Bartholin cysts are fluid-filled sacs that develop near the vaginal opening. They form when Bartholin’s glands, which secrete lubricating fluid, become blocked. Most are small and cause no symptoms. However, larger cysts can become painful and infected.
Symptoms include a noticeable lump near the vaginal opening, pain during sex or walking, and potential discharge if infected. Diagnosis usually involves a physical exam; imaging tests are rarely needed.
Treatment depends on the cyst’s size and symptoms. Small, asymptomatic cysts often require no treatment and resolve on their own. Warm sitz baths can provide comfort and sometimes help drain smaller cysts. Larger or painful cysts may need incision and drainage by a healthcare provider. This involves making a small incision to release the fluid. A small catheter may be inserted to keep the duct open and prevent recurrence.
Antibiotics, like amoxicillin, are prescribed if the cyst is infected, showing signs of redness, swelling, and significant pain. They combat bacterial infection and aid healing. Always follow your doctor’s instructions regarding dosage and duration of antibiotic treatment.
While home remedies like warm compresses can help manage discomfort, medical attention is necessary for larger or infected cysts. Ignoring a persistent or painful cyst may lead to further complications. Regular checkups with your gynecologist are recommended for preventative care and early detection.
