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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Redness And Itching On Labia, Swollen. Does Lymph Node Swelling Accompany A Bartholin Cyst?

I noticed a slight redness and itchiness on my right side outer labia a couple of days ago, in the last 36 hours it was since swollen and become quite painful. my femoral lymph nodes on the right side have also become swollen and tender to the touch. i think it might be bartholin cyst or abscess , but does lyoh node swelling usually accompany a bartholin cyst? there is no superficial would or bump or sign of infection, just a swollen hardened outer labia and now the skin around the swelling is feeling hardened and almost calloused.
Tue, 7 Jul 2015
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OBGYN,  's  Response
Hi Dear, You seem to be right in your diagnosis.

Your descriptions points towards Bartholin's abscess. Any infection in the perineal area may cause swelling of the lymph nodes in the femoral area.

This Bartholin's abscess usually is due to sexually transmitted infection - most commonly gonorrhoea. During menstruation, it ruptures and gets reinfected due to presence of menstrual blood. The correct treatment for this is control of infection by antibiotics, incision of abscess and marsupialization of the abscess edges.

The hardened red skin around the abscess is due to surrounding inflammation (cellulitis). It will go with the antibiotics.

Considering the possibility of STI, please get your blood tested for VDRL also as Syphilis is a known co-infection of Gonorrhoea.

Please report to your Gynaecologist without wasting time.
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Redness And Itching On Labia, Swollen. Does Lymph Node Swelling Accompany A Bartholin Cyst?

Hi Dear, You seem to be right in your diagnosis. Your descriptions points towards Bartholin s abscess. Any infection in the perineal area may cause swelling of the lymph nodes in the femoral area. This Bartholin s abscess usually is due to sexually transmitted infection - most commonly gonorrhoea. During menstruation, it ruptures and gets reinfected due to presence of menstrual blood. The correct treatment for this is control of infection by antibiotics, incision of abscess and marsupialization of the abscess edges. The hardened red skin around the abscess is due to surrounding inflammation (cellulitis). It will go with the antibiotics. Considering the possibility of STI, please get your blood tested for VDRL also as Syphilis is a known co-infection of Gonorrhoea. Please report to your Gynaecologist without wasting time.