A pimple on the vagina

Many people are familiar with the pimples on the pubic area, which is probably a symptom caused by Bartholin's gland cyst. Bartholin's gland cyst is a type of cyst and is also a disease that troubles many people. There are three main causes of this disease: infection, stenosis or occlusion of the lumen, and damage to the Bartholin's duct. Next, I will introduce to you the disease of Bartholin's gland cyst.

1. Causes

Bartholin's gland cyst is formed due to obstruction of the opening of the Bartholin's gland duct and accumulation of secretions in the gland cavity. The reasons for blocking are:

1. Infection: After the Bartholin's gland abscess subsides, the pus is absorbed, and the mucus in the gland cavity becomes thick and blocks the gland duct.

2. Lumen stenosis or atresia: Congenital glandular duct stenosis or atresia causes the fluid in the glandular cavity to be poorly discharged or unable to be discharged, leading to cyst formation.

3. Injury to the Bartholin's gland duct: In some individual cases, the Bartholin's gland duct may be blocked and a cyst may form due to lacerations of the vagina and the outer part of the perineum during delivery, damage to the gland duct during episiotomy, or severe scar tissue contraction after the episiotomy heals.

2. Clinical manifestations

Bartholin's gland cysts vary in size, most of which gradually increase in size and some may persist for several years. If the cyst is small and not infected, the patient may have no symptoms; if the cyst is large, the patient may feel a sense of heaviness in the vulva or discomfort during sexual intercourse. Examination showed that the cysts were mostly unilateral but could also be bilateral, and were mostly oval in shape.

Treatment

Since the cyst can exist for a long time and remain unchanged for many years, regular observation is required and no treatment is required. If the cyst gradually grows larger and affects your life, or it becomes repeatedly infected and often forms abscesses, a Bartholin gland cyst ostomy may be performed. This method is simple, causes little damage, and can preserve gland function. However, the stoma should be large enough. It is best to place a drainage strip after the stoma is created and flush it with hydrogen peroxide or 2% iodine tincture once a day for 3 to 4 times in total to prevent adhesion and closure after surgery and the formation of a cyst again. Once an abscess has formed, it should be incised and drained.

In recent years, CO2 laser has been used for ostomy treatment, with a high cure rate, no adverse reactions, simple operation, short treatment time, no need to suture the wound, and patients can be treated in outpatient clinics. The high thermal effect of the laser can coagulate and carbonize tissue cells. Since the laser has an affinity for hemoglobin, it has a better coagulation effect, less bleeding during and after the operation, and can preserve the normal function of the gland. It has no effect on sexual life, no infection after surgery, and no need for antibiotics. However, the application scope of this technology is not yet widespread and needs further observation and research.