Gynaecology
A Painful Lump Near the Vaginal Opening: Bartholin Cyst Care
A Bartholin cyst can cause a lump on one side near the vaginal opening. Any new vulval lump should be assessed so that the cause is clear.
A Bartholin cyst can cause a lump on one side near the vaginal opening. Any new vulval lump should be assessed so that the cause is clear.
When the situation changes
A small cyst may be painless. An infected cyst can become an abscess, with increasing pain, swelling, discharge or fever. A lump that becomes larger and more painful over hours or days needs urgent medical advice, especially if you feel unwell.
Do not try to puncture or drain the lump yourself. A clinician can assess whether treatment is needed and explain the options.
Describe the timeline
For the appointment, note when you first noticed the lump, how quickly it changed and whether sitting, walking or urinating is uncomfortable. Mention any previous episode and how it was treated.
If you have been prescribed medicines already, bring the details. This avoids relying on descriptions such as “the white tablet” when discussing what has or has not helped.
Ask about what happens next
If a procedure is recommended, ask where it will be done, what pain relief is available and whether you need someone to accompany you. Discuss wound care, time away from work and follow-up before leaving.
For a recurrent lump, ask whether a different approach or further assessment is appropriate. A useful discharge plan should explain expected symptoms, warning signs and who to contact after hours. Advice from someone who had a similar lump may not apply to your age, examination findings or medical history.
Further reading and care
For an individual assessment with Dr. Aishwarya Parulekar Pai, contact the clinic and confirm the appointment location before travelling.