What are the treatments for a Bartholin cyst?

What are the treatments for a Bartholin cyst?

Treatment for Bartholin cysts depends on the symptoms. If a cyst is small, painless and doesn't appear infected, it may not need treatment.

If symptoms persist or the cyst grows, then you may be developing an abscess (infection). In severe cases, abscesses may need surgically drained.

Treatment options may include:

• Sitz baths: Sit in a bathtub with 3 to 4 inches of warm water a few times a day for several days. This can provide comfort and promote healing. It could also help the infected cyst to burst and drain on its own.
• Over-the-counter pain medications: Take as directed for pain relief and discomfort.
• Antibiotics: If your cyst becomes infected or tests show you have a sexually transmitted infection (STI), your healthcare provider may prescribe antibiotics.
• Surgical draining: If your cyst is large and infected, surgery may be done to drain the fluid. A small tube called a catheter will be inserted into the cyst. The catheter is usually left in place for several weeks to allow for complete drainage.
• Marsupialization: The cyst is surgically opened and drained. Then, the surgeon will stitch the edges of the cyst wall to form a permanent open pocket or “pouch” for continuous drainage. This is often helpful for recurrent Bartholin cysts.
• Removal of the Bartholin’s gland: In extremely rare cases where treatment is not working, your healthcare provider may surgically remove the Bartholin glands.

Treatment for a Bartholin cyst should be directed by your healthcare provider. Even if it’s a treatment option that can be done at home, it’s best to talk to your provider first. Do not try to drain or squeeze a cyst as this could cause infection and make your symptoms worse.