What are vulval cysts. How do they develop. Who is affected by vulval cysts. What causes vulval cysts to form. How are vulval cysts diagnosed. What are the common types of vulval cysts. How are vulval cysts treated.

Understanding Vulval Cysts: An Overview

Vulval cysts are encapsulated lesions containing fluid or semi-fluid material that occur on the external female genitalia. These cysts can develop from various structures within this complex anatomical area. While females of any age can develop vulval cysts, certain types may be more prevalent in specific age groups.

Causes of Vulval Cysts

The formation of vulval cysts can be attributed to several factors:

• Developmental issues
• Genetic predisposition
• Post-traumatic events
• Spontaneous occurrence

Understanding the underlying cause is crucial for proper diagnosis and treatment.

Clinical Features and Presentation of Vulval Cysts

Vulval cysts typically present as dome-shaped, firm or fluctuant, discrete lesions. Their manifestation can vary, ranging from asymptomatic to symptomatic presentations:

• Asymptomatic cysts may be discovered incidentally during routine examinations
• Symptomatic cysts can cause pain or dyspareunia (painful sexual intercourse)
• Discomfort may be cyclic, intermittent, or persistent

The location and distribution of these cysts often provide valuable clues for identifying specific types.

Diagnostic Considerations

Are there specific diagnostic techniques for vulval cysts? While many vulval cysts can be diagnosed through clinical examination, some cases may require additional diagnostic procedures such as:

• Ultrasound imaging
• MRI scans
• Biopsy for histological examination

These methods help healthcare providers distinguish between different types of cysts and rule out more serious conditions.

Common Cutaneous Cysts on the Vulva

Several types of cutaneous cysts can occur on the vulva, each with distinct characteristics:

Milium

Vulval milia are small, white cysts commonly found on the labia of older women. Key features include:

• Size: 1-2 mm in diameter
• Appearance: White, pearl-like lesions
• Typically asymptomatic
• Often an incidental finding during examinations

Epidermoid Cyst

Epidermoid cysts are frequently observed on the cutaneous aspect of the labia majora in middle-aged and elderly women. Characteristics include:

• Can be solitary or multiple
• May occur spontaneously or post-surgery
• Usually present as a painless lump up to 1 cm in diameter
• Rare cases of giant epidermoid cysts have been reported

Cysts Specific to the Vulval Area

Certain cysts are unique to the vulval region due to its specialized anatomy:

Bartholin and Skene Duct Cysts

These cysts develop from glands specific to the female genital tract:

• Bartholin glands: Located at the 4 and 8 o’clock positions of the introitus
• Skene glands: Adjacent to the distal urethra
• Contain clear mucoid fluid
• Can present as a lump or painful swelling if infected
• Bartholin duct cysts affect approximately 2% of adult women at some point

Vestibular Mucinous Cyst

These cysts originate from minor vestibular glands found on the inner labia minora. Key points include:

• Typically develop between puberty and the fourth decade of life
• May be found incidentally or present as a palpable lump
• Can cause pain if inflamed

Developmental Anomalies Presenting as Vulval Cysts

Some vulval cysts result from developmental irregularities during fetal growth:

Cyst of the Canal of Nuck

This cyst is a developmental anomaly analogous to a spermatic cord hydrocele in males. Features include:

• Results from incomplete closure of the round ligament
• Presents as a skin-colored, asymptomatic swelling
• Located in the inguinal area and labium majorum
• Often resembles an inguinal hernia
• Usually detected by five years of age

Gartner Cyst

Also known as a mesonephric cyst, this type develops from remnants of an incompletely regressed mesonephric duct. Important points include:

• Often associated with congenital abnormalities of the urinary system
• Presents as a small, solitary, unilateral cyst on the front vaginal wall
• May bulge to form an interlabial mass in late adolescence

Rare Vulval Cysts and Cyst-like Lesions

Several uncommon cystic lesions can occur on the vulva, each with unique characteristics:

Ciliated Cyst of the Vulva

This cyst originates from remnants of the paramesonephric duct. Key features include:

• Found incidentally on the labium majorum
• Often appears during pregnancy, puberty, or with hormonal changes
• Usually a single cyst cavity, 1-3 cm in diameter
• Drains clear or amber-colored fluid if ruptured

