Vulvar Inclusion and Epidermal Cysts – Women’s Health Issues

By

Kilpatrick

, MD, MEd, Baylor College of Medicine

Reviewed/Revised Feb 2023

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Topic Resources

Cysts that develop on the vulva include inclusion cysts and epidermal cysts. Vulvar inclusion cysts are small sacs that contain tissue from the surface of the vulva. Vulvar epidermal cysts are similar but contain secretions from oil-producing (sebaceous) glands near hair follicles.

Inclusion cysts are the most common cysts of the vulva. The vulva is the area that contains the external genital organs. Inclusion cysts may also develop in the vagina. They may result from injuries, such as tears caused during delivery of a baby. When the vulva is injured, tissue from its surface (epithelial tissue) may be trapped under the surface. Some inclusion cysts develop on their own.

External Female Genital Organs

Epidermal cysts may develop when the ducts to sebaceous glands become blocked. Secretions from these glands then accumulate under the skin’s surface.

Both of these cysts eventually enlarge and sometimes become infected. Infected cysts may be red and tender and make sexual activity painful.

Cysts that do not become infected usually cause no symptoms, but they occasionally cause irritation. They are white or yellow and usually less than 1/2 inch (about 1 centimeter) in diameter.

Vaginal Inclusion Cyst

By permission of the publisher. From Spitzer M, Mann M. In Atlas of Clinical Gynecology: Gynecologic Pathology. Edited by M Stenchever (series editor) and B Goff. Philadelphia, Current Medicine, 1998. (Courtesy of the International Society for the Study of Vulvar Disease. )

Vulvar Epidermal Inclusion Cysts

By permission of the publisher. From Kaufman R, Brown D. In Atlas of Clinical Gynecology: Gynecologic Pathology. Edited by M Stenchever (series editor) and B Goff. Philadelphia, Current Medicine, 1998.

Doctors can usually see or feel cysts during a pelvic examination Pelvic Examination For gynecologic care, a woman should choose a health care practitioner with whom she can comfortably discuss sensitive topics, such as sex, birth control, pregnancy, and problems related to… read more .

If cysts cause symptoms, they are removed. If women have only one cyst, a local anesthetic is injected to numb the site. If women have several cysts, clinicians may use a regional anesthetic to numb a larger area or a general anesthetic to cause loss of consciousness.

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Signs and Symptoms of Vulvar Cancers and Pre-Cancers

Symptoms depend on whether it is a cancer or pre-cancer and what kind of vulvar cancer it is.

Vulvar intraepithelial neoplasia

Most women with vulvar intraepithelial neoplasia (VIN) have no symptoms at all. When a woman with VIN does have a symptom, it is most often itching that does not go away or get better. An area of VIN may look different from normal vulvar skin. It is often thicker and lighter than the normal skin around it. However, an area of VIN can also appear red, pink, or darker than the surrounding skin.

Because these changes are often caused by other conditions that are not pre-cancerous, some women don’t realize that they might have a serious condition. Some try to treat the problem themselves with over-the-counter remedies. Sometimes doctors might not even recognize the condition at first.

Invasive squamous cell cancer of the vulva

Almost all women with invasive vulvar cancers will have symptoms. These can include:

• An area on the vulva that looks different from normal – it could be lighter or darker than the normal skin around it, or look red or pink.
• A bump or lump, which could be red, pink, or white and could have a wart-like or raw surface or feel rough or thick
• Thickening of the skin of the vulva
• Itching
• Pain or burning
• Bleeding or discharge not related to the normal menstrual period
• An open sore (especially if it lasts for a month or more)

Verrucous carcinoma, a subtype of invasive squamous cell vulvar cancer, looks like cauliflower-like growths similar to genital warts.

These symptoms are more often caused by other, non-cancerous conditions. Still, if you have these symptoms, you should have them checked by a doctor or nurse.

Vulvar melanoma

Patients with vulvar melanoma can have many of the same symptoms as other vulvar cancers, such as:

• A lump
• Itching
• Pain
• Bleeding or discharge

Most vulvar melanomas are black or dark brown, but they can be white, pink, red, or other colors. They can be found throughout the vulva, but most are in the area around the clitoris or on the labia majora or minora.

