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I found a lump in my vagina, and it was fine

I found a lump in my vagina, and it was fine

Last year, my stomach dropped when I felt a lump inside my vagina. It was pea-sized and didn’t hurt, but having a semi-solid mass anywhere in the body is never welcome. After a quick Google search — and an email to my doctor — I realized it was probably a Bartholin’s cyst, a fluid-filled swelling that is usually treatable at home.

These cysts are often asymptomatic and heal on their own without complications. However, some can become painful and lead to an infection that needs medical treatment. Incase you ever experience a Bartholin’s cyst, here’s what you need to know about treatment.

What is a Bartholin’s cyst?

During arousal, the vagina secretes lubrication through the Bartholin’s glands. These ducts are located on each side of the inner labia, close to the opening of the vagina. Because the glands secrete liquid, they can get clogged. While gonorrhea and chlamydia can be risk factors, most patients don’t develop cysts because of an STI, says Dr. Kathleen Green, an OBGYN at the University of Florida Health Women’s Center.

Bartholin’s cysts “are caused by a blockage of the Bartholin’s gland, similar to getting a pimple as a pore gets blocked,” says Dr. Green.

How to treat them at home

I wasn’t experiencing any pain, so I took my doctor’s advice and soaked in a few warm baths and applied a heated compress every now and then. My cyst resolved in about a week. These self-care options are usually all you need to help the blockage drain, says Dr. Anna Reinert, an OBGYN at Dignity Health in Phoenix.

“Patients might not ever need to see their provider, says Dr. Reinert. “If they talked to them on the phone, they might just be able to do the compresses and the sitz baths at home.”

When to see a doctor

Recurrent cysts, whether infected or not, can sometimes interfere with walking, sitting, or having sex. Though it’s not commonly necessary, there are surgical options that can provide relief. In a procedure called marsupialization, a doctor can make an incision to sew open the cyst to let fluid drain and prevent it from reforming.

If you’re postmenopausal, you’ll want to get any lumps checked out by your gynecologist. Though rare, Bartholin’s cysts comprise 2-7 percent of vulvar cancers. “If you have a much older patient and they’re frequently having these, that’s when you start to worry that it might be something more dangerous,” says Dr. Reinert.

Getting lumps and bumps in and around the vagina, mostly during your childbearing years, is common. Most are oil-filled glands that are harmless and resolve on their own. But women who have gone through menopause can experience lichen sclerosus, a treatable condition that causes blisters or itching and warrants a trip to the doctor. Though it’s unlikely, a lump in the vulva that doesn’t resolve in a few weeks could be a sign of cancer. Some vaginal bumps can also be a symptom of genital warts or herpes. Make sure to see your doctor if you’re unsure.

And if your cyst causes pain, Dr. Green urges getting examined quickly.

“Any time a woman has a mass that is painful in her vagina, she should see her doctor as soon as possible,” says Dr. Green. “If caught in the early stages of infection, it can sometimes be treated conservatively with antibiotics or warm compresses. If it gets too big or the infection spreads, surgery may be needed.”

  • I have a lump, maybe a cyst on my labia that’s been there a few years. After it drained the lump healed but never went away. It doesn’t hurt. What will the obgyn do for it?

  • Hi I have a lump in my vagina the size of a big pea/ marble ish and a cluster just by/just inside my vagina. I don’t know what to do cause I’m 16 and don’t talk to my mum about anyhting

  • I actually experienced one in my Skene’s gland. It presented at the top of my vaginal opening and began to divert my urine flow to the point I had to tip my pelvis back just to get it to flow toward the toilet instead of up in the air. Fun times! It was also incredibly uncomfortable during sex.
    I was sent to a urologist who told me it was a small pouch of diverticulitis and due to being young (26) with no infections, I had to wait it out.
    I was not going to do that, so I fought to see a specialist.
    This is where I learned it was a cyst which was removed due to placement and size.
    I cannot stress enough, BE YOUR OWN ADVOCATE. If you are not satisfied with what a doctor tells you, go to someone else!
    I am now in my 40s with years of no bathroom gymnastics, no more uncomfortable sex, and no regrets.

  • Thank you so much for this article. Having experienced a cyst recently, I’m so glad to know that this is more common than I previously thought. Or even just something we can talk about.

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