Eruptive Vellus Hair Cysts

These cysts are rare on the vulva but have been reported on the labia majora. Characteristics include:

• Present as multiple small yellow-brown papules
• More commonly found on the front of the trunk

Steatocystoma

Steatocystoma is an autosomal dominant skin condition that can rarely affect the vulva. Features include:

• Results from abnormal proliferation of the pilosebaceous duct junction
• Presents as skin papules that drain an oily fluid when punctured
• Vulval involvement is typically a late-onset sporadic condition

Differential Diagnosis: Cyst-like Lesions of the Vulva

Several conditions can mimic vulval cysts and should be considered in the differential diagnosis:

Pilonidal Cyst

Although typically found in the gluteal cleft, pilonidal disease can rarely occur on the vulva:

• Presents as a painless papule or nodule
• Often found around the clitoral area
• Caused by an ingrown hair forming a dermoid cyst

Cutaneous Endometriosis

Endometriosis can rarely manifest as a cyst-like lesion on the vulva:

• Often occurs at sites of previous obstetric or gynecological procedures
• May cause cyclic pain and swelling coinciding with menstruation
• Requires histological examination for definitive diagnosis

Distinguishing these conditions from true vulval cysts is crucial for appropriate management and treatment.

Management and Treatment Options for Vulval Cysts

The approach to managing vulval cysts depends on their type, size, and associated symptoms. What are the common treatment modalities for vulval cysts? Treatment options include:

1. Observation: Asymptomatic cysts may not require intervention
2. Incision and drainage: For infected or symptomatic cysts
3. Marsupialization: Creating a permanent opening in the cyst wall
4. Excision: Complete removal of the cyst and its capsule
5. Laser therapy: For certain types of superficial cysts
6. Sclerotherapy: Injection of sclerosing agents to shrink the cyst

The choice of treatment depends on various factors, including the patient’s preferences, the cyst’s characteristics, and the potential for recurrence.

Potential Complications

While most vulval cysts are benign, potential complications can occur:

• Infection leading to abscess formation
• Recurrence after treatment
• Dyspareunia or discomfort during daily activities
• Rare cases of malignant transformation

Regular follow-up and proper management can help minimize these risks.

Prevention and Self-Care for Vulval Health

While not all vulval cysts can be prevented, certain measures can promote overall vulval health:

• Maintaining good hygiene practices
• Avoiding tight-fitting clothing that may cause irritation
• Using pH-balanced, fragrance-free products for intimate care
• Seeking prompt medical attention for any unusual symptoms or lumps
• Attending regular gynecological check-ups

By implementing these strategies, individuals can support their vulval health and potentially reduce the risk of cyst formation.

Psychological Impact and Patient Education

The discovery of a vulval cyst can be distressing for many individuals. Healthcare providers play a crucial role in addressing both the physical and emotional aspects of this condition:

• Providing clear, accurate information about the nature of vulval cysts
• Addressing concerns about sexual health and body image
• Offering support and resources for coping with anxiety or embarrassment
• Encouraging open communication about symptoms and treatment options

Patient education and empowerment are essential components of comprehensive care for individuals with vulval cysts.

Advances in Diagnosis and Treatment of Vulval Cysts

Research in the field of vulval health continues to evolve, bringing new insights and approaches to the management of vulval cysts:

Diagnostic Advancements

• High-resolution ultrasound techniques for improved cyst characterization
• Biomarker analysis for distinguishing between benign and potentially malignant lesions
• Advanced imaging modalities for complex or atypical cysts

Innovative Treatment Approaches

• Minimally invasive surgical techniques for cyst removal
• Novel sclerosing agents with improved efficacy and reduced side effects
• Targeted therapies for recurrent or difficult-to-treat cysts

These advancements offer the potential for more accurate diagnosis and personalized treatment strategies.

The Role of Interdisciplinary Care in Managing Vulval Cysts

Effective management of vulval cysts often requires a collaborative approach involving multiple healthcare specialties:

• Gynecologists for primary evaluation and surgical management
• Dermatologists for assessment of cutaneous manifestations
• Urologists for cases involving urogenital structures
• Pathologists for histological examination and diagnosis
• Psychologists or counselors for addressing emotional and psychological aspects

This interdisciplinary approach ensures comprehensive care and optimal outcomes for patients with vulval cysts.

