Tuesday, May 10, 2011

Recurring Bartholian Cyst (Update 2)

Someone asked me previously for yet another update and some advice to future women with this issue. This is it, as promised. Please ignore any typos.

I couldn't get the interactive radiologists to go thru my veins and close it off. However, I did get the nerve ending killer treatment instead, and I went in on an earlier date to have them completely remove old scar tissue (and the cyst again). Basically, it's an out-patient proceedure this time (again this term is used to inaccurately describe your pain as you feel like shit even if you were to stay in the hospital). They sit you down on the exam table, then take a needle that has been filled with heavy doses of alcohol and stab you with it. I was stabbed about 9 times the first time I had it done (which was recently). Along with the alcohol they also inject a numbing agent, which is supposed to help with the pain. It doesn't at first.

It was extremely painful, I know I kept asking if we were done yet. I bit my husband's hand just so I wouldn't scream. I pretty much needed assistance getting out of the doctor's office and was in bed for a good two hours afterwards. It took a long time for the numbing medication that they used, to actually kick in. The numbing medication lasted about 4 hours after kicking in, but you still feel like shit afterwards.

Since getting it done, I do randomly feel like I have a urinary tract infection (even though it is not one, and in the same exact spot they stabbed me). It is a painful burning sensation that stays there for a good hour after it randomly shows up. It DOES help with leakage problems, at least in my case. I noticed within a few days of having this done, that my cyst was actually starting to drain on it's own again. This is a good thing.

However, the bad part is that this treatment needs to be done every 5-6 months AND so far I cannot tell if it has been worth a damn. I honestly haven't had it done long enough to know for sure. I can't tell if my body is naturally pushing out the gook, or if the nerve-ending thing actually helped. I will update to let you know if it HAS had any effect (positive or negative) on my cysts.




Someone also asked me for advice to the women in my same position. My first advice is to ignore all of those doctors that tell you that you're crazy - or pretty much anything else you don't like to hear. Some of it IS valuable to know, but most of it is worthless and does NOT pertain to this. I would also STRONGLY suggest to ignore the doctors who just want to tie your tubes. DO NOT DO THAT IF YOU EVEN THINK YOU HAVE A .001% CHANGE OF WANTING ANOTHER KID!!!! Also, you after a while of the doctor's visits, you WILL be able to tell who knows what they are talking about and who doesn't. I keep a mental checklist everytime I see a new doctor, and make sure they know what they are doing before they do ANYTHING to me (this includes check-ups).

I will straight up tell you that my doctor has recently suggested that I get a hysterectomy. This would remove any hopes I have of having that son I always wanted. Yes, I even picked a name. I decided that I AM still young, and I WOULD like to keep trying for yet another kiddling. I know my chances of getting pregnant are very slim (mainly due to this condition and scar tissue that has been building up). However, I am VERY young to have one. Most women have one at the age of 40. I am NOT 40. I am still about 10 yrs shy of that. This is also an automatic default for a lot of doctors. Think of it as the "cure-all", to any feminine issue. I also went into a serious depression because of this suggestion. (It was suggested about 3 weeks ago) I will let you know, for your own future reference, that a hysterectomy is the 2nd most common surgery among women (C-section beats it) and it is usually done on women between the ages of 42-55. This is obviously a big number of women getting it done (I'd prefer not to be one of them at the ripe age of 27), and it isn't even supposed to be done for something like a Bartholian Cyst (cancer is the #1 reason)...adding on that I'm WAY below the usual age of it.

Also, as due to my botched surgery, I would DEMAND that you do NOTNOTNOTNOT sign the waiver that all those doctors will give you. NEVER, EVER SIGN A WAIVER OF LIABILITY. It's always in those stacks of paperwork they give you to sign, and honestly, they just slide it right in there so that you can't sue the shit out of them later if they fuck up. NEVER SIGN THIS! You NEVER know if the doctor will screw up or not. Even if the doctor knows what they are doing, do NOT sign it. If they ask you why, tell them this: "I do not sign paperwork like this when I cannot be guaranteed 400%+ success rate on (whatever you're doing). I don't believe that anyone in this office is god or godlike, therefore, I'd like to protect myself and my rights." Even if you sign it for a checkup, they can later pull that paperwork out of their files later and hold it against you. So, even for a check-up, DO NOT SIGN IT!

