Get Your Free Guide to Vaginal Cyst Treatment Options

What Are Vaginal Cysts and Why They Develop

Vaginal cysts are fluid-filled sacs that form in or around the vaginal area. They are common and usually harmless. Most women will experience at least one vaginal cyst during their lifetime, though many never notice symptoms or complications.

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Several types of vaginal cysts exist, and understanding the differences can help you recognize what you might be experiencing. Bartholin's cysts form from the Bartholin's glands, which are located on both sides of the vaginal opening. These glands produce fluid that lubricates the vagina. When the duct becomes blocked, fluid builds up and creates a cyst. Epidermoid cysts develop from skin cells and are among the most common type found in the vaginal area. Müllerian cysts form from remnants of embryonic tissue and typically appear higher in the vaginal canal. Müllerian cysts account for roughly 40 percent of all vaginal cysts. Gartner's duct cysts develop from leftover tissue from fetal development and are usually asymptomatic.

The causes of vaginal cysts vary depending on the type. Bartholin's cysts often result from blocked ducts due to inflammation, infection, or normal wear and tear. Epidermoid cysts may form following childbirth, trauma, or surgical procedures like episiotomy repair. Hormonal changes throughout your menstrual cycle can influence cyst development. Some cysts form without any obvious trigger. Certain factors increase your likelihood of developing vaginal cysts, including being sexually active, experiencing childbirth, and having a history of vaginal trauma or infection.

Practical takeaway: Most vaginal cysts are benign and require no treatment. Knowing what type of cyst you might have can help you understand what information to seek and when medical evaluation may be warranted.

Recognizing Symptoms and When to Seek Medical Evaluation

Many vaginal cysts cause no symptoms at all and are discovered during routine gynecological exams or imaging for other reasons. However, some cysts do produce noticeable signs that prompt women to seek medical care. Recognizing these symptoms can help you determine whether evaluation by a healthcare provider is appropriate.

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The most common symptom of a vaginal cyst is a noticeable lump or bulge in the vaginal area that you may feel or see. Some women describe a sensation of fullness or pressure in the vagina or lower abdomen. Pain during sexual intercourse, known as dyspareunia, can occur if a cyst is large enough to cause discomfort. Some women experience pain or tenderness during physical activity or prolonged sitting. If a cyst becomes infected, you may notice vaginal discharge that is thick, yellow, or foul-smelling, along with redness, warmth, or swelling in the affected area. An infected cyst may also cause fever or general malaise.

You should consider contacting a healthcare provider if you notice a lump or mass in the vaginal area, experience persistent pain or pressure, have pain during intercourse that is new or worsening, notice unusual vaginal discharge, observe signs of infection such as warmth or swelling, or have symptoms that concern you regardless of severity. Most vaginal cysts are not emergencies, but sudden, severe pain in the vaginal area warrants prompt evaluation to rule out complications or other conditions.

Documentation of your symptoms can be valuable when speaking with a healthcare provider. Note when symptoms began, how they have changed over time, and what activities make them better or worse. This information helps your provider assess the situation more thoroughly.

Practical takeaway: Many vaginal cysts produce no symptoms and require only observation. When symptoms do occur, they typically involve a noticeable lump, pressure sensation, or pain during intercourse—all reasonable reasons to schedule a medical evaluation.

Diagnostic Methods and What to Expect During Examination

Diagnosing a vaginal cyst usually begins with a physical examination by a gynecologist or other healthcare provider. During this exam, your provider will ask about your symptoms, medical history, and any relevant lifestyle factors. They will then perform a visual and manual examination of the vaginal area to assess the cyst's size, location, and characteristics.

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Pelvic ultrasound is the most common imaging test used to evaluate vaginal cysts. This non-invasive procedure uses sound waves to create detailed images of the cyst and surrounding structures. Transvaginal ultrasound, where the ultrasound probe is inserted into the vagina, provides clearer images of vaginal structures than external ultrasound. This procedure typically takes 15 to 20 minutes and causes no pain, though some women experience mild discomfort or pressure. Ultrasound helps determine the cyst's exact location, size, and whether it contains fluid or solid material.

For Bartholin's cysts, your provider may simply observe the cyst during examination and palpate it gently to assess its characteristics. If infection is suspected, a sample of the cyst fluid may be collected for laboratory analysis to identify the causative organism and guide treatment decisions. Magnetic resonance imaging (MRI) is occasionally used when ultrasound results are unclear or when a provider needs more detailed information before recommending treatment. MRI is particularly useful for distinguishing between different types of cysts and ruling out other conditions.

Most cysts are diagnosed without specialized testing. A visual and manual examination combined with patient history is often sufficient. Your provider will explain their findings, discuss what the imaging shows, and outline whether any treatment or monitoring is necessary. Questions you might ask include: What type of cyst is this? Will it go away on its own? Do I need treatment? How often should I be monitored? What symptoms should prompt me to return sooner?

Practical takeaway: Diagnosis typically involves a physical examination and often an ultrasound. These procedures are quick, painless, and provide information about the cyst's nature and whether treatment is needed.

Conservative Management and Monitoring Options

The majority of vaginal cysts do not require treatment and resolve on their own without intervention. Many cysts remain stable or shrink over time, particularly if they are small and asymptomatic. Healthcare providers often recommend a "watch and wait" approach, which involves monitoring the cyst through periodic follow-up exams rather than pursuing immediate treatment.

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Conservative management is appropriate for small cysts without symptoms, cysts that have remained stable over time, and situations where the risks of treatment outweigh the benefits. During monitoring, you will typically have follow-up ultrasounds or physical exams at intervals determined by your provider—often every 6 to 12 months for asymptomatic cysts. Your provider will track the cyst's size, appearance, and whether new symptoms develop. Many cysts remain unchanged for years, while others gradually shrink and disappear.

Certain self-care measures may provide symptom relief if a cyst is causing discomfort. Warm baths or sitz baths (sitting in warm water for 10 to 15 minutes several times daily) can ease pain and promote drainage of infected cysts. Over-the-counter pain relievers such as ibuprofen or acetaminophen may reduce discomfort associated with a cyst. Loose-fitting clothing and avoiding tight pants, thongs, or athletic wear may decrease pressure on the area. Avoiding sexual intercourse temporarily may prevent irritation if intercourse causes pain. Good hygiene practices—keeping the area clean and dry—support healing and reduce infection risk.

If a small, asymptomatic cyst is discovered incidentally during imaging for other reasons, no follow-up may be necessary if your provider determines it poses no health risk. Some cysts are so small and clearly benign that further monitoring adds no clinical value. Your provider will discuss whether the cyst warrants surveillance or can simply be ignored.

Practical takeaway: Most vaginal cysts improve without treatment through conservative management and monitoring. Self-care measures like warm baths, appropriate clothing, and over-the-counter pain relief can ease discomfort while the cyst resolves naturally.

Medical and Procedural Treatment Options

When a vaginal cyst causes pain, interferes with sexual function, becomes infected, or grows significantly over time, treatment may be recommended. Several treatment approaches exist, ranging from simple in-office procedures to more involved surgical options. Your provider will discuss which approach best suits your specific situation.

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Marsupialization is the most common procedure for symptomatic Bartholin's cysts.