Do you need a referral for Bartholin cyst marsupialisation?

A Bartholin cyst forms near the opening of the vagina when a gland duct becomes blocked. If the cyst is painful, infected, recurrent, or difficult to manage, a clinician may discuss marsupialisation, which creates an opening so fluid can drain and the channel can remain open.

A clinician first examines the swelling and considers other causes of a vulval lump. A gynaecologist then discusses whether marsupialisation, drainage, a catheter, or another approach fits your situation.

Arrange an appointment with your primary-care clinician, sexual-health service, or gynaecology provider for an examination. Mention pain, fever, discharge, difficulty sitting or walking, previous cysts, and any pregnancy possibility.

If the swelling is rapidly worsening or very painful, ask whether you should attend urgent care rather than wait for a routine referral. Bring details of medicines and allergies to the assessment.

Seek urgent medical care for severe vulval pain, fever, spreading redness, pus, difficulty passing urine, faintness, or feeling acutely unwell. A painful swelling with systemic symptoms may need prompt treatment for infection and drainage.

Ask what the lump may be, why marsupialisation is being suggested, which anaesthetic is planned, how the area should be cared for afterwards, and what symptoms should trigger review. Ask when sexual activity and normal activity can resume.