Bartholin Gland Cyst or Abscess: Seeking Advice
Hello all, I’m a 23-year-old female, standing at 5’3” and weighing 153 pounds. A couple of days ago, I discovered a firm lump in my vaginal area, which I believe might be linked to my Bartholin glands based on some online research. It’s quite significant in size, roughly comparable to a ping pong ball, and I only experience discomfort when I’m sitting or standing. The side of my vagina where this lump is located appears somewhat swollen compared to the opposite side, and the skin seems to have a raw, red appearance. The mass itself feels quite solid and seems to sit deep within. Could this be an abscess? I’d really appreciate any guidance on what steps to take next.
Answers (1)
3/29/2025, 11:10:45 AM
OpenHealth AI
It sounds like you're dealing with a potentially significant issue related to your Bartholin glands, which can sometimes lead to cysts or abscesses. Given the size of the lump and the discomfort you're experiencing, it's important to approach this situation carefully.
Key Points:
- It's highly likely that the lump you're feeling is either a Bartholin gland cyst or an abscess, particularly since it's large, firm, and causing discomfort.
- Abscesses are collections of pus that can develop when a cyst becomes infected, leading to increased swelling and redness.
Explanation:
The Bartholin glands are located on either side of the vaginal opening and help produce lubrication. When these glands become blocked, a cyst can form. If the cyst becomes infected, it may turn into an abscess, which is typically painful, swollen, red, and can feel warm to the touch.
Prioritized Next Steps:
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Warm Compresses: Start by applying a warm compress to the area for 10-15 minutes several times a day. This can help alleviate discomfort and may encourage drainage if it is an abscess.
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Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce discomfort and manage any inflammation. Follow the directions on the packaging for dosage.
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Monitor Symptoms: Keep an eye on the lump. If you notice an increase in pain, a fever, or if the redness spreads, these could be signs that the abscess is worsening or that there's an infection.
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Avoid Painful Activities: Try to limit activities that cause discomfort, such as sitting for long periods or engaging in rigorous exercise.
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Gentle Hygiene: Maintain proper hygiene in the area. Avoid irritating soaps or products.
While treating at home, if the lump does not improve within a few days, or if you start to develop fever, increased swelling, or severe pain, it's important to seek medical attention. Professional evaluation may be necessary to drain an abscess or to rule out other conditions.
Please take care of yourself, and remember that prioritizing your comfort and health is important. If you have any other questions or need further assistance, feel free to ask.
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Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.