My second advice is to GOOGLE! I am a google fiend now. I googled my ass off trying everything I could to come up with home remedies, researching the different types of surgeries, researching other women who had gone through this (though most stories were bogus and full of such home remedy crap that I gave up for a while) and of course researching the risks/side effects. I know I said before to ignore the home remedies, but hell...they might work for you. I know from personal experience, that I was willing to try ANYTHING to make the pain go away. I mean it. ANYTHING. None of them worked for me, but maybe someone else will get lucky.

I'd also suggest to get a therapist or have a seriously devoted husband. I rant and rave to my husband a LOT about this. He doesn't understand EXACTLY what I am going through, but he has been there for almost EVERY surgery/appointment since the botched surgery. Most women go to appointments without their spouse, but I took (and continue to drag) mine with me. I liked having someone else knowing exactly what I was up against, and having someone to yell at when needed. I also liked that after the first few appointments, he got the general jist of the doctor's attitudes. This was very helpful for when the male doctors wanted to treat me like a complete moron. It was also my way of letting him know that it wasn't all just "in my head".

I'm going to expound on this a bit more. It seriously hurt our sexual relationship to have to go through this constantly. As is, we barely have sex...and it's usually only when I feel up to it. I swear, he's part gay sometimes. I love him for it. It took him a long time to understand and generally avoid the shit out of me when I was in pain. It also took ME a long time to come to grips that I was NOT some unattractive, disfigured blob. I know it doesn't look exactly right down there, and yes sometimes I bitch about it, but I know that my husband loves MY body. If he didn't love me so much, and my body, then he would have left a long time ago.

This WILL hurt your relationship. I am a strong believer in "making love", and in order to do so - you need to feel a serious emotional attachment to that person. We had a really hard time coming to cope with the idea that we just can't have sex every day of the week (especially when we USED to do it that much), and that it most likely will NOT be enjoyable for me. We had to come up with our own way of getting around MY pain in order for me to enjoy it after the fact. We had a hard time getting around our sex life, and making time for ourselves (especially with two kiddlings running around). We are obviously military, so we don't usually have family around. Instead of hiring a babysitter (who might be a pedophile), we decided that our "date night" would not involve sex and would just be a movie and lots of snuggles (and kisses!).

Keep a list. I keep lists of everything now. I made a journal documenting every single little thing about this condition. In doing so, I realized that my cyst was recurring a lot just because of the amount of stress I was dealing with. When we minimized my stress, we minimized the recurrence rate from every week to every two weeks. It also helps you remember exactly what you have done before, and what did NOT work. It helps the doctors to realize that you are dead serious about your condition, and want a solution to it. It helps you keep tabs of what works and what doesn't. It helps you to keep tabs on how often the recurrence is, without having to rely on your memory (which mine tends to be slightly faulty when it comes to dates).

Get help! I can tell you right now that I had an enormous amount of trouble trying to take care of a newborn by myself, the bills, etc, without any help. My husband was deployed when my brother decided to stay and help me. I cannot even begin to describe how much this has helped!!! They don't need to live with you. They just need to be able to take the kiddlings away, or pets away, for a day or two once in a while. My brother still lives with us, to this day, and he takes the kids every other week for uncle-niece time. (And before you ask, he never wants to settle down and I honestly don't think he cares if he works a full-time job) Even just a little "me time" is well-needed. Shit, I even use him to babysit the girls when we DO decide to go out on our date night. It IS a huge help having that extra hand, and I honestly didn't realize how much I NEEDED it when this first started. It was also helpful that it was an immediate family member, just because of the rumors the in-laws were spreading around (etc). Mu hubby doesn't worry about my cheating on him with my brother (EW!), and my brother knows if one hair on my kids' head is out of place - he will die very slowly. I am dead serious about my kiddlings. No one hurts them, or they will pay. (No, he is NOT a molestor etc. He treats them like they are his own, and it's very cute.)

If you DO want to explain to someone about your medical situation, that you try to keep it short and simple. Like most doctors, most PEOPLE, do NOT understand. I cannot even BEGIN to explain to you the headache I get when I talk to the in-laws. Not only do they give you the pity looks, but they judge the shit out of you. My husband has taken a LOT of shit from his parents. While they understand that it is a medical issue, they do NOT understand why I'm "so lazy". So be VERY careful of how you phrase things, how you explain things, and WHO you tell.

