Bartholins cysts grow at specific spots on the labia. Usually they grow slighly below the midline of each labia. The size is usually larger than just a pea, more like a marble before they become painful or discomforting. Each time the opening of the gland gets blocked, the cyst enlarges and could get infected to form an abscess
. Each infection leads to further fibrosis
, increasing the risk of more ferquent obstruction, cyst formation and abscess. And each time this happens, the gland is getting more and more stuck to the tissues around it. So eventually if sometime things really worsen, and the doctor wants the gland removed, the surgeon is likely to find it so much more difficult. Best time to go to the doctor is when the cyst is large, and he can then do a small surgery under local aneasthesia, called marsupialisation. You can then walk home cured of the condition almost immediately.