Reader seeks prevention for Bartholin cyst

DEAR DR. GOTT: Can you explain what causes Bartholin cysts. Six months ago at the age of 66, I experienced one and visited my doctor. The cyst drained on its own so no surgery was involved.

I now have another one and even though I use antibacterial soap, clean towels and practice good hygiene, I am dealing with the problem again.

I am single, female, and not involved in any relationship so what can I do to prevent further cysts?

DEAR READER: A Bartholin cyst results when the opening (known as a duct) of the Bartholin glands on each side of the vagina become blocked. Fluid secretions back up into the gland, causing swelling known as a Bartholin cyst.
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Persistent drainage needs second opinion

DEAR DR. GOTT: Two years ago, a gland in my vaginal area starting draining smelly yellow pus. It then stopped but began to swell and cause terrible pain. I went to my gynecologist who opened the gland. After about two weeks, the swelling and pain stopped. However, now it drains constantly. I have gone back to my doctor twice yet he finds nothing wrong!

I am 60 years old and had a hysterectomy 20 years ago because of a fibroid tumor.

DEAR READER: You appear to have developed a cyst on one of your Bartholin glands. These glands are responsible for maintaining vaginal moisture. This occurrence is more common in women 20-29. All women over 40 who develop these cysts should be tested thoroughly to rule out cancer as a possible cause. Follow-up testing should also include blood work to check for sexually transmitted infections and diseases.

Since your current gynecologist appears to find no problem with your persistent drainage, I recommend you seek a second opinion from another gynecologist. The perseverance of the discharge you describe is not normal and needs to be diagnosed and treated.

Two years is far too long to have suffered with this. You need answers so don’t delay is finding another physician.

To give you related information, I am sending you a copy of my newly updated Health Report “Vaginal Infections and Disorders”. Other readers who would like a copy should send a long, self-addressed, 4 ¼” X 9 ½” letter-sized stamped envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.