Vulvar melanomas can sometimes start in a mole, so a change in a mole that has been present for years can also indicate melanoma. The ABCDE rule can be used to help tell a normal mole from one that could be melanoma.

Asymmetry: One-half of the mole does not match the other.

Border irregularity: The edges of the mole are ragged or notched.

Color: The color over the mole is not the same. There may be differing shades of tan, brown, or black and sometimes patches of red, blue, or white.

Diameter: The mole is wider than 6 mm (about 1/4 inch).

Evolving: The mole is changing in size, shape, or color.

The most important sign of melanoma is a change in size, shape, or color of a mole. Still, not all melanomas fit the ABCDE rule.

If you have a mole that has changed, ask your doctor to check it out.

Bartholin gland cancer

A distinct mass (lump) on either side of the opening to the vagina can be the sign of a Bartholin gland carcinoma. More often, however, a lump in this area is from a Bartholin gland cyst, which is much more common (and is not a cancer).

Paget disease

Soreness and a red, scaly area are symptoms of Paget disease of the vulva.

Last Revised: January 16, 2018

Bartholin’s cyst – symptoms, diagnosis and treatment of a Bartholin’s cyst

Bartholin’s cyst is a limited, round, secretion-filled mass in the Bartholin’s gland, which is formed as a result of blockage of the excretory duct of the gland. Bartholin gland cysts are more often found in young women who are sexually active.

Bartholin’s glands (large gland of the vestibule of the vagina) are located on both sides of the entrance to the vagina in the region of the labia minora. They protect the vulva and overlying structures from infections and injuries due to constant moisturizing and self-purification, and during sexual arousal and coition, they produce a viscous secret that acts as a lubricant and provides a woman with painless sexual intercourse.

The most common cause of Bartholin’s cyst is an acute infection in the vulva. Under the influence of infection, the external opening of the excretory duct closes, and its secret accumulates inside the gland, forming a cyst.

Sometimes the cause of the formation of a cyst of the large gland of the vaginal vestibule is a mechanical obstruction to the outflow of its contents during the development of fibrosis or hyperplasia of the surrounding tissues.

An uncomplicated small Bartholin’s cyst may not cause subjective sensations and may be incidentally discovered by a woman.

Symptoms appear only in case of infection of the cyst with the development of bartholinitis or purulent abscess of the Bartholin gland.

With infectious inflammation in the duct of the Bartholin gland, there are usually no bright symptoms, and the disease is quite easy to treat.

The vestibule of the vagina contains a significant number of nerve endings and a well-developed circulatory network, therefore, all acute pathological processes in this zone, including those in the Bartholin glands, are accompanied by pronounced clinical manifestations.

When an infection enters the cavity of the gland, the contents of the cyst become purulent, which can lead to the formation of an abscess of the Bartholin gland.

If the infection spreads to the entire gland, symptoms of an acute purulent process appear: fever, intoxication, sharp throbbing pain in the area of ​​the cyst. The skin in the area of ​​the abscess becomes purple and hot to the touch, the labia majora are very swollen and can block the entrance to the vagina.

Diagnosis of a Bartholin’s cyst begins with an examination of the vulva and a vaginal examination. External signs of a cyst are determined by its size. The asymmetry of the genital fissure is visualized, a one-sided increase in the labia majora due to inflammatory edema and large cysts, a rounded formation that rises above the skin of the labia majora. In the absence of inflammation, the skin over and around the cyst appears unchanged.

Treatment tactics depend on the size of the cyst and the presence of inflammatory changes in it. Small, no more than two centimeters, cysts of the Bartholin gland in the absence of complaints do not require urgent therapeutic measures.

Large cysts that disrupt the usual rhythm of life, as well as small cysts that cause physical and psychological discomfort to a woman, are surgically removed.

Treatment of a glandular cyst of the vestibule complicated by an inflammatory process involves conservative antibiotic therapy and surgical removal of the cyst if it is ineffective.

With a good state of “local immunity”, uncomplicated small cysts can resolve on their own, but this scenario does not guarantee the absence of a recurrence of the disease in the future.

The prognosis of the disease is generally favorable. Timely adequate treatment and subsequent preventive measures eliminate pathological changes in the glandular tissue.