Future Directions in Vulval Cyst Research and Management

As our understanding of vulval health continues to grow, several areas of focus emerge for future research and clinical practice:

• Genetic studies to identify predisposing factors for certain types of vulval cysts
• Development of targeted preventive strategies based on risk factors
• Exploration of regenerative medicine approaches for tissue repair after cyst removal
• Implementation of telemedicine and digital health tools for improved patient monitoring and follow-up

These avenues of investigation hold promise for enhancing the prevention, diagnosis, and treatment of vulval cysts in the years to come.

Vulval cysts | DermNet

Authors: Dr Yi Jia Lee, Resident Medical Officer, Sir Charles Gairdner Hospital, Perth, WA, Australia; Dr Varitsara Mangkorntongsakul, Senior Medical Officer, Central Coast Local Health District, Gosford, NSW, Australia. Copy edited by Gus Mitchell. November 2020

What is a vulval cyst?

A vulval cyst is an encapsulated lesion that contains fluid or semi-fluid material occurring on the external female genitalia. Vulval cysts can develop from any of the structures normally found in this complex area.

Who gets vulval cysts?

Females of any age can present with a vulval cyst; however, a particular type of cyst may be more common in a specific age group.

What causes vulval cysts?

Vulval cysts can be developmental, genetic, post-traumatic, or spontaneous.

What are the clinical features of vulval cysts?

Vulval cysts are dome-shaped, firm or fluctuant, discrete lesions which may be asymptomatic and noticed incidentally, or present due to pain or dyspareunia which may be cyclic, intermittent, or persistent. The location or distribution of the cysts can be characteristic for a particular type of cyst.

See Vulval cyst images.

Common cutaneous cysts on the vulva

Milium

Vulval milia are 1–2 mm, white cysts very commonly seen on examination of the labia of older women. The patient may be aware of the multiple small lumps, but typically they are asymptomatic and an incidental finding.

Epidermoid cyst

Epidermoid cysts are commonly found on the cutaneous aspect of the labia majora of middle-aged and elderly women. The cysts may be solitary or multiple, spontaneous or post-surgical, usually presenting as a painless lump up to a centimetre in diameter. Giant epidermoid cyst of the vulva has been described.

Cysts specific to the vulval area

Bartholin and Skene duct cysts

Cysts of the Bartholin gland or Skene duct contain clear mucoid fluid. Bartholin glands are located towards the back and side of the introitus at the 4 o’clock and 8 o’clock positions. Skene glands are adjacent to the distal urethra. Cysts may present as a lump, or as painful swelling if the cyst has become infected and an abscess has formed. Bartholin duct cysts are reported to affect 2% of adult women at some time in their life. Skene duct cysts can also present in neonates. Diagnosis is usually made by the anatomic location of the cyst.

Vestibular mucinous cyst

Mucinous cysts develop from minor vestibular glands found on the inner labia minora along Hart lines. Cysts may be found incidentally, present as a palpable lump noticed by the patient, or cause pain should the cyst become inflamed. Vestibular mucinous cysts typically develop between puberty and the fourth decade.

Cyst of the canal of Nuck

A cyst of the canal of Nuck is a developmental anomaly due to incomplete closure of the round ligament and is the equivalent of a spermatic cord hydrocele in males. It presents as a skin-coloured, asymptomatic swelling located in the inguinal area and labium majorum, resembling an inguinal hernia. It is usually detected by five years of age.

Gartner cyst

A Gartner, or mesonephric, cyst develops in remnants of an incompletely regressed mesonephric duct. The mesonephric duct forms the male sexual organs, so should regress completely in the female fetus. Persistent mesonephric duct remnants in a female are usually associated with congenital abnormalities of the metanephric urinary system such as an ectopic ureter, unilateral renal agenesis or hypoplasia. A Gartner cyst is a small solitary unilateral cyst on the front vaginal wall towards one side, which may bulge to present as an interlabial mass in late adolescence.

Ciliated cyst of the vulva

At the ninth week of gestation, the paramesonephric duct develops into the fallopian tube. Remnants of this duct can form a ciliated, or paramesonephric, cyst found incidentally on the labium majorum during pregnancy, puberty, or with other hormonal influences. The lesion is usually a single cyst cavity, 1–3 cm in diameter, and drains clear or amber-coloured fluid if ruptured.

