My Bartholin cyst keeps coming back

A Bartholin cyst forms when fluid cannot leave the gland through its duct. It may become tender or infected, then improve after it opens or is drained. If the duct closes again, another lump can develop. Recurrence does not by itself tell you what the lump is; an examination helps distinguish a cyst or abscess from other vulval swellings.

Pain, pressure, or tenderness near the vaginal opening can interfere with daily activities. Read about [Vulval Pain](/symptoms/vulval-pain/).

Book a gynaecology or primary-care review, especially if episodes are becoming more painful or lasting longer. Note when each lump starts, whether it drains, the colour or smell of fluid, and whether you have fever. Warm water soaks may ease discomfort, but do not squeeze or puncture the area. Keep the skin dry and avoid friction while it is sore.

When cysts or abscesses recur, a clinician may discuss [Bartholin Cyst Marsupialisation](/treatments/gynaecological-surgery/bartholin-cyst-marsupialisation/), which leaves a drainage opening to reduce re-collection. The suitable option depends on the examination and your history.

Get urgent advice if you develop fever, chills, rapidly worsening pain, spreading redness, marked swelling, difficulty urinating, or feel generally unwell. Arrange prompt assessment for a firm or unusual lump, bleeding unrelated to your period, or a swelling that does not settle. Tell the clinician if you are pregnant, recently postpartum, or immunosuppressed.

Ask whether this is a recurrent cyst or abscess, whether testing is needed, which drainage approach fits your situation, and how recovery may affect sitting, sex, and work. Ask what symptoms should prompt urgent review if the swelling returns.