Patient's question:
I am 33 years old and have developed a Bartholin's gland cyst. My external genitalia are swollen and red, and I am experiencing pain and difficulty walking. I do not want to undergo surgery. Could you please advise on the medication to use?Doctor's answer:
The treatment methods include oral medication and surgical intervention. Oral medications such as Xiaojin Pian and Guizhi Fuling Wan are used for treatment. If these methods are ineffective, surgical treatment must be considered. Currently, there is no specific medical treatment for cysts. For small cysts with no symptoms, no treatment is necessary, but regular follow-up is required to monitor whether the cyst continues to grow. Severe cysts may require surgical consideration.Guidance: Once the ducts become blocked, the accumulation of secretions can lead to Bartholin's gland cysts. In some cases, it may also be caused by thick mucus in the ducts or congenital narrowing of the ducts, leading to poor drainage and subsequent infection, which can form an abscess. Bartholin's gland cysts are usually unilateral, varying in size, and may remain stable for years without growth. If the cyst is small and there is no infection, the patient typically has no symptoms and the cyst is often discovered incidentally during a gynecological examination. This type of cyst generally does not require treatment. However, if the cyst is large, the patient may experience a sense of fullness or discomfort in the external genitalia or during intercourse, requiring medical consultation.