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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bbartholin's Abscess

I have a Bartholin's abscess for over a week now. its a size of a plum maybe. it hurts a lot - I am unable to move or do any simple task around the house. I'm on antibiotics but its not getting any smaller. skin is more painful, red and tender, painkillers don't help anymore. should i get to emergency room or still wait and hope that antibiotics will cure it?
Wed, 1 Apr 2015
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General & Family Physician,  's  Response
Hi
Welcome to HCM.

Treatment of a Bartholin's cyst depends on the size of the cyst, how painful the cyst is and whether the cyst is infected.

In your case it seems to be quite painful, your movements are also restricted and there is no reduction in its size even after the use of antibiotics, then you have to visit ER for possible surgical drainage of the abscess.

Drainage of a cyst can be done using local anesthesia.
A small incision in the cyst is made which allows it to drain, and then a catheter is placed in the incision for up to six weeks to keep the incision open and allow complete drainage.
You may need a course of appropriate antibiotic if testing reveals that you have a sexually transmitted infection.

Meanwhile soaking in a tub filled with a few inches of warm water (Sitz bath) and oral NSAID pain killers may help in relieving the pain

Hope your query is being answered.
If convinced, rate this answer.
Regards.
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Suggest Treatment For Bbartholin's Abscess

Hi Welcome to HCM. Treatment of a Bartholin s cyst depends on the size of the cyst, how painful the cyst is and whether the cyst is infected. In your case it seems to be quite painful, your movements are also restricted and there is no reduction in its size even after the use of antibiotics, then you have to visit ER for possible surgical drainage of the abscess. Drainage of a cyst can be done using local anesthesia. A small incision in the cyst is made which allows it to drain, and then a catheter is placed in the incision for up to six weeks to keep the incision open and allow complete drainage. You may need a course of appropriate antibiotic if testing reveals that you have a sexually transmitted infection. Meanwhile soaking in a tub filled with a few inches of warm water (Sitz bath) and oral NSAID pain killers may help in relieving the pain Hope your query is being answered. If convinced, rate this answer. Regards.