Diseases

Bartholin’s cyst

Bartholin’s cyst is caused due to blockage of Bartholin’s duct or glands which are present on both sides and slightly posterior to the opening of vagina. The gland secretes mucus and lubricates the vagina. The cyst is non infective but is painful on touch and causes discomfort. The size of cyst may vary from a pea to an egg.

Published January 12, 2022

Causes and risk factors

Bartholin’s cyst is caused due to mucus plug or an infection in the gland or the duct. The cyst may develop further bacterial infection forming an abscess.

Clinical presentation

Small cysts don not cause any pain. Whereas if the cyst is of considerable size, it may cause pain while walking, sitting, during intercourse. Cyst is visible, about 1 to 4 cm, medial to labia minora usually affecting only one side.

Investigation

Medical history by the patient and Clinical examination by the doctor helps in diagnosis.

Treatment

No treatment is needed if the patient is asymptomatic. A doctor may advise sitz bath. Incision and drainage is done if there is abscess. If cyst is occurring repeatedly surgical removal of the gland and duct is done.

Other Modes of treatment

The other modes of treatment can also be effective in treating Bartholin’s cyst. Homoeopathy is a science which deals with individualization considers a person in a holistic way. This science can be helpful in combating the symptoms. Similarly the ayurvedic system of medicine which uses herbal medicines and synthetic derivates are also found to be effective in treating Bartholin’s cyst.

Recent updates

Insertion of word catheter or Jacobi rings are the recent procedures instead of marsupialisation surgery for treating Bartholin’s cyst.