• Health & Medicine
  • November 23, 2025

Bartholin Cyst Visual Guide: Symptoms, Appearance & Treatment

So you're sitting there wondering about that strange lump down there. You've probably typed "what does a Bartholin cyst look like pictures" into Google a dozen times already. I get it - when something unusual appears near your private parts, you freak out a little. Let's cut to the chase: Bartholin cysts aren't rare at all. In fact, about 2% of women get them at some point, usually during childbearing years.

Okay, picture this: imagine a small water balloon tucked beside your vaginal opening. That's basically what we're dealing with. These cysts pop up when the Bartholin glands (those tiny pea-sized things near your vagina) get clogged. Often they're painless little bumps you might notice while showering. But oh boy, when they get infected? That's when things get miserable.

Quick Visual Guide

Before we dive deep, here's the cheat sheet:
• Location: Inside labia near vaginal opening
• Size: Pea to golf ball (1-4 cm)
• Color: Skin-toned or slightly red
• Feeling: Soft and movable under skin
• Pain level: Usually none unless infected

Exactly Where to Look for Bartholin Cysts

If you're trying to spot one of these suckers, grab a hand mirror. Seriously, this is where it gets real. These cysts always show up in the same neighborhood:

  • Lower part of the labia majora (those outer lips)
  • Posterior vaginal opening (that's the 4 or 5 o'clock position if you think of it like a clock face)
  • One-sided only - almost never on both sides at once

I remember my sister calling me panicked about hers. "Is it on the left or right?" I asked. When she said left side only, that was our first clue. That asymmetry thing is pretty consistent.

Their location explains why sitting can feel like perching on a marble when they get big. Not fun during long work meetings, trust me.

Size Matters: From Peas to Golf Balls

These things have serious range:

Size Appearance What You'll Notice
Tiny (pea) Hard to spot visually Might only feel it when washing
Small (marble) Noticeable bump Visible when legs apart
Medium (grape) Clear rounded swelling Labia looks uneven
Large (golf ball) Obvious distortion Can make walking uncomfortable

Most women catch them at marble or grape size. The monster golf ball versions? Those usually mean infection's set in. If yours got huge overnight, your body's waving red flags.

Visual Characteristics: What Doctors Look For

Let me describe these like I'm walking you through it. First off, they're subcutaneous - meaning under the skin. The cyst itself is:

  • Smooth and dome-shaped
  • Skin-colored or slightly pink
  • No visible head (like a pimple would have)
  • The skin over it? Movable and normal texture

Here's where pictures would help - but since we can't show them, imagine a semi-inflated balloon just beneath skin. It pushes up evenly. What you won't see are hairs growing from it (that's ingrown hairs), clusters (hello herpes), or open sores.

Infection Alert: When that innocent cyst turns angry, appearances change fast. Look for:
• Skin turning fire-engine red
• Shiny, tight-looking skin
• Visible swelling that feels hot
• Possible pus or fluid leaking
• Pain that makes sitting unbearable

I've seen infected ones that looked like alien growths. Not pretty. And the smell if they rupture? Yeah, you'll know.

Bartholin Cyst vs. Other Lumps: Spot the Difference

This table's gold if you're comparing your situation to Google images. Seriously print this out:

Type Appearance Key Differences
Bartholin Cyst Smooth dome, no head Inside labia near opening
Ingrown Hair Red bump with visible hair Often on outer labia or bikini line
Genital Herpes Clusters of blisters/ulcers Painful, may have flu symptoms
Sebaceous Cyst Yellowish with central pore Can occur anywhere
Lipoma Doughy, deep under skin Usually larger and slower growing

See how location gives it away? Bartholin cysts have that specific real estate by the vaginal entrance. Anything elsewhere probably isn't one.

When to Stop Googling "what does a Bartholin cyst look like pictures" and Call Your Doctor

Okay real talk - most small painless cysts you can watch for a few days. But these scenarios mean pick up the phone:

  • It doubled in size overnight
  • Redness spreading like spilled wine
  • Throbbing pain that Advil won't touch
  • Fever or chills (that's ER territory)
  • You've had it over 2 weeks with no change

My gynecologist friend Sarah says the worst cases always start with "Well I thought it would go away..." Don't be that person. If it looks angry, get help.

