Bartholin Gland Cysts: When to Seek Gynecological Care

Cyst fold

I previously had a lump in my genital area that was itchy, and after researching online, it seemed like a Bartholin's gland cyst.
However, it stopped itching, so I didn't pay much attention to it.
Since then, the lump has developed many folds and protrudes outside the labia majora.
Should I see a gynecologist for an examination?

Yu, 10~19 year old female. Ask Date: 2022/03/12

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to visit an obstetrician-gynecologist for a check-up for peace of mind.
Wishing you good health.

Reply Date: 2022/03/12

More Info

Bartholin gland cysts are fluid-filled sacs that can develop in the Bartholin glands, which are located on either side of the vaginal opening. These cysts can vary in size and may or may not cause symptoms. In some cases, they can become infected, leading to a Bartholin gland abscess, which can be painful and require medical intervention.
From your description, it seems that you initially experienced some itching and swelling, which later subsided. However, the cyst has since changed in appearance, becoming wrinkled and protruding from the labia. While not all Bartholin gland cysts require treatment, certain signs and symptoms indicate that it may be time to seek gynecological care.

Here are some key points to consider:
1. Changes in Symptoms: If you notice changes in the cyst, such as increased size, changes in texture, or new symptoms like pain or discomfort, it is advisable to consult a healthcare provider. The presence of wrinkling and protrusion could indicate that the cyst is becoming more complicated or that there may be additional issues.

2. Pain or Discomfort: If the cyst becomes painful or causes discomfort during daily activities, such as sitting or walking, this is a strong indication that you should seek medical advice. Pain can be a sign of infection or other complications.

3. Signs of Infection: If you experience symptoms such as redness, warmth, swelling, or discharge from the cyst, these may be signs of an infection. Infections can lead to abscess formation, which may require drainage and antibiotics.

4. Persistent Symptoms: If you have ongoing symptoms, such as itching or discomfort that does not resolve, it is important to have a healthcare professional evaluate the cyst. They can determine whether it is indeed a Bartholin gland cyst or if there is another underlying condition that needs to be addressed.

5. Regular Monitoring: Even if the cyst is not currently causing problems, regular monitoring is essential. If you notice any changes or if new symptoms arise, do not hesitate to seek care.

6. Potential Complications: While Bartholin gland cysts are generally benign, complications can arise. In rare cases, they can be associated with more serious conditions, including tumors. Therefore, any significant changes in the cyst's appearance or symptoms warrant a thorough evaluation by a gynecologist.

In conclusion, while not every Bartholin gland cyst requires treatment, your description suggests that it may be beneficial to consult a gynecologist for an evaluation. They can provide a proper diagnosis and recommend appropriate treatment options if necessary. It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas. Regular check-ups and open communication with your healthcare provider are key to maintaining your reproductive health.

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