I have recurrent Bartholin gland cysts and has received two different treatment recommendations: marsupialisation with a Word catheter from one doctor and complete removal of the Bartholin glands from another. I am already experiencing vaginal dryness, and I am concerned about the long-term impact of either procedure on my sexual health. I am yet to get married, and  I would like to understand whether these procedures could affect natural lubrication, sexual arousal, sensation, orgasm or comfortable penetrative intercourse in the future. Would gland-preserving treatment be preferable in my case, and what would be the best long-term treatment option?