Look, I get the embarrassment factor. But doctors see vulvas all day. Yours won't shock them. Take it from someone who waited too long with an infected cyst - the treatment hurts WAY less when caught early.

Diagnosis: What Really Happens in the Exam Room

Worried about the appointment? Here's the play-by-play:

  1. You'll strip from waist down and rock that paper gown
  2. Doc has you put feet in stirrups (the glamorous part)
  3. They'll examine visually first - often can diagnose just from appearance
  4. Might gently palpate it to check firmness and tenderness
  5. If pus is present, they may swab for infection testing

That's it. No internal exam unless other issues are suspected. The whole thing lasts maybe 5 minutes once you're positioned.

Treatment Options: From Sitz Baths to Surgery

Treatment totally depends on whether it's playing nice or going nuclear:

Treatment Best For Pros/Cons
Warm compresses Small painless cysts DIY but slow results
Sitz baths Early inflammation Soothing but messy
I&D (Drainage) Infected abscesses Instant relief but might recur
Word catheter Recurring cysts Prevents recurrence but uncomfortable
Marsupialization Frequent repeat cysts Permanent solution but minor surgery

That Word catheter? It's a tiny balloon they leave in for 4-6 weeks. Weird concept but surprisingly effective. Had a friend who named hers Bert.

Home Care That Actually Works

For small uninfected cysts, try these while monitoring:

  • Warm baths: 20 mins 3x daily - heat draws out fluid
  • Comfort measures: Donut pillow for sitting, loose cotton undies
  • Leave it alone: No squeezing! That invites infection

But please - if it hasn't improved in 72 hours, stop the baths and call your doc. Persistent heat can sometimes worsen inflammation.

Prevention: Can You Avoid These Things?

Wish I had magic answers here. Truth is, some women just get them. But these might help:

  1. Stay hydrated (thick mucus blocks ducts easier)
  2. Practice safe sex (STIs increase inflammation risks)
  3. Don't use harsh soaps down there (disrupts natural balance)
  4. Change out of sweaty workout gear promptly

That last one? Learned that the hard way after spin class. Moisture loves breeding trouble.

Your Top Bartholin Cyst Questions Answered

Can I pop a Bartholin cyst myself?

God no. Seriously don't. Unlike pimples, these aren't near the surface. You'll likely just cause bruising or introduce bacteria. Infected cysts need sterile medical drainage.

How long do Bartholin cysts last?

Small painless ones might hang around weeks to months. Infected abscesses usually come to a head (and drain) within 4-5 days. Persistent cysts beyond two weeks need medical evaluation.

Are Bartholin cysts linked to STDs?

Usually not. Most develop from normal gland fluid buildup. However, infections can sometimes be caused by STIs like chlamydia or gonorrhea - that's why doctors often test discharge.

Can they turn cancerous?

Extremely rare. Bartholin gland cancer accounts for less than 1% of gynecological cancers. Unless you're over 40 with a rock-hard irregular lump, it's almost certainly benign.

Do they always come back?

About 10-15% become repeat offenders. If you've had two or more, ask about definitive procedures like marsupialization that create permanent drainage.

Final Reality Check

After all this talk about what does a Bartholin cyst look like pictures, here's my take: These cysts are mostly annoying, rarely dangerous. Yes they look alarming when swollen. Yes they hurt like hell when infected. But they're manageable.

The biggest mistake? Letting embarrassment delay care. I've seen women limp into clinics after weeks of agony because they feared judgment. Meanwhile doctors are thinking "Finally! Let's fix this!"

So if your lady bits sprout a mysterious lump, stay calm. Check its location and features against what we've covered. Monitor for infection signs. And remember - most women breeze through treatment with quick relief.

Still obsessively comparing your bump to "what does a Bartholin cyst look like pictures"? Time to swap Dr. Google for a real one. Your vulva will thank you.

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