Bartholin's cyst is a clinically significant condition, also known as a Bartholin's gland cyst. How is Bartholin's cyst treated? Once this condition develops, it manifests as a cyst roughly the size of a date. Understanding this condition is crucial for timely treatment.
When a Bartholin's cyst develops, it indicates obstruction at the opening of the Bartholin's gland duct. This leads to persistent secretion of retained fluid or the formation of severe inflammatory cysts.During childbirth, trauma to the external vaginal and perineal areas can also cause severe scar tissue to obstruct the gland duct opening, making the condition quite serious. Therefore, treatment for Bartholin's cysts requires particular attention.
Bartholin's cysts vary in size, often starting small and gradually enlarging at a slow rate; some may remain unchanged for years. They are typically solitary, rarely exceeding the size of an egg, and bilateral occurrence is uncommon. Small cysts without infection may cause no symptoms and are often discovered during routine gynecological examinations. Larger cysts may cause a sensation of heaviness or fullness in the vulva, or discomfort during intercourse.
Examination reveals cysts are usually unilateral but may be bilateral. The overlying skin appears normal. Located in the area of the Bartholin's glands—posterior to the labia minora and between the labial commissure—the cysts present as semilunar, oval, or round masses. They cause a prominent bulge on the lateral aspect of the labia majora, with the affected labia minora flattened. The cysts are mobile and non-tender.During frequent sexual activity, the cyst rapidly enlarges. Secondary infection causes marked local redness, swelling, and pain, accompanied by systemic symptoms like fever, potentially progressing to an abscess.
Regarding treatment for Bartholin's cysts, once diagnosed, proper medical management is essential. For smaller cysts detected on the body, surgery may not be necessary; regular follow-up visits suffice. However, larger cysts with pronounced symptoms or recurrent episodes require surgical intervention.