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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Bartholin S Abscess Be Treated?

Hi. I had what I believ was a Barrholin abscess about 10-11 years ago. It was lanced and drained and packed with gauze by a PCP. In the past 10 years it often gets irritated and bled a bit during my two pregnancies. I had a baby 7 weeks ago via c-section. On Thursday I had my post partum exam and my husband and I were intimate that night (although not having full intercourse). Yesterday and today the area of the abscess has been quite painful and has been bleeding, although that has changed to more of a brown, gritty discharge. It also has an unpleasant odor. I can feel a little opening where the blood is coming from and it stings to the touch. Appreciate and insights as to what is going on or what I should do. Thanks.
Fri, 1 Jun 2018
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Pathologist and Microbiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

A Bartholin’s abscess can occur when one of the Bartholin’s glands, located on either side of the vaginal opening, becomes infected. When the gland is blocked, a cyst will usually form. If the cyst becomes infected, it can lead to a Bartholin’s abscess.

Bacteria, such as E. coli, and sexually transmitted diseases (STDs), such as chlamydia or gonorrhea, may cause the infections that can lead to a Bartholin’s abscess. If bacteria get into the gland, swelling, infection, and an obstruction may occur.

To determine if you have a Bartholin’s abscess, a physical examination is needed. It includes checking for any lumps within the vagina that could indicate an abscess. The other methods include taking a sample from the area to check for any STDs. STDs will need to be treated along with the abscess.

In its early stages, a Bartholin’s abscess can sometimes be treated at home using a sitz bath. A sitz bath is a warm, shallow bath you can give yourself in your bathtub or with a sitz bath kit. Soaking may not cure the abscess, but it can help ease your pain and discomfort. It may take many days of sitz baths to treat an abscess because the opening of the Bartholin’s gland is very small, and it may close before drainage is complete.

Other home treatments for cyst care may help the abscess drain and heal on its own. Using a mix of tea tree and castor oil as a topical ointment on the abscess may promote drainage. Tea tree oil is known for its antibacterial properties, which may help clear an infection. Castor oil is thought to promote blood circulation in the affected area, which can reduce inflammation. You can apply the tea tree and castor oil with a piece of gauze. Adding a hot compress on top of the gauze may make this remedy even more effective.

Hope I have answered your query. Let me know if I can assist you further.

Regards,      
Dr. VAMSI KRISHNA CHITTIMOJU
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How Can A Bartholin S Abscess Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. A Bartholin’s abscess can occur when one of the Bartholin’s glands, located on either side of the vaginal opening, becomes infected. When the gland is blocked, a cyst will usually form. If the cyst becomes infected, it can lead to a Bartholin’s abscess. Bacteria, such as E. coli, and sexually transmitted diseases (STDs), such as chlamydia or gonorrhea, may cause the infections that can lead to a Bartholin’s abscess. If bacteria get into the gland, swelling, infection, and an obstruction may occur. To determine if you have a Bartholin’s abscess, a physical examination is needed. It includes checking for any lumps within the vagina that could indicate an abscess. The other methods include taking a sample from the area to check for any STDs. STDs will need to be treated along with the abscess. In its early stages, a Bartholin’s abscess can sometimes be treated at home using a sitz bath. A sitz bath is a warm, shallow bath you can give yourself in your bathtub or with a sitz bath kit. Soaking may not cure the abscess, but it can help ease your pain and discomfort. It may take many days of sitz baths to treat an abscess because the opening of the Bartholin’s gland is very small, and it may close before drainage is complete. Other home treatments for cyst care may help the abscess drain and heal on its own. Using a mix of tea tree and castor oil as a topical ointment on the abscess may promote drainage. Tea tree oil is known for its antibacterial properties, which may help clear an infection. Castor oil is thought to promote blood circulation in the affected area, which can reduce inflammation. You can apply the tea tree and castor oil with a piece of gauze. Adding a hot compress on top of the gauze may make this remedy even more effective. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. VAMSI KRISHNA CHITTIMOJU