[Health Rx] How to Handle a Bartholin’s Cyst Pt 2 – Marsupialization

🦘I am more Kangaroo than you 🦘

Georgia O'Keeffe, "Mother of Modernism"

Not even a week and a half after I saw my OB/GYN to get my Bartholin’s Cyst lanced, my Bartholin’s Cyst procedure not only reversed itself – but became worse. For the record, with this type of issue – a recurrence is more common than you would hope. In my support group, some women have had 30+ lanced, or dozens of surgeries; it is depressing and isolating, and feels hopeless. There are no clear answers for us and there is no common fix; no one understands how they’re caused or how to truly treat them…but pretty sure if we were men someone would have made a one time pill for this shit – ANYWAYS.

Admittedly, I’ve been a bit bummed and borderline depressed every since my Bartholin’s Cyst Abscess came back after getting it lanced the first time. So, I figured it couldn’t hurt to finally go through the gauntlet of the recommended homeopathic remedies.

What I tried:

Best Organic Sitz Bath Soak For Postpartum Care Recovery & Natural Hemorrhoid Treatment, Soothes Relieves Pain Reduces Discomfort, 100% Pure Epsom & Dead Sea Salts Witch Hazel Lavender Essential Oil
  • Sitz Baths 2-3x a day with Epsom salts
  • Hot showers with a wash rag of Witch Hazel
  • Hot water bottles CONSTANTLY (but PLZ be careful, I definitely passed out with it one night and got a second degree burn on my leg…)
  • Apple Cider Vinegar – applied to a warm wash rag; though, I really do NOT prefer how that makes me smell!
  • PRID – A homeopathic drying salve, this is supposed to assist in relief from the cyst. Thankfully, my husband used to play baseball and said it reminds him of that; so, guess that’s a win? Either way, it made my nether regions officially smell like a farmer’s market.

Though the swelling and constant discomfort went down initially, eventually after a week of the homeopathic treatments the entire Bartholin’s Gland became inflamed and as hard as a rock. I was excited to try the at home methods because I didn’t feel I do not feel nearly as rushed into it as before – however, it wasn’t long after that I came to the conclusion I had to go through a more invasive surgery to get the issue truly handled.

Fast forward to the next Monday, and I’d spent all morning trying to track down a doctor in the Pacific Northwest that not only understood the issues I was dealing with, but was more or less an expert on the Bartholin’s Glands considered with how little is truly known. I scoured the internet for OB/GYN surgeons in the area, and specialty OB/GYN; even trying out of the box ideas, like finding a Urogynecologist in the area and seeing if they could refer me to another clinic.

Being relatively new still to the area, I simply don’t have the bandwidth for that type of medical knowledge up here – but finally realized, that I’ve made friends, colleagues and coworkers with a handful of fantastic fems in the area and decided to hit them up to see if they had a good recommendation; and I’m infinitely grateful they did. When Danny and I moved into our current home last year, I became instant friends with one of the people that used to live here, she still comes around to hang out with our neighbor and the three of us have had some socially distant wine dates over the Summer; being sick of my own body shaming, and my ego, I spilled the beans to both of them and they didn’t skip a beat with recommending an amazing doctor at the University of Washington’s OB/GYN clinic.

Calling last Monday, I was told that the doctor they were pushing wasn’t available for a few months, but -as it turns out – there was a doctor available the day, and she just so happens to be an Associate Professor at UW and she is their resident surgeon on staff, and only comes in on Mondays. After reviewing my files, as well as a thorough examination – we determined we needed to do a more invasive type of surgery, this time – we would be going for a marsupialization.


 • ↠ Marsupialization ↞ •

Management of Bartholin's Duct Cyst and Gland Abscess - American Family  Physician

What does it mean to get a Marsupialization?

Well, besides being a really neat word that makes you feel like a hybrid human-kangaroo; Marsupializations are performed both if drainage isn’t effective, or the cyst is too large or infected for a Word Catheter to make sense. This can happen either in an OR using general anesthesia, or as I found out – it can also be done within your OB/GYN’s office using local anesthesia like lidocaine shots. Word to the wise – if you have a quick metabolism: you will burn through the anesthesia quickly and need more; let your doctor know! Besides the initial series of shots, I had to get about 15 more during the course of the procedure because my body ate through each shot within minutes.

So, what exactly is the Marsupialization Procedure?

After the lidocaine shots, your doctor will use a cold knife to open the gland and drain the cyst. Once the cyst is drained, the area is everted, cleansed and stitched back together using 4-6 stitches to form a small pouch – hence, the term marsuipialization. All in all it takes about 30 to 45 minutes either in the OR or in your doctor’s office.

How to you After Care for it?

Very happy to have taken these last few weeks off work to recover from both surgeries. After the first procedure reversed, I’ve been hesitant to get my hopes up – there’s still a 5-15% failure / return rate. But, after 14 days of doing the least, I’m finally feeling on the mend, minus a little discomfort when I sit thanks to the placement of the gland, and residual inflammation from the incisions and the stitches. I took two weeks off of work, and absolutely recommend that for anyone that gets this procedure done. There is a vast amount of initial discomfort, including issues with going to the bathroom, walking and sitting – and stress does not help; so very glad I’ve taken the time for myself to heal properly. work.


I now have a deeper respect and understanding of my body and mind after feeling the rollercoaster of emotions from the past few weeks. I’m lucky to have such an amazing partner to not only handle this with me, but to handle me going through this. Next time someone says “tough as balls” – please remind them it should REALLLLLY be “tough as a pussy”; between periods, childbirth and poorly researched unique OB/GYN issues- the amount of pain, pressure and discomfort women deal with is phenomenally incredible. Massive respect to all my pretty mommas and badass babes; we run the world.

Georgia O'Keeffe (1887-1986) | Pink Spotted Lillies | 1930s, Paintings |  Christie's

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