How to Treat Bartholin's Cyst

Patient's question:

Medical Description: The condition has been present for two years, affecting both sides. Sometimes it appears as small spots, and at other times as larger ones.
Treatment History and Effect: I visited a doctor who recommended surgery, but it seems the recurrence rate is very high. Is that correct?
Desired Help: Currently, I am using ichthammol ointment, which is effective. But can it be used long-term? What are the side effects? The instructions state that it should not be used for more than 7 days in general. Why is that? Can I use it long-term? Thank you.

Doctor's answer:

Hello, Bartholin's cyst is one of the common vulvar inflammatory conditions in women. Due to its slow onset and atypical symptoms, it is often overlooked by women. Bartholin's cyst is also known as a vestibular gland cyst. The vestibular glands are located at the back of the labia majora and open on the inner side of the labia minora near the hymen. In your case, a fistula or abscess incision is generally required for treatment.
Traditional treatment involves fistula creation, which results in significant bleeding, extensive trauma, and the need for hospitalization. After this surgery, inflammatory scars may easily form locally, and recurrence is common. If you experience a recurrence, treatment with a small amount of antibiotics may be sufficient, or surgical intervention may be necessary. There are indeed no other particularly effective methods.

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