Symptoms
A small Bartholin gland cyst is most often symptom-free. However, a large cyst or infection can cause symptoms.
Bartholin gland cyst that is not infected
Symptoms may include:
- A painless lump in the vulva area. It is possible, though unlikely, for both glands to develop cysts at the same time.
- Redness or swelling in the vulva area. A Bartholin gland cyst can swell from about 0.25 in. (0.6 cm) to 1 in. (2.5 cm).
- Discomfort when walking, sitting, or having sex.
You may find a Bartholin cyst on your own, or your health professional may notice it during a physical exam.
Infected Bartholin gland cyst (abscess)
Symptoms may include:
- Increasing pain that limits activities or occurs with walking, sitting, physical activity, or sex.
- Fever and chills.
- Swelling in the vulva area over a 2- to 4-day period.
- Drainage from the cyst.2 Drainage may occur 4 to 5 days after the swelling starts.
An abscess that opens (ruptures) on its own should be checked by a health professional to prevent complications.
Complications of an abscessed Bartholin gland cyst are rare but include gangrene, necrotizing fasciitis, toxic shock, and sepsis.2
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