Is your vagina troubling you while having sex? Are you having difficulty in inserting the menstrual tampon into your vagina while having periods? If your answer is “yes” to one or both of these questions insert a clean finger into your vagina to see if you have a vaginal cyst. If it is present, you will feel a tender lump on your vaginal wall or protruding out of it.
This is the vaginal cyst. In many cases these cysts do not cause the discomfiture stated above and are discovered in gynecological check ups.
Now, if you have found a lump there is nothing to worry about. Just remain calm as most vaginal cysts do not require any medical treatment. Only the ones causing trouble call for medical attention. Discussed below are some steps that are followed while treating vaginal cysts.
Tests to Rule out Conditions other than Vaginal Cysts
A biopsy and/or an X-ray are one of the first procedures you may be advised to undergo by your physician to rule out medical conditions like vaginal cancer and the involvement of the urinary bladder and/or the urethra by the cyst.
Treatment Approach for Vaginal Cysts
Once it is established that the vaginal lump is just a cyst and not a cancerous body you can relax a bit as it may or may not require medical treatment. Even if treatment is done, the procedures followed are pretty simple.
Small and Inactive Cysts Require no Treatment
If your cyst is behaving well and not really troubling you, you can breathe a sigh of relief as it probably does not require treatment. Even small cysts are usually not treated. Your gynecologist may at the most want to monitor the cyst at periodic time intervals to observe its growth and behavior.
Preliminary Home Treatment for Cysts( particularly Bartholin cyst) Causing Mild Discomfiture
You could make a sitz bath by filling a bathtub with warm water and then sit 4-5 times in a day for about 15 minutes. each time for about 3-4 days. This might give you relief from the discomfiture.
Sometimes pain killers are used for treating the condition. You could also try a hot towel compression which is found to be quite effective. However, if there is no relief for three or four days you should ideally seek professional medical help. Acute pain, fever or vomiting are conditions requiring immediate medical attention.
Antibiotics for Infectious Cysts
Infectious vaginal cysts cause pain and discomfiture as they contain pus cells and your gynecologist will prescribe you antibiotics for the same to kill the infecting bacteria.
Surgery for Recurrent/Troublesome/Cancerous Cysts
If your vaginal cyst is not responding to antibiotics or causing high discomfiture or has a tendency to recur quite frequently your gynecologist is going to consider surgery as the best option to tackle the issue in which the entire cyst is removed surgically. If you are above 40 years of age, you may be probably suggested surgical removal of your vaginal cyst in expectation of the cyst turning out to be malignant. Cysts removed surgically do not recur again.
The surgical procedure involves administering anesthesia on the patient, making an incision on the cyst and draining it with a catheter. The level of complexity of the surgery depends upon the positioning of the cyst on the vaginal wall.
Draining of Vaginal Cyst
Marsupialization- This procedure involves making an incision in the vaginal cyst for draining it out. It is a simple procedure and is done when a single draining does not solve the issue on hand.
Using Catheter- Your gynecologist might want to treat a large and mucous filled cyst, such as a Bartholin’s cyst, by draining it with a catheter which is inserted into the cyst. The tube is kept in the body for 4-6 weeks.
All incisions made on during treatment procedures heal automatically by themselves. Women who have undergone a drainage treatment should follow up the procedure for removal of packing material within 24-48 hours of the completion of the procedure or in a time frame as suggested by the doctor. All prescribed medicines should be taken as directed.