A cyst of the Bartholin gland may develop most often secondary to obstruction of the duct. This leads to ductal dilation and cyst formation. Noninfectious etiologies of cyst formation include inspissated gland secretions, trauma, tumor of the vulva, or scarring of the duct from repeated bouts of cyst formation.3 Cysts may grow as large as 1 to 3 cm. Bartholin cysts present as painless unilateral swellings in the labial area. A patient will become symptomatic if they become large enough or infected. Infected cysts contain purulent material and are known as a Bartholin's abscess; although it is more akin to a pseudoabscess unless the surrounding tissue appears erythematous, tender, and inflamed.3 A Bartholin cyst may present with pain, dyspareunia, pressure, difficulty with walking, or may be completely asymptomatic.4,7–11 The diagnosis is made on visual inspection of the vulva. Common signs are a mass near the inferior labia minora, drainage, and erythema.