I know I already suggested to get a therapist, but another main reason you might want to look into having someone to nonstop talk to is because of the depression. I have gone through so many bouts of depression because of this, that I had to be medicated for a few months (panic attacks, the whole 9 yards). I go through several emotional stages during a week.

Here are some stages to look out for:

- Depression: I mainly felt depressed lately due to the hysterectomy. I had to deal with my feelings of loss. I felt like that if I couldn't have that one last child, that my life would be less happy or less full. I was mistaken. Regardless of whether or not we adopt, have another ourselves, or do fostercare (adopting and fostercare is not an option for military families in this state), I felt like a part of me would be missing just because I had removed a huge part of my body. This was somewhat correct. In talking with my hubby about the hysterectomy, I came to realize another feeling of being less of a woman because of all of this. I felt like I was already less of a woman, and to have someone completely remove yet another BIG part of me...that was a huge kick to the face.

Another reason why I felt depressed was because of the pain. I'm not going to lie to you, I went through those days where I felt like I wanted to kill myself. The pain was intolerable. You WILL feel this way too. Eventually, you'll consider it just to stop being in pain all of the time. It's completely normal to feel like this. Don't let anyone tell you that you are wrong to feel the way you do! Just, for the love of god, don't kill yourself.

When I was first diagnosed, after my marsupialization, I went into yet another depression streak because I felt like less of a mother. I mean, what kind of mother doesn't take care of her kids everyday? This kind does, and is fucking PROUD of the days she DOES get out of bed to kiss her monsters. I'm sure some of you will understand when I say, you feel like you've been demeaned as a parent (and as a female) when either you can't take an active role in your children's lives or when you need to ask someone for help.

I'm sure some of you others out there WILL come across the random crying fits. This is normal. It doesn't go away, or at least, it hasn't with me thus far. I DO randomly see babies on the street and just burst into tears. I DO watch the news (every little thing will trigger my tears lately) and randomly have to excuse myself.


- False Elation/False Hope: I listed this one because many of you out there have been through this feeling before. I felt a LOT of false elation (fake happiness), whenever a new doctor would tell me that they have a cure for it. I would leave the appointment feeling as giddy as a little girl on Christmas, and then after much research and my own knowledge...realize these people are full of shit. I also dealt with this emotion after every single surgery did NOT work. I tried to remain positive, but after a while, it always left a bad taste in my mouth.

- Embarassment: I feel embarassed a LOT about this. I barely informed my OWN mother of what was going on, let alone my husband's parents or anyone else for that matter. When I got the first word catheter installed, I went through the initial "is everyone staring at me? do they know?" stage. After that stage disappeared, I started comparing myself to my husband's ex-girlfriends (even if he never had sex with them) or any other female we EVER came in contact with. It didn't matter if we were at a super market shopping for groceries, I found myself comparing to EVERY female we saw. This has faded over time, but it still resides in the back of my head that I am not 100% whole. I have also started opening open to a few of my closer friends (that actually understand my personallity), and told them a little bit about what has been going on. (I can't stand the pity in their eyes, OR the confusion - having to explain it 200x is not my cup of tea.)

Now, the main reason why I started opening up was to protect my older brother. People were always making comments about how he has been living with us for the last 3-4 years. They always wonder why, and how come he doesn't have a fulltime career (etc). The reason is simple: it's because of me. Until my brother moved in with me (thank god he did), we were barely struggling to take care of ONE kid. He wound up visiting one week, and just never left. I think a part of him realized that I would never ask anyone for help, and so he has just stayed here. Shit, some people (like my in-laws), think that I'm having sex with my brother. LOL They don't even connect the dots, and after numerous times of telling them that is NOT the case, they still don't stop giving him "that look". It's so fucking creepy.

- Less Than A Woman: You know it, I know it. Anyone who has this issue feels this way. Your husband (if he's an ass), might think this about you or might have thought it in the past. Just because you have this issue, you are NOT less than a woman than any other female. This is a hard feeling to overcome, I have not mastered it yet. My basic line of thought to control this is: I have a vagina, I am a chick just as much as she is. I don't know what else to suggest, as that is what works for me. LOL

- Unattractive/Not Sexy: You are NOT unattractive because of this. IF you are married, your husband didn't marry you for your vagina. That was just a neat perk. You are JUST AS SEXY AS BEFORE THIS HAPPENED! If you don't feel that you are as sexy as before, I suggest talking to your spouse about it. I talk to my husband about this a LOT. He soothes all of my fears and continues to SHOW me how attactive I am.