Cutaneous cysts that may occur on the vulva

Eruptive vellus hair cysts

Eruptive vellus hair cysts present as multiple small yellow-brown papules usually on the front of the trunk but have been rarely reported on the labia majora.

Steatocystoma

Steatocystoma is an autosomal dominant skin condition resulting in an abnormal proliferation of the pilosebaceous duct junction. The resultant skin papules drain an oily fluid when punctured. Involvement localised to the vulva has been rarely reported as a late-onset sporadic condition.

Pilonidal cyst

Pilonidal disease is usually found at the upper end of the gluteal cleft, but has been reported as a painless papule or nodule on the vulva, particularly in the area around the clitoris, due to an ingrown hair forming a dermoid cyst.

Endometriosis

Cutaneous endometriosis can rarely occur on the vulva at the site of previous obstetric or surgical trauma. It presents as nodules, patches, or cysts filled with fresh or clotted blood.

What are the complications of vulval cysts?

• Cyst rupture
• Inflammation and infection
• Pressure effects
• Dyspareunia (painful sexual intercourse)

How is a vulval cyst diagnosed?

Diagnosis of a vulval cyst is usually clinical based on the age at presentation, location, and appearance. Ultrasound examination or histology of a skin biopsy or excision specimen may sometimes be required.

What is the differential diagnosis for a vulval cyst?

• Vascular lesions — cherry angioma, angiokeratoma, haemangioma, varicosities
• Infections — viral wart, herpes simplex virus, bullous impetigo
• Inflammatory conditions — sebaceous adenitis, hidradenitis suppurativa, bullous fixed drug eruption
• Vulval cancer

What is the treatment for a vulval cyst?

The majority of vulval cysts do not require treatment once the diagnosis has been made. Cysts may be drained, marsupialised, extracted, or excised.

What is the outcome for a vulval cyst?

Vulval cysts are generally benign. Some may resolve or rupture spontaneously. Recurrence can follow surgical intervention particularly if the entire cyst wall has not been removed.

Pictures of What They Look Like

Medically Reviewed by Stephanie S. Gardner, MD on November 22, 2022

It’s a lump of fluid, air, or something else. Cysts are very common, and most aren’t cancer. You may need tests (like a CT scan, ultrasound, or biopsy) to confirm that it’s a cyst. They do not go away, but often, cysts don’t need treatment. Your doctor can let you know if yours does. You can get cysts in many different parts of your body, and you may not even know that they’re there.

You get acne when oil and dead skin block a pore. This often causes a small growth, or “pimple,” that goes away on its own or with over-the-counter drugs. If it’s more serious or a pimple gets very irritated, you might get a larger squishy growth called a cyst. (Hard growths are called nodules.) Talk to your doctor about treatment including antibiotics and other medications for your cysts.

A soft, fluid-filled lump can form at the back of your knee if you injure the joint because of arthritis, inflammation, a torn ligament, or other causes. You might mistake it for a blood clot. Rest with your leg raised up and ice the area for 15 minutes at a time. Anti-inflammatory drugs could also help. In some cases your doctor may suggest surgery or use a needle to drain it or inject steroids to lessen swelling.

The tiny Bartholin glands are deep under the skin on either side of the vagina opening. Their job seems to be to make fluids for sex. If something blocks a duct in one of these glands, it fills with mucus and gets bigger. It could even get infected and form a sore called an abscess. Tub soaks can help. In serious cases, your doctor might do surgery to create a permanent drain or remove the cyst.

You might notice one or more smooth lumps with clear edges on your breast, but you can’t always feel them. They may hurt in the days just before your period starts or when you have lots of caffeine. They’re very common and more likely right before menopause, or afterward, if you take replacement hormones. You don’t usually need to treat them, but see your doctor about any breast lump because it may be something more serious than a cyst.

In the womb, a baby’s bladder connects to its belly button through a channel called the urachus in the abdominal wall gut. If it doesn’t close by the time you’re born, a small lump of tissue and fluid (a cyst) can grow there. If it gets infected, you could have belly button pain, fever, and bloody urine. Your doctor may give you antibiotics, drain or remove the cyst, and possibly repair the area with surgery.

