Bartholin's cysts can be complicated by infection. If an abscess forms, the cyst may rupture and form a draining sinus. Drainage is the preferred method of treatment, and a catheter may be placed to drain the abscess. The median time to resolution of a Bartholin's abscess is 6 days. Uncomplicated cysts are treated by marsupialization or aspiration. The marsupialization technique is preferred. A number of other nonsurgical treatments are also used, including wet compress or sitz bath. The marsupialization method involves opening a patent junction between the cyst and the vagina, creating a valve that protects the cyst from receiving the flow of sweat and urine. The physician may then fill the exposed area with a medical solution. The solution typically includes potassium permanganate and can be used for several months. The marsupialization procedure is particularly suitable for women who are uncomfortable with surgery. The success rate of marsupialization is 88%. This method is used as an alternative to surgical removal of the cyst, especially in cases where the cyst is large and its removal would result in pain and discomfort. Complete removal of the cyst is also performed by puncturing the cyst and aspirating its fluid. Women with a history of cyst or abscess formation should not retain the cyst after the procedure.
In Europe, the treatment of Bartholin's cysts is not standardized, because most Bartholin's cysts are treated medically rather than surgically. Catheterization is often performed to drain the cyst. The main treatment for a Bartholin's cyst is to puncture the cyst and deliver a mixture of warm salt water and misoprostol or metrifonate. For large or recurring cysts, marsupialization is recommended, and cystectomy is sometimes performed if marsupialization does not work. Complications of cystectomy include infection, wound breakdown, and scarring. A possible treatment option is the use of octreotide, which may be injected into the cyst. This may reduce the size of the cyst, but it does not generally treat the cause. The cyst may reoccur if the antibiotics are stopped.
I have had a Bartholin cyst on and off for 3 months. It is located in the outer labia minora. I have had no pain, but swelling has become a problem. I have tried the sitz bath with no result. Last night it was swollen and the next morning, it was gone. I am so relieved. I have a hard time believing this. I am trying to maintain my weight and hope this is not a sign of other problems. I am trying to use the 4 steps as outlined in the method. I am wondering if I should be using the salt water or the combination?
I am 26 yrs old and have a cyst in the area of the gland for 6 years. It is not painful, but comes and goes. I have tried the sitz bath with no result. I have had the doctor drain it twice, but I do not wish to have surgery at this time. Would it work to apply the formula as mentioned in the book? (see attachment) 827ec27edc