- Tired: Some days, even on my good days, I just feel tired as shit. I don't want to move, and I think that if I DO move, I might keel over and die right there. You won't. Get out of bed if you can.

I'm sure there are other emotions I go through, but that is just off the top of my head. The feeling of being in pain, is an obvious one to me so I didn't even write anything about that. Anyways...

Do NOT use hemorrhoid cream. Some doctors will suggest this. DON'T USE IT!! OH MY GOD PAINFUL! While you cyst "may" look like just a bump, or you might THINK that the cream will help shrink it - just imagine all of that gunk inside of the cyst or building up around it. Where do you think it will go? Nowhere if you have a blockage (which is obviously the case if you have a cyst). This is one of those "home remedies" that you absolutely WANT TO AVOID!

You'll need to work on your sex. I know I wrote this, but this was a major issue for us. We tried everything from the numbing gel to obstaining for months. It took us a long time, but we pretty much had to relearn how to have sex with each other. You WILL have drying there if you had a marsupialization. Expect it. If it happens, either have some KY sittiing around or just halt what you are doing until you are NOT dry. Try not to have more then 3 times a week. Sperm (etc) can build up in your cyst wall and will NOT be pretty coming back out.

My last bit of advice would be to not over-exert yourself. Don't go run 20 miles today. Run 5. The rubbing and sweating is NOT good for your cyst, even if it is NOT there. Also, do NOT wear tight jeans, shorts, skirts, or skorts. They do NOT help. I run around in plaid pj pants around the house and put on a loser pair of pants when I go out. Any rubbing (even during sex) CAN aggravate the cyst. So, be veryyy careful.

That's all of the advice I could think of for now. I'll try to add some more later on. I need to get some sleep.

9 comments:

Ali Mc said...

I just read your story and this updated post. I too have had re-occurring bartholin gland cysts. I only ever had one that grew into an infected baseball (maybe even bigger) and having a child of my own I can completely relate to that pain being almost worse than child birth! I was in so much pain I was writhing and praying to God (and I'm not religious). It took them 3 hrs to give me morphine b/c someone finally LOOKED at my cyst. I think they got quite the surprise that I wasn't some over-reacting women. Then they did a marsupialization(sp?) I got another cyst 2 weeks later. I actually have my first word catheter in right now....my Dr. did do it properly so the pain is mild. HOWEVER, I am going on my honeymoon in 3 days and he assured me I'd be able to PULL out the catheter on my own.....NOT! I tried last night and I had to stop and try to shove it back up my vagina!!! OMG> men should not be OBGYN's!!!!

Anyway, I run, wear tight clothes, workout everyday and I have had cysts almost 90% of the time for the last 8 years. I hate them and was opting to have the whole gland removed until I read your tale.

In your opinion should I just continue to get my cyst drained??? or would you still recommend having the gland removed?

I also have developed secondary situational vaginismus b/c of this. It sounds like you may have that too???

Thanks for sharing

Alysrian said...

It sounds like you have already had the gland removed, no? A marsupialization is a removal of the gland on either side (or both) of your labia.

I would suggest that constant doctor draining is a bad idea mainly because of the scar tissue. If you continue to constantly drain your cyst (via doctors), the cyst will continue to grow bigger with each draining because of the way the "ew" spreads in your body. If you constantly have cysts recurring, then the "ew" will continue to spread even farther up into your vagina. Therefore, if at all possible, do everything you CAN to help stop it from recurring.

I am ONLY suggesting the marsupialization because it stopped my cysts for a good 2 months before they started showing up again. In majority of women, it DOES stop cysts from showing up again. However, each woman is different from the next and this is considered a "hail mary" toss.

Every woman's situation is different. I'm not a doctor, so I can't tell you if that cyst is 100% sure to be caused by the gland or if it is caused (like mine is) by a vein in your labia. Mine was actually caused by a cyst in my labia, but after constant doctor drainage and the botched surgeries...it caused it to root itself inside of my vein. Therefore, my cyst has now been relocated to my vein because of all of the proceedures I've gone through.