Here, something blocks a gland around a hair or irritates the opening (follicle) that holds it, often on your face, ear, head, trunk, or groin. That causes a bump to grow slowly under the skin. It’s usually soft enough to move when you touch it.   Usually, it doesn’t hurt, but you might notice a bad smell. Smaller ones usually go away on their own, but your doctor may need to drain or remove larger, swollen, or painful cysts.

A loose hair gets pushed back into the skin. Your body sees it as a threat and builds a pocket around it that holds dead skin and fluid. You might notice irritation at the base of your spine in the crease where your buttocks start.  If it gets infected, it can become very painful and may need to be drained or removed. Younger men get it more often, as do people who sit a lot, aren’t active, or are obese.

It’s a lump filled with liquid, most often near joints or tendons on your wrist or fingers. Tendon or joint stress might cause it, but it’s not clear. It may hurt and sometimes changes in size or goes away on its own. Anti-inflammatory meds or splints might curb pain. In more serious cases, your doctor may drain it with a needle or remove it completely.

Oil from the meibomian glands around the eyelids gets too thick or the opening clogs. Either way, it builds up and inflames the gland and forms a lump. The cause is often unclear, but certain skin types get it more. You may have no pain unless it gets fairly large. Really big ones can press on your eye and blur your vision. It usually goes away on its own, and warm compresses can help. Talk to your doctor if it sticks around.

Eggs from a pork tapeworm, a parasite, can pass into your food or drink contaminated with poop. They hatch in your gut and send small round “oncospheres” through your blood to the brain, muscles, liver, and other organs where they form cysts. You doctor will probably only treat them if they’re in your brain where they could cause headaches, seizures, confusion, or other problems. You’d likely take steroids to ease inflammation.

This cyst forms inside the epididymis, a coiled tube inside a man’s scrotum that connects to their testicles and helps move sperm. It seems to happen when sperm build up at the end of the tube. It’s not cancerous and doesn’t usually hurt, but your doctor should check to be sure. It usually goes away on its own. About a third of all men will get a spermatocele in their lifetime.

It happens before you’re born if the layers of your skin don’t grow together properly, usually on the head, neck, or face. That causes a pocket that traps skin, hair follicles, sweat glands, blood, fat, nails, teeth, and other structures. It might not be noticeable until fluid builds up and makes it bigger, sometimes years after birth. Then it looks like a small lump with skin on top that’s easy to move. Your doctor will likely remove the cyst with surgery.

IMAGES PROVIDED BY:

1) jarabee123 / Thinkstock

2) Dr P. Marazzi / Science Source

3) Dr P. Marazzi / Science Source

4) CNRI / Science Source

5) ZEPHYR / Science Source

6) (Both)  BSIP / Science Source

7) Girand / Science Source

8) Stocktrek Images / Science Source

9) Barry Slaven / Medical Images

10) ISM / BARRAQUER, Barcelona

11) Steve Gschmeissner / Science Source  (inset), Living Art Enterprises / Science Source  (background)

12) PIXOLOGICSTUDIO / Science Source

13) SPL / Science Source

American Academy of Dermatology: “Different kinds of pimples,” “What can clear severe acne?”

American Association for Pediatric Ophthalmology and Strabismus: “Chalazion. ”

American Pediatric Surgical Association: “Urachal Cysts.”

American Society for Surgery of The Hand: “Ganglion Cysts.”

Cleveland Clinic: “Spermatocele,” “Sebaceous Cysts,” “Breast Cysts,” “What is a Baker’s cyst?”

Johns Hopkins Medicine: “Sebaceous Cysts.”

Mayo Clinic: “Pilonidal cyst.”

Merck Manual: “Tapeworm Infection,” “Bartholin Gland Cysts.”

Michigan Medicine Kellogg Eye Center: “Chalazion and Stye.”

National Center for Advancing Translational Sciences: “Urachal cyst.”

St. Louis Children’s Hospital: “Dermoid Cyst in Children.”

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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 vestibule of the vagina. About bartholinite in detail…

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.

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

Trichomonas and Escherichia coli are detected in the contents of the Bartholin gland cyst in some cases.

