercourse Fever Recurrent Bartholin’s Gland Cysts One may also discover drainage of the cyst. Conservative measures such as warm tub soaks may help the cyst to break on its own. However for patients who have recurrent cysts or abscesses an excision procedure may be indicated to remove the entire gland or a marsipulization procedure may be required to secure an opening to the gland with suture material (stitches) to prevent further blockage. Drainage of the cyst can be done in the office with minimal local anesthesia. However marsipulization or excision requires intravenous anesthesia and the procedure will be performed in the operating room.