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Very painful, hot, swollen lump at the vaginal opening

Also called: Bartholin's abscess

A very painful, hot, swollen lump at the vaginal opening is usually a Bartholin's abscess, which needs drainage.

Common causesBartholin's abscess
Usually serious?Can be
Get checked ifAlways
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

Warm baths help.

Abscesses need draining.

When to get medical care

Call 911Not an emergency.
Get care todayPainful swelling or fever.
See a doctor soonGet seen today instead; don't wait for a regular appointment.

Causes

Caused by infected gland.

OwieClear has pages on 1 condition that can cause very painful, hot, swollen lump at the vaginal opening. Each shows how soon to get care.

Common causes

  • Bartholin cystSee a doctor if it doesn't get better

    A lump on one side of the vaginal opening from a blocked gland.

What you can do at home

  • Warm sitz baths.

Medicines

Drainage and antibiotics.

At the doctor

Diagnosed by exam.

Questions you may be asked

  • Pain

The exam

A pelvic exam.

Tests

  • None

Prevention

Early care.

  • Get checked

Check your symptoms

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Sources

Last updated 2026-11-13.