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

+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 during 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 high body temperature (up to 39.0 ° 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.

Photo of bartholinitis. Spontaneously opened pseudo-abscess of the left Bartholin’s gland. Blood flows out of the perforation hole (place of rupture). Please note that the perforation is deep, causing pus to flow into the vagina

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.

Photo of bartholinitis. Retention cyst of the right Bartholin’s gland. A mature cyst is represented by a characteristic protrusion in the lower third of the right labia majora
Photo of bartholinitis. Spontaneously opened retention cyst of the left Bartholin’s gland. Clear, viscous mucus flows from the perforation

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).

Photo of a cyst of the right Bartholin’s gland in a 28-year-old woman
Photograph of a Bartholin gland cyst. Same case
Photo of a cyst of the left Bartholin’s gland in a 19-year-old girl
Photograph of a cyst of the left Bartholin’s gland. Same case

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.

3D photo of a cyst of the left Bartholin’s gland of a 28-year-old woman
3D photo of a cyst of the right large gland of the vestibule of the vagina of a 16-year-old girl

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, based on 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.

Photo of bartholinitis. Suppuration (pseudoabcess) of the right Bartholin’s gland
Photo of bartholinitis. After non-contact opening and drainage of a pseudo-abcess of the right Bartholin’s gland in our Clinic

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 a 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. Read 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

How to get to the POLIS Clinic for the treatment of chronic bartholinitis and Bartholin’s cyst? 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 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 according to 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.
Sincerely, Chief Accountant of the Women’s Health Resort Clinic.

Treatment is adjusted according to individual characteristics and previous treatment.

Ask a question by e-mail [email protected]

Register online

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

Bartholin’s gland cyst – symptoms, causes, signs, diagnosis and treatment in “SM-Clinic”

The pathology is not common, the frequency of occurrence is about 2%. At risk are women of early reproductive age (from 20 to 30 years).

For a long time, a Bartholin gland cyst may not cause discomfort to the patient. Pain for this condition is uncharacteristic. The only manifestation is the presence of a rounded formation of a soft elastic consistency in the thickness of the labia majora on the left or right side (the process is usually one-sided).

If you start treatment on time, then you can get rid of the Bartholin gland cyst on an outpatient basis. If it reaches a large size, then its surgical removal is required. In some cases, cysts can cause suppuration.

Types of Bartholin gland cysts

Bartholin gland cysts can be of 2 types:

• uncomplicated – there is no inflammation in the glandular tissue (acute bartholinitis or gland abscess);
• complicated – there is an inflammatory process, and often has a purulent character.

Symptoms of Bartholin’s cyst

The main complaint that patients with Bartholin’s cyst present is the presence of a rounded formation in the projection of the large genital lip. On palpation in the absence of an inflammatory process, the cyst is painless, has a softly elastic consistency and clear, even contours. Discomfort joins when the formation reaches a large size. Sometimes cysts can enlarge after sexual intercourse, because. there is an additional secretion of a natural moisturizer.

In cases of infection, a purulent process may develop in the contents of the cyst – acute bartholinitis or abscessing inflammation of the Bartholin gland. This situation is characterized by acute pains of a pulsating nature, the intensity of which increases during walking and intimacy, reddening of the skin in the pathological area and an increase in body temperature to 38-39 ° C. There may even be unmotivated weakness and chills.

Causes of a Bartholin’s cyst

The following factors can lead to obstruction of the outlet canal of the Bartholin’s gland:

• trauma to the genital organs;
• infectious inflammation in the external genitalia;
• violent friction during sexual intimacy.

The presence of a Bartholin gland cyst increases the risk of developing an abscess of this localization. The causes of purulent inflammation can be:

• conditional pathogens that constantly live in the genital tract of a woman, but acquire pathogenic properties only with a decrease in immunity;
• pathogens with sexual transmission (infection occurred from a sexual partner).

Abscess formation occurs quickly – 3-4 days is sufficient. Provoking factors are:

• sexual genital contact;
• non-compliance with hygiene measures on menstrual days, in the postpartum and post-abortion periods;
• wearing compressive underwear;
• mechanical friction of the external genitalia.

