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Bartholin cyst recurrence
My partner has been experiencing recurrent Bartholin gland cysts. The first episode occurred on the left side in February, which resolved with antibiotics. In April, she developed swelling on both sides and underwent incision and drainage. Now, in November, another lump has developed on the right side. The current swelling has persisted for seven days, although the pain has subsided. There is no visible pus, and she is currently taking antibiotics. We would like to understand why these cysts keep recurring and what would be the best long term treatment to prevent further recurrence. Please suggest the appropriate investigations and treatment options.
Answers (1)
Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your cysts likely keep recurring because the Bartholin gland's drainage duct tends to re-block after each flare. This can happen even once antibiotics have cleared the active infection. Draining a cyst treats that episode, but it doesn't always stop the duct from blocking again later, on either side. That's why you're seeing repeat lumps months apart.
Next Steps
Ask your gynaecologist about marsupialization or a small Word catheter. Both keep the duct open and cut recurrence more than drainage alone. If your cysts keep returning despite this, removing the gland is the option left to stop them for good. A pelvic exam and a swab of any discharge will help your doctor decide which fits you best.
Health Tips
See your gynaecologist in person soon, since choosing between these options and ruling out other causes needs an actual examination.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.