Complications and Recurrence of Bartholin’s Cyst
While most Bartholin’s cysts are harmless, complications can arise if they are left untreated or if they recur frequently. Understanding these risks can help women take appropriate action early. Read more about the complications and recurrence of Bartholin’s cyst below.
Common complications include:
- Infection and abscess formation
- A simple cyst can quickly become infected, turning into a painful abscess filled with pus.
- Infection may spread to nearby tissues if untreated.
- Chronic pain or discomfort
- A large cyst or repeated abscess can cause ongoing pain, especially during walking, sitting, or sex.
- Difficulty with intimacy
- Pain or anxiety around intercourse may arise if the cyst returns or causes scarring.
- Scarring and tissue changes
- Repeated infections or surgeries may result in scarring or narrowing of the vaginal opening (stenosis), affecting sexual function or childbirth.
- Bartholin’s gland carcinoma (rare)
- Though very rare, especially under the age of 40, a cancerous tumour can mimic a cyst. This is why any new lump in older women should be carefully assessed and biopsied if necessary.
Why do some women get recurring cysts?
- Incomplete drainage of the original cyst
- Continued exposure to irritants or infection
- Narrow ducts or scarring from previous procedures
- Untreated underlying infections, including STIs
Preventing recurrence:
- Complete full antibiotic courses when prescribed
- Use sitz baths regularly during recovery
- Practice safe sex to reduce STI risk
- Keep the area clean and dry
- Wear cotton underwear and avoid tight clothing
In South Africa, access to follow-up care may be limited, making recurrence more likely in women who are discharged without further monitoring. Education on home care and follow-up is crucial.
Complications and Recurrence of Bartholin’s Cyst
If cysts return frequently, more permanent solutions like marsupialisation or gland removal should be considered. These options offer long-term relief and restore comfort and confidence.
👉 [Next: Living with and Preventing Bartholin’s Cysts]
