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Should I Take Antibiotics For Bartholin's Cyst On Labia Minora?

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Posted on Mon, 7 Sep 2015
Question: I am 65 and no STD and not sexually active. I have a BB sized lump on my labia minora down near the bottom that has been there for a week. If I fool with it, it gets a tiny bit bigger then goes down to smaller than a BB during the day. No head, NOT sore, NOT red, NO itch, skin colored. Found it when wiping. I'm very dry due to menopause. Should I use antibiotic, or a hydrocortisone or just ignore it? I can sometimes feel it when the labia minora rubs together.
Gyno will no longer see me due to Medicare. Derm or ignore it?
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
You can ignore it for now.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The causes for a small lump underneath the skin of the labia Minora could be one of the following:-
1. Bartholin's Cyst - It is formed when a Bartholin's gland is blocked, causing a fluid-filled cyst to develop. Bartholin's cyst is not an infection, although it can be caused by an infection, inflammation, or physical blockage (mucus or other impediment) to the Bartholin's ducts (tubes which lead from the glands to the vulva).
If infection sets in, the result is a Bartholin's abscess.
2. Infected hair follicles - can form small absesses, which can cause a small swelling, but they are associated with redness and throbbing pain.
3. Vaginal inclusion cyst.
None of these is serious as there are no symptoms of inflammation in your case. Taking a mild anti inflammatory might help in reducing the size. Topical application ointments will not help.
In case it is actively growing or becomes red or painful then do consult your gynecologist.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (10 minutes later)
I know it's not a Bartholin's cyst because of location and it cannot be an infected hair because of location and no hair in that area (inside lip of labia minora). I've had one of those on the labia majora.

Do these ever just go away on their own?
doctor
Answered by Dr. Dr. Rakhi Tayal (7 hours later)
Brief Answer:
Do not go away on their own.

Detailed Answer:
Hello.
Thanks for writing again.
Then an inclusion cyst is more likely. These do not go away on their own but can be removed surgically in case it is causing a discomfort or is increasing in size.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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Should I Take Antibiotics For Bartholin's Cyst On Labia Minora?

Brief Answer: You can ignore it for now. Detailed Answer: Hello, Thanks for trusting us with your health concern. The causes for a small lump underneath the skin of the labia Minora could be one of the following:- 1. Bartholin's Cyst - It is formed when a Bartholin's gland is blocked, causing a fluid-filled cyst to develop. Bartholin's cyst is not an infection, although it can be caused by an infection, inflammation, or physical blockage (mucus or other impediment) to the Bartholin's ducts (tubes which lead from the glands to the vulva). If infection sets in, the result is a Bartholin's abscess. 2. Infected hair follicles - can form small absesses, which can cause a small swelling, but they are associated with redness and throbbing pain. 3. Vaginal inclusion cyst. None of these is serious as there are no symptoms of inflammation in your case. Taking a mild anti inflammatory might help in reducing the size. Topical application ointments will not help. In case it is actively growing or becomes red or painful then do consult your gynecologist. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal