A vulvar endometrioma is a rare, painful cyst that occurs as a result of endometrium implanting in the vulva or vagina as in endometriosis. This type of endometriosis that appears in or on the vagina or vulva results in a cyst – endometrioma – most often at the same spot where a previous wound was – episiotomy, tears. The cause is unknown.
Symptoms of vulvar endometrioma
- Painful sex (dyspareunia)
- Worse pain during periods
- Cysts grow during periods
- Tender cysts
- Cysts may appear blue
- May rupture, causing severe pain
Treatments for vulvar endometrioma
Treatment involves surgical excision of the cysts, which may be done in a doctor’s office or operating theatre. The tissue will be tested to ensure it is not a vulvar or vaginal melanoma, which can occur in the vulva and vagina.