Bartholin's Cyst: Symptoms, Causes, and Treatment Options

Bartholin's cysts, also known as Bartholin's gland cysts, are small fluid-filled lumps that can develop near the vaginal opening. These cysts are relatively common, affecting about 2 out of every 10 women during their childbearing years. While they can be uncomfortable, Bartholin's cysts are almost always benign and often go away on their own.

What Are Bartholin's Glands?

Bartholin's glands are two small, pea-sized glands located on either side of the vaginal opening. Their primary function is to produce lubricating fluid that helps keep the vagina moist. The fluid travels from the glands to the vagina through small tubes called ducts.

What Causes Bartholin's Cysts?

Bartholin's cysts form when one or both of the Bartholin's glands become blocked, causing fluid to build up and create a cyst. The exact cause of the blockage is not always clear, but it can result from:

• Long-term irritation

• Injury to the area, sometimes during childbirth or after an episiotomy

• Sexually transmitted infections (STIs) like gonorrhea or chlamydia (in rare cases)

• Bacterial infections such as E. coli

Symptoms of Bartholin's Cysts

Many women with Bartholin's cysts do not experience any symptoms. However, if the cyst becomes infected, it can cause:

• Tenderness, swelling, and redness in the affected area

• Pain or discomfort when walking, sitting, or having sexual intercourse

• Difficulty inserting or removing tampons

• Fever and chills (if an abscess develops)

Diagnosing Bartholin's Cysts

A healthcare provider can diagnose a Bartholin's cyst during a pelvic exam. They will visually inspect the vaginal opening and feel for any lumps or bumps. If there is drainage from the cyst, a sample may be taken for laboratory analysis to check for signs of infection or STIs. In rare cases, a biopsy may be performed to rule out vulvar cancer, especially in women over 40.

Treatment Options for Bartholin's Cysts

Most Bartholin's cysts do not require medical treatment and will resolve on their own within a few weeks. However, if the cyst is causing discomfort or becomes infected, treatment options include:

• Warm compresses and sitz baths to encourage drainage

• Antibiotics to treat any underlying infections

• Surgical drainage, where a small cut is made in the cyst to allow fluid to drain

• Marsupialization, a procedure that creates a permanent opening for fluid drainage

• Gland removal, in cases of recurrent cysts or abscesses

It is essential to consult with a healthcare provider to determine the most appropriate treatment plan for your individual case.

Preventing Bartholin's Cysts

While there is no guaranteed way to prevent Bartholin's cysts, practicing safer sex with condoms can help reduce the risk of developing cysts caused by STIs. Maintaining good hygiene habits, such as keeping the genital area clean and dry, may also be beneficial.

If you suspect you have a Bartholin's cyst or are experiencing any unusual symptoms in the vaginal area, it is important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment. Remember, most Bartholin's cysts are harmless and will resolve on their own, but prompt medical attention can help alleviate discomfort and prevent potential complications.

For more information on Bartholin's cysts and other vaginal health concerns, visit:

• Mayo Clinic - Bartholin's Cyst

• NHS - Bartholin's Cyst

• ACOG - Vulvar Cysts and Masses

The Bottom Line

Most small cysts resolve with warm baths within two weeks, but infected ones require prompt antibiotic treatment to prevent complications. Recurring cysts may need surgical procedures to create permanent drainage and prevent future blockages. If you're experiencing painful swelling or fever with vaginal symptoms, Doctronic can help determine if you need immediate medical attention.