If acute inflammation in the Bartholin’s gland is not treated properly or the patient is treated independently, it can turn into a chronic inflammatory process.

Possible complications of the Bartholin gland cyst:

— purulent-inflammatory transformation of the cyst after infection (acute bartholinitis, gland abscess)

— development chronic inflammatory process and relapses (chronic bartholinitis, cyst recurrence)

– in immunodeficiency states and diseases, the infection can enter the bloodstream (sepsis) or form fistulas – non-physiological passages between the gland and surrounding tissues.

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Bartholinitis: PHOTO, symptoms, TREATMENT | Spa clinic for women’s health

Gynecological Clinic – “Women’s Health Resort Clinic”

Articles about diseases

Bartholinitis: symptoms and treatment

The cost of visiting a gynecologist

Authors of the article: candidate of medical sciences – O. Yu.Ermolaev, experienced gynecologist, physiotherapist-health resort specialist – E.K.Ermolaeva

The wind runs in a crazy stream through the veins.
Toil further – neither the strength nor the desire.
Great changes are coming in the veins of consciousness.
Became old again, yesterday still new, covenant.

Taisiya Rozhinova

BARTHOLINITIS is an inflammation of the large gland in the vestibule of the vagina (Bartholin’s gland). When filling with mucus or pus of the Bartholin’s gland, a CYST of the Bartholin’s GLAND is formed

• TREATMENT of bartholinitis WITHOUT PAIN, within 3 seconds!
• There are RESULTS, there is EXPERIENCE, there are ways to ACHIEVEMENT.

• Bartholinitis – inflammation of the large gland of the vaginal vestibule. About bartholinite in detail…

Treatment of bartholinitis WITHOUT ANTIBIOTICS, opening of the Bartholin’s gland without pain, on the day of treatment, with the Surgitron device is one of the most popular areas of practical activity of the Women’s Health Clinic.

The causative agents of bartholinitis are bacteria: staphylococci, streptococci, escherichia, gonococci, etc.

In the contents of the cyst of the Bartholin gland, in some cases trichomonas and E. coli are detected.

In the Bartholin gland, the infection penetrates through the excretory duct after a mechanical injury: combing, sexual intercourse with insufficient moisture, chafing after wearing tight and lacy underwear.

The inflammatory process within 3-5 days captures the entire Bartholin gland.

Pus fills the lobules of the Bartholin gland with the formation of a false abscess (pseudo-abscess of the Bartholin gland).

Bartholin’s gland cyst, Bartholin’s gland abscess may open spontaneously.

Treatment of bartholinitis, opening of the Bartholin gland in the presence of pus is necessary.
IMPORTANT to start moving in the right direction!
EVERYTHING you need to know about the right direction in the treatment of bartholinitis and Bartholin’s cyst, see HERE:

• Symptoms of bartholinitis
• Diagnosis of bartholinitis
• Treatment of bartholinitis
• Prevention of bartholinitis
• Questions and answers about the treatment of bartholinitis

Treatment of bartholinitis by appointment on a multi-channel phone 8 (800) 500-52-74 (toll-free in Russia), or +7 (928) 022-05-32 (for foreign calls).

Ask an ONLINE QUESTION about the treatment of bartholinitis at [email protected]

SIGN UP online for Bartholin’s gland marsupalization here

Buy kursovka by phone +7 (928) 022-05-32

Symptoms of bartholinitis

The symptoms of bartholinitis are characteristic and allow an unmistakable diagnosis on examination.

• Bartholinitis always occurs SUDDENLY against the background of complete well-being and personal hygiene.
• There is a FEELING of chafing and annoying DISCOMFORT at rest and while walking in the lower third of the labia majora.
• Bartholinitis in the vast majority of cases is unilateral.
• Symptoms of acute bartholinitis are malaise, weakness.
• Swelling occurs in the form of an inactive elastic “ball” and PAIN when walking in the lower third of the labia majora.
• Body temperature usually rises to 37.5-38.0°C.

The process progresses within 3-5 days.

The formation of a pseudoabscess of the Bartholin gland is accompanied by a high body temperature (up to 390°C), chills, throbbing pain in the corresponding labia majora.

On examination, swelling and REDENING are determined in the region of the Bartholin’s gland (“BUNE” on the labia), palpation (palpation) of the corresponding labia is sharply PAINFUL.

