Experts believe that the cause of a Bartholin’s cyst is a backup of fluid. Fluid may accumulate when the opening of the gland (duct) becomes obstructed, perhaps caused by infection or injury.
The Bartholin glands are 2 cm long narrow openings at the 4 and 8 o’clock positions in the vulvar vestibule. These glands secrete lubrication during arousal. They can become obstructed and lead to the formation of a cyst or abscess. Most cysts do not need to be treated as they do not cause any symptoms.
Cysts are rare in women > 40 years old. Women > 40 with a suspected cyst should have a punch biopsy done.
If the cysts causes discomfort, treatment options include placement of a word catheter. Over the counter NSAIDs and Sitz baths can help with post procedure discomfort. The site should be covered with a pad daily. You must maintain pelvice rest for 4-6 weeks.