Having this surgery is like taking a stab in the dark at the problem. There is no 100% chance that it is caused by the gland or by something else. This is just a counter-measure used by doctors to help rule out that it was the gland. If it continues to persist AFTER a marsupialization, they will move onto their next tactic.

Like I said in my posts, my case is very rare and added onto that were the phatom pains. Most women do NOT constant recurring cysts AFTER a marsupialization.

Part of your problem seems to be that you are obviously going to be newlyweds. I'm sure you are having a LOT of sex, and add on the tight jeans! Oh my jesus! How does that area breathe? You want to make sure you have good circulation in that area...meaning, don't run so much (if you do, definately don't wear tight shorts), try to avoid too tight pants (you don't need the constant rubbing down there aggravating it anymore than it is), and try not to upset the cyst once it IS there. I know I have said this before, but imagine it like a guy's nuts. If they wear tight jeans, imagine how sweaty and uncomfortable that is for them. Now imagine your area the same way. If it isn't breathing properly, or is constantly cramped into tight jeans...you are bound to have cysts pop up more then other women.

Alysrian said...

(Yes, I do have that condition as well...amongst like 10 others. ;P Just one of the many problems that comes with the terrority)


DO NOT UNDER ANY CIRCUMSTANCES PULL OUT YOUR OWN WORD CATHETER! I DO NOT CARE WHAT THEY SAY, IF INSTALLED PROPERLY, A DOCTOR SHOULD ALWAYS ALWAYS ALWAYS BE THE ONE TO REMOVE IT.

~*~ You should find a new doctor, just because he suggested such a thing. It is very painful to try and remove it yourself. ~*~

On that note, word catheters are used to make an extra drainage hole in your vaginal lining so that hopefully overtime the cyst can drain by itself (without any doctor visits). This is a good thing. Try to keep it in for at least 14-16 days as reccommended.

If your new husband does not understand why you must keep it in (or makes snide comments about no sex because of it), you might want to rethink your position in this marriage. I will tell you right now, if your spouse is not understanding about the situation right off the bat (or even after a week or two of getting used to the idea of it), then he will NOT be supportive enough in the future. Keep an eye on that.

I would strongly suggest looking sitz baths (I do not use them myself as much anymore). When I had my first word catheter and marsupialization done, a two hour long soak in the tub was enough to clear out some of the smaller cysts.

lore said...

Hi Alysrian,

Thank you for writing this post. I have recurring cysts that keep turning into abscesses and I've already had 2 surgeries while the 2nd abscess popped by itself because at that time I was in a bad place in my life - financially and emotionally (I'm diagnosed with Major Depression).

Now the abscess has returned in full force again after my 2nd marsupialization. (BTW, I'm confused when you say you've had marsupialization to remove the gland? My marsupialization didn't involve removing my gland but my GYN has told me that if I want to remove it, it's an excision - permanent removal of the gland and it's disfiguring.

I've just finished having the biggest uncontrollable cry I've had in awhile and I was wondering if you have Facebook and would you like to start a support group with me on it? I reckon a lot of women need to share their stories and hear yours too.

I feel like a failure every time my cyst recurs and I think having a group on FB to share advice and good resources (especially with certified doctors who can share relevant research). I do hope we can get in touch. There's a lot more I haven't expounded on and I would like to get in touch and exchange a few words.

Alysrian said...

Lore, I have had three marsupializations and during two of those proceedures I had two excisions. I call them marsupializations for less of a mouth-full. Both glands of mine have been removed. My cysts still pop up a lot, to no avail. I still get my own nerve ending treatment done and that helps to lessen them.

As per the facebook support group, I honestly don't have enough time in the day to manage something like that nor would know how to set it up. I'm not a huge facebook person, and this page was mainly as a way for me to vent about my own frustrations.

Alysrian said...

If you would like to get in further touch with me, my email address is frostwhyteangel@yahoo.com. I check that daily. I do not check this as often, obviously. I've been having a lot of issues with my daughter's school, so I've been trying to handle that before I start tackling any new projects.

Anonymous said...

My heart goes out to you.
I 've been getting these for about 8yrs now. There seems to be very little known as to what causes them.

The gland at my vaginal opening (always on the right) gets backed up, then infected, very uncomfortable, and then painful, It becomes excrutiating right before it opens.

