Bartholinitis cyst burst | Formation of cysts within the scope of a bartholinitis

Bartholinitis cyst burst

If the cyst is not treated or surgically removed, it may burst spontaneously, i.e. without external influence, and the secretion may leak out. In this case, treatment is still advisable to clean the burst cyst and keep it open to prevent secretion from leaking.

Pregnancy

Cyst formation can also occur during pregnancy. However, if the size of the cyst is uncomfortable or if the cyst is just inflamed, a gynaecologist should also be consulted during pregnancy to discuss treatment of the cyst. In the case of small cysts, vaginal birth should not be a problem, as they do not interfere with the passage of the child. However, if the cyst is so large that it interferes with the baby’s passage, the further procedure must be discussed with the doctor.

Diagnosis

The diagnosis can be made by a gynaecological examination. In addition to swelling, the labia shows other signs of inflammation, such as overheating, redness and pain. A smear test to determine the causative bacterium is then useful in order to be able to give the correct antibiotic therapy. It is important to distinguish it from the Bartholin abscess. Here, a purulent accumulation forms in the excretory duct in the course of an inflammation, which also leads to swelling in this region.

Therapy

In the early stages of a Bartholinitis cyst, anti-inflammatory therapy and the administration of mild painkillers can help to alleviate the symptoms. Sitting baths can also help. If the inflammation is already very severe or an abscess has already formed, the therapy of choice is to remove or open the cyst.

Antibiotics may also be necessary as an adjunct medication. If an inflammatory cyst develops repeatedly, it may be necessary to remove the bartholin gland. If an abscess has already formed, a procedure called marsupialization is used.

In this procedure the cyst is opened in an operation and the inner skin of the cyst is sutured to the outer skin to ensure that the secretion can drain away. After the procedure, chamomile baths are recommended in order to keep the opened cyst clean. Should the cyst occur in the course of an inflammation or become secondarily infected, the existing inflammation can also be treated homeopathically.

Mercurius solubilis, Hepar sulfurius, Acidum silicicum or also Thuja are recommended for this purpose. The remedies are dosed and used differently depending on the stage of the inflammation. The cyst itself can be treated by warm sitz baths with natural additives such as chamomile, witch hazel or oak bark.