Bartholin's cyst
Bartholin's cyst is a common condition that occurs when the Bartholin's gland, located on either side of the vaginal opening, becomes blocked, leading to the formation of a fluid-filled cyst.
It is important to note that not all Bartholin's cysts cause symptoms, and some may resolve on their own without medical intervention. However, if the cyst is causing significant discomfort, pain, or infection, medical evaluation and treatment are recommended.
Treatment options for Bartholin's cysts depend on the severity of symptoms and may include conservative measures such as warm sitz baths, pain management, and antibiotics in cases of infection. If the cyst persists or causes recurrent symptoms, more invasive procedures, such as marsupialization (creating a permanent opening in the cyst) or gland removal, may be necessary. It is advised to consult your Gynaecologist for a proper diagnosis and appropriate management of Bartholin's cyst.
Pathogenesis Features:
The Bartholin's glands are responsible for producing fluid that lubricates the vaginal opening. When the ducts of these glands become blocked, the fluid accumulates and forms a cyst. The blockage can occur due to various factors, including infection, inflammation, trauma, or thickening of the gland's duct.
Clinical features:
- Swelling: The most noticeable clinical feature of a Bartholin's cyst is the development of a painless swelling in one of the labia near the vaginal opening. The swelling can range in size from a small lump to a larger mass and may be unilateral (affecting only one side).
- Discomfort or pain: In some cases, the cyst can cause discomfort or pain, particularly if it increases in size or becomes infected. The pain may be more pronounced during activities such as walking, sitting, or sexual intercourse.
- Redness and tenderness: When the cyst becomes infected, the affected area may appear red, swollen, and tender to the touch. This condition is known as a Bartholin's abscess, and it can cause significant pain and discomfort.
- Difficulty in walking or sitting: Large or painful cysts can make it uncomfortable to walk or sit for prolonged periods.
- Discharge: If the cyst becomes infected, it may develop a pus-filled discharge, resulting in a foul-smelling fluid coming from the cyst.
- Recurrence: Bartholin's cysts have a tendency to recur even after successful treatment, especially if the underlying cause, such as a blocked duct, is not addressed.