The last time this occurred I took silicea 30c (a homeopathic). Not sure if I took it correctly, but this has been the longest span of time without an occurance (about 1yr & 9mon.)

Before they were happening quarterly (maybe even more frequent at times)

I think maybe it happens around ovulation. May have been instigated by a sugar binge. Worsened by sex ( for it is a lubricating gland)

walking is uncomfortable to painful, depending on the stage of the cyst. Sitting, of course is even more painful.

I can't stand dealing with this problem anymore. It makes me depressed. When it is all over and healed I just worry about it happening again. It puts damper on my love life, too scared to have sex.

When this first started I had it lanced several times, then a marsupialization (only to return a month later). One doctor recommended it be removed, another recommended a word catheter. I'm not too keen on any of these procedures, especially the former.

I gave up even going to the doctor several years ago. They just give me an antibiotic and send me on my way. The antibiotics really screwwd up my system. I now only use natural antibiotics such as Wild oregano oil or ionic/colloidal silver (These don't harm good bacteria). I do warm sitz/compresses usually containing essential oils such as lavender, tea tree, chamomile. Epsom salt too.

If I catch it in the very early stages the sitz/compresses help to get rid of it, but it is not very noticeable in the early stages and unlikely to be detected.
Wish there were more studies as to what causes this. If we knew what caused it we could more easily find a solution.
Ugh, I just want a normal life.Right now I have been spending time on a couple of homeopathic forums trying to find my personal remedy. I have had sucess in the past using this for other ailments.

Alysrian said...

I feel your pain Anon. Mine is mainly caused by a botched surgery. My cyst now recurs because it has been relocated to the VEIN. Because of that, my nerve endings are reversed AND my cyst will never go away.

I would suggest finding a doctor that suits you. I would also suggest asking them about the nerve endings treatment. I still get the treatment done, and it is a blessing!!! I get them done about every 2 months, and it has helped STOP the cysts from popping up as much. I still get them, but it is not as painful to me.

I was never prescribed antibiotics for my cysts. I'd really like to have a talk with that doctor who prescribed them. What a nut!

If home remedies work for you, that's wonderful!! However, I'd still suggest finding a doctor that KNOWS what they are doing. We specifically MOVED to this town because MY doctor is a SAINT! She's the best doctor I have ever had, and she is still doing a study on my cysts. She is very open-minded, and has even gone out of her way to help me. (Other doctors in this area, not so much!)

So, if anyone is in Utah... Pleas set up an appointment with Dr. Craig. We live in Logan. She's fantastic! (Even if I've been her guinea pig, she is learning how to treat this better!)

I mainly suggest a doctor, because there can be side-effects from home remedies. I'd like to think that JUST doing natural remedies is the best way to go, however, some people lie about these remedies and they do NOT work. Plus, everyone is different. You don't know if by taking a tea tree oil that it's actually poisoning your system. I know, that's a little far-fetched.

However, for the sake of your own health, make sure you get seen by a competent doctor. Any help, is help. Whether it's natural remedies or nerve injections. As long as it stops, that should be the goal.

I just don't want you to wake up 15 years later, and realize you have a slew of health problems because of some home remedy. I'd suggest making sure at least every 6 months, that you are healthy.



Blog note: I have several unpublished comments on my page. I do NOT publish comments that are suggesting people to IGNORE doctors. I do NOT publish comments that are attacking myself, or others, because we see /gasp DOCTORS.

I keep getting comments from people pretty much talking nonstop about home remedies. I do not suggest them as the ONLY thing you should be doing. I suggest you look at your own body and decide for yourself which is the best course of action. However, seeing a doctor should also be on your mind as well. Even if you don't take treatment from him/her.

I also do NOT allow posts defaming ALL doctors on my blog. I do not care if you do not agree with science and medicine. If you want to list your beliefs, please do so on another page. I will NOT argue the differences between home remedies and prescriptions with people. So stop trying to fight with me about home remedies. You may think they are better then sliced bread, but other people are NOT helped by your home remedies.

So, please don't post on my blog proclaiming how amazing home remedies are compared to seeing a doctor. Unless you are a medical professional (a competent one!), I do not care for your statistics or "facts".

Alysrian said...

That blog note wasn't directed at Anon. It is directed at all of the arguing comments I have received.