A small Bartholin gland cyst is most often symptom-free. However, a large cyst or infection can cause symptoms.

Bartholin gland cyst that is not infected

Symptoms may include:

• A painless lump in the vulva area. It is possible, though unlikely, for both glands to develop cysts at the same time.
• Redness or swelling in the vulva area. A Bartholin gland cyst can swell from about 0.25in. to 1in..
• Discomfort when walking, sitting, or having sex.

You may find a Bartholin cyst on your own, or your health professional may notice it during a physical exam.

Infected Bartholin gland cyst (abscess)

Symptoms may include:

• Increasing pain that limits activities or occurs with walking, sitting, physical activity, or sex.
• Fever and chills.
• Swelling in the vulva area over a 2- to 4-day period.
• Drainage from the cyst.² Drainage may occur 4 to 5 days after the swelling starts.

An abscess that opens (ruptures) on its own should be checked by a health professional to prevent complications.

Complications of an abscessed Bartholin gland cyst are rare but include gangrene, necrotizing fasciitis, toxic shock, and sepsis.²