Spontaneous opening of a festering Bartholin’s gland oozes pus, the general condition quickly improves and the temperature decreases.

In the chronic stage of bartholinitis, the development of a retention cyst of the Bartholin gland is possible.

Retention is a cyst that can spontaneously resolve (empty) and reappear.

The content of the Bartholin gland cyst is a vitreous, viscous mucus.

Retention cysts of the Bartholin’s gland never! do not malignant, but at certain sizes cause aesthetic discomfort and DIFFICULTY during sexual intercourse.

Bartholinitis has a tendency to relapse (recurrence).

Diagnosis of bartholinitis

Acute bartholinitis and Bartholin’s gland cyst do not cause difficulties in diagnosis.

In acute bartholinitis and Bartholin gland pseudoabcess, all the classic signs of inflammation are present: pain, tumor-like formation, and local (local) fever.

A certain difficulty arises when deciding to treat conservatively (medication) or operate.

In other words, it is necessary to answer the question: is the inflammatory process common, or has PSEUDOABCESS already formed in the form of a cavity with purulent contents.

The success of treatment and aesthetic comfort depend on accurate diagnosis!
Accurate diagnosis and treatment of bartholinitis WITHOUT ANTIBIOTICS, opening of the Bartholin’s gland WITHOUT PAIN, on the day of treatment, using the Surgitron device is one of the most popular areas of practical activity of the Women’s Health Clinic.

Pay attention to the excellent quality of the photos, which testify to the expert class of our devices.

Treatment of bartholinitis

Treatment of bartholinitis should be started at the first symptoms (signs) of trouble.

Early visit to the doctor, in our experience, there is a real chance to stop the inflammatory process and prevent the formation of an abscess or Bartholin’s cyst.

Treatment of bartholinitis in the acute stage is to quickly limit and stop the inflammatory process.

Treatment of bartholinitis with late treatment is to accelerate the maturation of pseudoabscess and reduce the period of physical and mental disability.

At the same time, there is a chance (small chance) for stopping the process without surgical treatment.

For the treatment of bartholinitis in the Women’s Health Resort Clinic, a combination of phytotherapeutic agents and modern physiotherapy is used.

Physiotherapy potentiates (multiply enhances) the effect of medicines from plant materials.

In combination with herbal remedies, physiotherapy allows you to achieve recovery WITHOUT ANTIBIOTICS.

All physiotherapy procedures in the Women’s Health Resort Clinic are performed WITHOUT PAIN in comfortable conditions by professionally trained midwives.

Ask an ONLINE QUESTION about the treatment of bartholinitis at [email protected]

SIGN UP online for Bartholin’s gland marsupalization here

Buy kursovka by phone +7 (928) 022-05-32

Contraindications

Contraindications to physiotherapy treatment are general contraindications to physiotherapy: hypertension of the 3rd degree, oncological processes in the body, severe somatic (therapeutic) diseases in the stage of decompensation.

Contraindications for each specific procedure are detailed on the website in the corresponding paragraph of the article “Physiotherapy”.

Medicinal products based on plant and mineral raw materials according to the prescriptions of the Clinic’s doctors have detoxifying, analgesic and local (local) anti-inflammatory effects, make the immune system actively fight the infectious process.

Our experience in the treatment of bartholinitis shows that the use of drugs based on natural raw materials is an important physiological (corresponding to human physiology) component of treatment.

When suppuration of the Bartholin gland – filling the gland with pus with the formation of a pseudoabscess of the Bartholin gland – it is necessary to open the Bartholin gland.

The opening of the Bartholin’s gland in our Clinic is performed WITHOUT PAIN by a non-contact method using the Surgitron apparatus.

In some cases, up to 25 ml of pus expires.

The internal pressure is so great that when a pseudo-abscess of Bartholin’s gland is opened, the stream of pus sometimes reaches one meter.

Within 5-7 days, professionally trained midwives of the Clinic CLEAR from the remnants of pus and WASH the Bartholin’s gland, perform magnetic laser and ultrasound treatment.

After non-contact opening of the Bartholin’s gland, the wound is epithelialized (healed) with the formation of an aesthetic, thin, barely noticeable scar.

