Patient's question:
Patient has uterine fibroids and adenomyosis with menstrual cramps for 1 yearDoctor's answer:
Bartholin's cyst, also known as a vestibular gland cyst, is formed due to the obstruction of the Bartholin's gland duct, leading to the accumulation of secretions. After the acute inflammation subsides, if the duct remains blocked and secretions cannot be expelled, the purulent fluid gradually turns into clear liquid, forming a cyst. Sometimes, the cyst may also form due to thick mucus in the gland lumen or congenital narrowing of the duct, resulting in poor drainage.Recommendations:
1. For smaller cysts, regular observation is recommended.
2. For larger cysts, cystostomy or cyst excision should be performed.
Western Medicine Treatment:
1. For smaller cysts, the primary treatment is sitz baths with a 1:5000 potassium permanganate solution to prevent infection.
2. For larger cysts, sitz baths with a 1:5000 potassium permanganate solution should be used before surgery, and oral antibiotics should be the main treatment after surgery.
Friendly Reminder:
Since cysts can lead to secondary infections, surgical treatment should be pursued. Cystostomy (pouch suture) has been proven through years of practice to be a simple, safe, and low-complication method with a low recurrence rate while preserving glandular function.
After treatment for a vestibular gland cyst, the external genital area should be kept clean and hygienic. Avoid wearing synthetic underwear, change underwear frequently, and prevent contamination from vaginal secretions, urine, and feces.