These are like the sweat glands you have in your armpit. Normally the liquid seeps out to keep the skin of the vulva moist. If the exit from a Bartholin's gland gets blocked, the liquid builds up as a swelling. Sometimes the liquid will build up for a time and then seep away again. Sometimes germs grow in the liquid, infecting it. This makes the swelling much bigger and painful. This can happen within a few hours, and needs an operation right away.
You will have a general anaesthetic, and be completely asleep during the operation. Alternatively the operation can be done under local anaesthetic (by numbing the area with a local anaesthetic injection, like when you go to the dentist). Although a few centres do this operation successfully under local anaesthetic, many perform it under general anaesthetic since this is a very sensitive area of the body and you can sometimes feel rather uncomfortable during the procedure.
A cut is made about an inch long through the skin into the swollen gland. This lets the liquid drain out through a wide opening. The gland then forms a little pouch. This is called marsupialisation. You will recall that an animal with a pouch, such as a kangaroo, is a marsupial. A dressing will be put over the wound and sometimes a length of dressing is packed inside as well to help healing. Antibiotics are given if there is any infection. You should be able to have the operation on the day you come in to hospital, and go home the same day
What affects the final cost of Bartholin's Cyst Treatment?
Qualifications/expertise of specialist
The patient's general health
The cost of Bartholin's Cyst Removal in iran start from $760.
If the cyst remains small and no infection occurs, you may not notice it. If it grows, you might feel the presence of a lump or mass near your vaginal opening. Although a cyst is usually painless, it can be tender.
If the cyst becomes infected — a full-blown infection can occur in a matter of days — you may experience these signs and symptoms:
A tender or painful lump near the vaginal opening
Discomfort while walking or sitting
Pain during intercourse
A cyst or abscess typically occurs on only one side of the vaginal opening.
Experts believe that the cause of a Bartholin's cyst is a backup of fluid. Fluid may accumulate when the opening of the gland (duct) becomes obstructed, perhaps by the growth of a flap of skin or because of infection.
A cyst can become infected, forming an abscess. A number of bacteria may cause the infection, including common bacteria, such as Escherichia coli (E. coli), as well as bacteria that cause sexually transmitted infections such as gonorrhea and chlamydia.
There's no way to prevent a Bartholin's cyst. However, practicing safe sex — in particular, using a condom — and maintaining good hygiene habits may help to prevent infection of a cyst and the formation of an abscess.
Your first appointment will likely be with either your primary care provider or a doctor who specializes in conditions that affect women (gynecologist). Because appointments can be brief, and there's often a lot to cover, it's a good idea to be prepared.
What you can do
Write down your symptoms, including any that seem unrelated to your condition.
Make a list of any medications as well as vitamins or other supplements that you take.
Take a notebook or notepad with you to write down information during your visit.
Prepare questions to ask your doctor, listing the most important first in case time runs out.
For a Bartholin's cyst, some basic questions to ask include:
What's likely causing my symptoms?
What kind of tests might I need?
Will the cyst go away on its own, or will I need treatment?
How long should I wait after treatment before having sex?
What self-care measures might help relieve my symptoms?
Will the cyst come back again?
Do you have any printed material or brochures I can take home with me? What websites do you recommend?
Don't hesitate to ask questions during your appointment if you don't understand something.
If you leave things as they are, the infected gland will burst in a week or so. This will be a most painful time for you. The opening will not be big enough to drain properly. You may find the swelling comes back again. Sometimes, antibiotics alone will settle the infection. You will probably have more trouble in the future. The best plan for you is this operation.
Stop smoking and get your weight down if you are overweight. (See Healthy Living). If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital's advice about taking the Pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to the hospital, take you home, and look after you for the first day after the operation. Bring all your tablets and medicines with you to hospital. On the ward, you may be checked for past illnesses and may have special tests to make sure that you are well prepared and that you can have the operation as safely as possible.. Many hospitals now run special preadmission clinics, where you visit for an hour or two, a few weeks or so before the operation for these checks. If you come into hospital as an emergency, you will bypass all these arrangements.
You will have a sanitary pad held on with elasticated net pants. Any packing in the wound will be taken out after 24 hours or so. There may be some staining with old blood during the first day or two. You can put a new sanitary pad on as often as you like. The vulva will feel a little painful for 24 hours or so after the operation. You will be given painkilling tablets to control this, and antibiotics if there was any infection. Injections are given for severe pain if needed. Take shallow baths three times a day to keep the vulva clean and to help healing. You need to pass urine before you leave the ward. If you have any difficulty, tell the nurses. You can wash the wound area as soon as you wish. Soap and tap water are entirely adequate. Salted water is not necessary. You can bathe or shower as often as you wish. You will be able to drink within an hour or two of the operation as long as you are not feeling sick. The next day you should be able to manage small helpings of normal food. You should plan to leave hospital the day of your operation. The District Nurse may call on you at home as required. You will be able to stay in hospital longer, if you are not ready to go home the same day. Some hospitals arrange a check-up about one month after you leave hospital. Others leave check-ups to the General Practitioner. The nurses will advise about sick notes, certificates etc. You should be able to return to a light job after about one week, and any heavy job within two weeks.
Go to bed and rest for at least six hours. You can start sexual relations again when you feel comfortable, usually after a week or two.