Hospitalization (inpatient treatment) is not required.

During the treatment of bartholinitis, fortified nutrition is necessary. There are no restrictions or food restrictions.

Sexual intimacy is possible after complete relief (cure) of acute bartholinitis or complete epithelialization (healing) of the postoperative wound.

Complete healing, as a rule, occurs 9-12 days after the non-contact opening of the Bartholin’s gland in our Clinic.

During the period of an open wound and incomplete healing, if it is impossible to avoid sexual intercourse, surrogate forms of love and anal sex are allowed.

In the case of recurrent (recurring) Bartholinitis, the Women’s Health Resort Clinic performs extirpation (husking, complete removal) of the Bartholin’s gland or marsupalization of the Bartholin’s gland.

After extirpation (husking) of the Bartholin’s gland, the pseudo-abscess of the Bartholin’s gland and the cyst of the Bartholin’s gland never occur again.

We accept girls, girls and women from all cities of Russia, near and far abroad.

The women’s health resort clinic operates both on paid services and in the system of voluntary medical insurance.

Accommodation and transfer

The women’s health resort clinic assists in the placement and accommodation of women, women with children and couples during the examination and treatment.

For details on accommodation and transfer from Mineralnye Vody airport and Pyatigorsk railway station, see the article “Accommodation”.

If you need to book accommodation, please coordinate the date of arrival no later than 7 days.

Leading specialists in the treatment of bartholinitis in the Southern Federal District

Ermolaeva Elvira Kadirovna

He is a well-known and recognized specialist in the treatment of bartholinitis in the North Caucasus.

Gynecologist, ultrasound doctor, physiotherapist-resortologist.

Elvira Kadirovna is approached by women who want to improve the aesthetics of the genitals, reduce the vagina and refresh intimate relationships from all regions of Russia and foreign countries.

Ermolaev Oleg Yurievich

Candidate of Medical Sciences, operating gynecologist with 30 years of successful experience in the treatment of bartholinitis.

Able to see relationships that elude others.

INTERNATIONAL RECOGNITION of the reputation and achievements of the Women’s Health Resort Clinic in the development and implementation of effective and safe treatment methods and the quality of the medical services provided IS THE AWARDING of the Women’s Health Resort Clinic in Pyatigorsk with the SIQS International QUALITY CERTIFICATE in the field of medicine and healthcare. International Socratic Committee, Oxford, UK and Swiss Institute for Quality Standards, Zurich, SWITZERLAND. More…

In the presence of severe bursting and throbbing pain in the labia majora, high body temperature (more than 38 ° C) and / or poor health, we accept WITHOUT an appointment out of the QUEUE.

Treatment of bartholinitis with the help of phytotherapeutic and physiotherapeutic agents allows you to achieve a complete cure and prevent the transition to a chronic form and the formation of an abscess (pseudo-abcess) and a cyst of the Bartholin gland.

After a spontaneous opening of a pseudo-abscess of the Bartholin gland, the outflow of purulent contents, as a rule, does not occur completely.

The pyogenic (pyogenic) capsule is preserved. And after gluing and scarring of the fistula, the process begins to mature again.

Spontaneous opening of a pseudo-abscess of the Bartholin gland leads to the formation of a rough scar.

The only consolation for this is the thought of limited access for contemplation . ..

Prevention of bartholinitis

There is no specific prevention of bartholinitis.

Reducing the risk of bartholinitis is facilitated by observing the rules of hygiene of the genital organs, avoiding wearing tight, synthetic and skin-irritating underwear and tight, tight-fitting trousers in hot weather. About the rules of hygiene of the external genital organs in detail …

We work WITHOUT DAYS OFF and holidays:

Monday – Friday from 8.00 to 20.00,
Saturday – Sunday from 8.00 to 17.00. +7 (928) 022-05-32 (for foreign calls).

Ask an ONLINE QUESTION about the treatment of bartholinitis at [email protected]

SIGN UP online for Bartholin’s gland marsupalization here

Buy kursovka by phone +7 (928) 022-05-32

With respect for the religion and different habits of our Patients, we achieve high efficiency and comfort of treatment.

We are at your FULL DISPOSAL if you have any doubts or wishes.

