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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest A Remedy For The Large Bartholin Cyst

history:
i had an extremely large abscess form due to a bartholin cyst. it began growing in jan but i didn't recognize it as a problem until mar. it has reinfected and created more chambers, tunnels each time. this has happened 6 times. i had multiple i and d's, a failed attempt at a word catheter, then a finally marsupialisation may 19. however, another infection occurred after i finished the moxatag x 10 days. copious amounts of milky white thin fluid had to be expressed that looks yellowish tan on tissue and has an oily feel. it smelled like dirty feet. the dr called in bactrim ds x 10d on, jun 8th but after 5 d i went in (yesterday) to be checked because i feel ill all over and weak. she gave me a rocephin inj and i'm to keep on the bactrim. today i again had at least a cc or more of the fluid come out from the marsupialised area but it didn't smell as foul.
question: what does normal bartholin gland fluid look like, and what is a normal amount, and can this infection cause bacteremia, and should my antibiotic be changed because of the amount of drainage?
Wed, 12 Oct 2016
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General & Family Physician 's  Response
Hi
Thanks for posting on HCM
The Bartholin's glands are located on each side of the vaginal opening. These glands secrete fluid that helps lubricate the vagina.Sometimes the openings of these glands become obstructed, causing fluid to back up into the gland. The result is relatively painless swelling called a Bartholin's cyst. If the fluid within the cyst becomes infected, you may develop a collection of pus surrounded by inflamed tissue (abscess).This is exact what happened to you.
When obstructed(cyst) or infected(abscess) the best treatment is marsupialisation.After this act, antibiotic may help prevent further evolution of infection.However, the germ in cause may be resistant to the antibiotic given.This may explain the poor response you had on treatment.I will suggest you see the Doctor for a pus culture and antibiotic sensitivity test.From the results, a more objective antibiotherapy may be prescribes.You will also have to see the Hospital for regular drainage and dressing.
Hope this will help
Best regards
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Suggest A Remedy For The Large Bartholin Cyst

Hi Thanks for posting on HCM The Bartholin s glands are located on each side of the vaginal opening. These glands secrete fluid that helps lubricate the vagina.Sometimes the openings of these glands become obstructed, causing fluid to back up into the gland. The result is relatively painless swelling called a Bartholin s cyst. If the fluid within the cyst becomes infected, you may develop a collection of pus surrounded by inflamed tissue (abscess).This is exact what happened to you. When obstructed(cyst) or infected(abscess) the best treatment is marsupialisation.After this act, antibiotic may help prevent further evolution of infection.However, the germ in cause may be resistant to the antibiotic given.This may explain the poor response you had on treatment.I will suggest you see the Doctor for a pus culture and antibiotic sensitivity test.From the results, a more objective antibiotherapy may be prescribes.You will also have to see the Hospital for regular drainage and dressing. Hope this will help Best regards