The cause of inclusion cyst of the vulva can be trauma like laceration, while epidermal cyst maybe a result when the ducts of the sebaceous glands are clogged. One cause of epidermal and inclusion cysts is the incision made in the vulva among women who have previously undergone surgery. An example of this surgery is episiotomy or the surgical procedure done to aid childbirth. Another cause of epidermal and inclusion cysts of the vulva are previous cysts that have recur.
Epidermal and inclusion cysts that are small and uninfected may be asymptomatic. Larger, infected ones have symptoms. Large, infected epidermal and inclusion cysts are painful especially during sexual intercourse. Painful sexual intercourse is called dyspareunia. Infected epidermal and inclusion cysts are red and feel tender to the touch. There is usually swelling and pain in the area. These cysts may also cause irritation.
A doctor may start diagnosing this illness by obtaining gynecologic history through asking questions pertaining to conditions of the reproductive system. After gynecologic history is obtained, a pelvic examination is undertaken by the physician. The doctor may touch and see the epidermal and inclusion cysts.
After definitive diagnosis is made, treatment follows. Epidermal and inclusion cysts that are small and not infected may not require treatment, but for those cysts that cause symptoms, surgical excision maybe necessary. Surgical excision is done by a trained expert only. In surgery, the cyst may be entirely removed or a small cut is made on the affected area. Stitches are also made to drain the sacs and keep them opened. The doctor will use a local anesthetic so that the patient will not feel the pain during the process.