Frequently Asked Questions

For treatment of chronic bartholinitis and Bartholin’s cysts how to get to the POLIS Clinic? What is needed for this: a referral from a doctor, or just a desire and an insurance policy?

Answer:

You should contact your insurance company for a cover letter.
If you have a cover letter, you will be able to conduct the necessary examination and treatment of bartholinitis and Bartholin gland cysts in our Clinic. At the reception, you must have a passport and a policy of this insurance company.
Sincerely, Chief Accountant of the Women’s Health Resort Clinic.

Is it possible to get sick leave at the Clinic for the period of treatment of bartholinitis and Bartholin gland cyst?

Answer:

In the Women’s Health Resort Clinic, a certificate of incapacity for work (sick leave) is not issued.

What documents are required for marsupalization of the Bartholin’s gland?

Answer:

For marsupalization of the Bartholin gland, it is desirable to have copies of the results of a previous clinical and laboratory examination, copies of consultations of other specialists, copies of epicrises (conclusions) of surgical and conservative treatment. In other words, the fullest possible amount of medical information about your health.
If necessary or desired, it is possible to perform a clinical and laboratory examination in our Clinic.

I have a Bartholin gland cyst. Opened 3 times, the last time in February 2010. She broke down two days ago. After reading about all the problems associated with this disease, I concluded that it is desirable to do marsupalization. Unfortunately, in our city I did not find such a doctor. Can I come to you for treatment? Z.Kh., Mozdok.

Answer:

Opening of the Bartholin’s gland and marsupalization of the Bartholin’s gland in the Women’s Health Spa Clinic is possible. Pre-registration by phone 8 (800) 500-52-74 (call within Russia is free) or +7 (928) 022-05-32.

I am your old patient at the Student Polyclinic. A day after intense sexual intercourse, pain and swelling of the left large labia appeared. I made an alcohol compress, and after 3 hours my lip became very red and filled. It hurts even from panties. I can’t walk at all. Sensation of throbbing in the lip. What to do? M.I., Cherkessk.

Answer:

Come urgently! The appearance of a pulsation is a characteristic sign of the maturity of an abscess of the Bartholin gland.
The doctors of the Clinic will open and drain (“clean”) the abscess using the radio wave method WITHOUT PAIN. After 3 weeks, only a barely noticeable pink strip will remain.

I have chronic bartholinitis. What symptoms make sense to see a doctor? P.Sh., Nalchik.

Answer:

With chronic bartholinitis and treatment at the stage of discomfort and swelling in the lower third of the labia majora, there is a real chance to stop the process with therapeutic agents and prevent the formation of an abscess or cyst of the Bartholin gland.

Between my large and small left labia, but closer to the large one, a painful ball has formed below. Weakness. What is this? K.N., Rostov-on-Don.

Answer:

You develop bartholinitis – inflammation of the left large gland of the vestibule of the vagina.

Is it possible to treat chronic bartholinitis simultaneously with gynecological and therapeutic treatment programs? What will be the results and planned cost of treatment?

Answer:

We consider a woman/girl as a whole and treat not a disease, but a suffering (sick) person!
We provide a combination of gynecological and therapeutic treatment programs. And in fact, we always adjust the treatment of bartholinitis, the treatment of chronic bartholinitis, taking into account concomitant diseases of the gastrointestinal tract, cardiovascular, neuroendocrine and respiratory systems.
The procedures are combined in such a way that each subsequent one potentiates (strengthens) the action of the previous ones.
The cost of the combined (combined) treatment program, as a rule, exceeds the cost of the main treatment program by no more than 15%.
Sincerely, Chief Physician of the Women’s Health Resort Clinic, Ph.D. honey. Sciences O.Yu. Ermolaev.

“The women’s health resort clinic operates both on paid services and in the system of voluntary medical insurance.” In the system of voluntary medical insurance – is it under medical policies? Can you explain please!

Answer:

We accept the Insured at SOGAZ, AlfaStrakhovanie, Alliance, Ingosstrakh under policies issued by these insurance companies. You can find detailed information about which medical institutions your insurance company works with by calling the hotline number of your insurance company. If the Women’s Health Resort Clinic is not on its list, you can leave a request and, perhaps, your insurance company will meet you, conclude an agreement with us, and we will be happy to receive you.