What causes a small bump next to the vagina?

Vulvar tumors are generally not painful. You may have a Bartholin's gland cyst or folliculitis. Bartholin's gland cyst has no white spot on the top of the pimple, but folliculitis has a white top. You can identify it yourself first. Both of these situations require anti-inflammatory treatment. The reason why a small lump grows next to the vagina is a brief introduction to a Bartholin gland cyst.

A concept

Bartholin's gland cyst is caused by obstruction of the Bartholin's gland duct and accumulation of secretions. After the acute inflammation subsides, the glandular duct is blocked and secretions cannot be discharged. The pus gradually turns into clear liquid and forms a cyst. Cysts can also be formed if the mucus in the glandular cavity is thick or there is congenital stenosis of the glandular duct and poor drainage. It may also be caused by damage to the Bartholin's glands, such as scars blocking the gland duct openings after perineal and vaginal lacerations during childbirth, or damage to the gland ducts during episiotomy.

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.

Three treatments

1Since 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 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.

The above introduces the reasons why a small lump grows next to the vagina. Bartholin gland cysts are more common in married women and are prone to recurrence. If they are not cured once, they are likely to recur in the future. The treatment of abscesses that have formed is mainly surgical incision and drainage. Larger cysts also require scraping the area inside the cyst, which is painful and can be treated with local anesthesia, so you must pay attention to your health in the future.