Diagnosis of Bartholin’s cyst

To make a correct diagnosis, it is enough for a gynecologist to conduct an objective examination. At the entrance to the vagina in the thickness of the labia, a pathological formation with dimensions of 1 cm or more is detected. In the presence of acute bartholinitis, soreness, swelling and redness of the skin appear, in the case of an abscess, all these signs are more pronounced, and fluctuation is also determined (softening center in the center). To identify possible causes of the formation of a Bartholin gland cyst and assess the overall level of health, the doctor may prescribe additional studies:

• microscopic examination of the discharge from the vagina – allows you to identify the inflammatory process;
• general clinical analysis of urine – with purulent inflammation of the gland, the content of leukocytes may increase;
• general clinical blood test – the number of leukocytes increases and the ESR accelerates with the development of an abscess;
• exclusion of urogenital infections using enzyme immunoassay or polymerase chain reaction.

In some cases, especially in women over 40 years of age, Bartholin’s gland cancer may be suspected. As part of an objective diagnosis under local anesthesia, a biopsy is performed using a needle. The resulting material is subjected to morphological examination.

Expert’s opinion

Bartholin’s gland cyst, having formed once and reaching a certain size, may no longer increase. Sometimes, however, its growth can still occur, which can lead to discomfort and the formation of psychological complexes due to the unaesthetic nature of the genital organs (there is asymmetry in the area of ​​​​the entrance to the vagina), this is especially important for female models. Therefore, gynecologists are advised to weigh the pros and cons and make the right decision about the need to remove it. In addition, do not forget that the Bartholin gland cyst can fester at any time, and in most cases, purulent inflammation requires an urgent operation, the risks of which are greater than with a planned one.

Kalinina Natalya Anatolyevna,
obstetrician-gynecologist, reproductive specialist, ultrasound diagnostician

Bartholin gland cyst treatment methods

For small cysts, outpatient treatment is performed, for large cysts, surgical intervention is indicated.

Conservative treatment

Conservative therapy is selected by the gynecologist individually for each patient. It consists in accelerating the resorption of the contents of the cyst. Anti-inflammatory treatment may also be given. Warm sitz baths are recommended.

In the presence of acute bartholinitis on the background of a cyst in the absence of an abscess, timely antibiotic and anti-inflammatory therapy can help to avoid surgery.

Surgical treatment of Bartholin gland cyst

Surgical treatment is performed in 2 cases:

• large cyst;
• the desire of the patient to get rid of the pathological structure (regardless of its size).

There are 2 types of surgical interventions:

• Marsupilization – the gynecologist makes an incision over the cyst, and the edges of the capsule are sutured to the edges of the incision. Thus, a new hole is formed for the outflow of the secret of the Bartholin gland. Gradually, the wound narrows, and the incision site becomes invisible. To prevent the hole from closing prematurely, a drainage tube is inserted into the cyst cavity for 1-2 days.
• Removal of the Bartholin gland – is carried out in the case when marsupilization did not bring the desired result.

If a patient develops an abscess against the background of a Bartholin’s cyst, then its opening and thorough cleaning of the cavity are indicated. Be sure to introduce a drainage tube to prevent the re-accumulation of pus and contribute to the speedy relief of the inflammatory process. All patients with Bartholin’s gland abscess after autopsy are prescribed antibiotic therapy.

Prevention of Bartholin’s cysts

There is no specific prevention of the formation of Bartholin’s cysts. It is recommended to avoid sexually transmitted infections. To do this, in the absence of a permanent and reliable sexual partner, condoms are used.

Rehabilitation after surgery

Immediately after surgery for a Bartholin’s cyst, a woman can be discharged home. In the early postoperative period, it is recommended to carefully carry out hygiene measures, trying to ensure that the established drainage does not fall out. After a few days, you will need to come to the clinic for a follow-up examination, removal of stitches or removal of drainage, depending on the situation.

FAQ

No. This is a disease of adults, because. the glands of the genital organs begin to function only after puberty. However, if the girl has a swelling in the vulva, it is necessary to consult with a pediatric gynecologist.

Yes, relapses are typical for this condition. To reduce their likelihood, you need to consult a gynecologist and be examined for urogenital infections, also follow the rules of personal hygiene (in addition to the fact that you need to wash yourself regularly, it is important to do it right – from front to back, and not vice versa).