Bartholin's cyst 

Introduction 

A Bartholin's cyst, also called a Bartholin's duct cyst, is a small fluid-filled sac just inside the opening of a woman's vagina.

You may feel a soft, painless lump. This doesn't usually cause any problems.

However, if the cyst grows very large, it can become noticeable and uncomfortable. You may feel pain in the skin surrounding the vagina (vulva) when you walk, sit down or have sex.

The cyst can sometimes affect the outer pair of lips surrounding the vagina (labia majora). One side may look swollen or bigger than usual.

If the cyst becomes infected, it can cause a painful collection of pus (abscess) to develop in one of the Bartholin's glands. Signs of an abscess include the affected area becoming red, swollen, tender and hot. It can also cause a high temperature of 38C (100.4F) or above.

When to see your GP

Small Bartholin's cysts are sometimes only found during a routine cervical screening test or an examination carried out for another reason.

Always see your GP if you develop a lump in the area around your vagina so they can confirm a diagnosis and rule out more serious conditions.

If your GP thinks the cyst or one of your Bartholin's glands may be infected, they may use a swab to remove a sample of discharge for analysis to identify the bacteria responsible.

In some cases, your GP may recommend you have a biopsy. A small sample of cyst tissue will be removed and examined under a microscope to check for signs of a rare type of vulval cancer called Bartholin's gland cancer.

What causes Bartholin's cysts?

The Bartholin's glands are a pair of pea-sized glands found just behind and either side of the lips that surround the entrance to the vagina. The glands aren't usually noticeable because they're rarely larger than 1cm (0.4 inches) across.

The Bartholin's glands secrete fluid that acts as a lubricant during sex. The fluid travels down tiny tubes called ducts, into the vagina. If the ducts become blocked, they can fill with fluid and expand to form a cyst.

It's often not known why the ducts become blocked, but some cases are linked to sexually transmitted bacterial infections such as gonorrhoea or chlamydia, or other bacterial infections such as Escherichia coli (E. coli).

How Bartholin's cysts are treated

If you don't have any noticeable symptoms, it's unlikely you'll need treatment.

If the cyst is painful, your GP may recommend some simple self care measures, such as soaking the cyst in warm water several times a day for three or four days and taking over-the-counter painkillers.

If these don't work, several treatments are available to treat the pain and any infection. If necessary, the cyst can be drained. Most of these treatments involve a minor surgical procedure.

It's estimated a Bartholin's cyst will return at a later stage in about one in every five women treated for the condition.

Read more about treating a Bartholin's cyst.

Who's affected?

Around 1 in every 50 women will develop a Bartholin's cyst or abscess at some point. It usually affects sexually active women aged between 20 and 30.

Bartholin's cysts don't usually affect children because the Bartholin's glands don't start functioning until puberty. The cysts are also uncommon after the menopause as this usually causes the Bartholin's glands to shrink.

Preventing Bartholin's cysts

It's not clear exactly why Bartholin's cysts develop, so it isn't usually possible to prevent them.

However, as some are thought to be linked to sexually transmitted infections (STIs), practising safe sex (using a condom every time you have sex) can help reduce your chances of developing one.

Read more advice about STIs.