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What is recommended treatment for recurrent vaginal cyst?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have an abscessed Bartholin's gland cyst. This is like my 10th go around with this thing. I had marsupialization a few years ago. It did not work the way I was told it would but it did make it so afterward every one. I would have got pus drain and go away easier but this one is not draining. I am in pain. I have no insurance and now I am out of work so I have no money. Please give me some antibiotics. I am currently on Levothyroxine.

Answered by Dr. Mavani Jimesh Himatbhai

Education:

MBBS

Professional Bio:

Dr. Mavani Jimesh Himatbhai is an Obstetrician and Gynecologist with 14 years of clinical experience. He completed his MBBS at Veer Narmad South Gujarat, Maharashtra Medical Council, Mumbai, and DGO at the College of Physicians and Surgeons of Mumbai. He is experienced in managing pregnancy, childbirth, and the postpartum period. Currently, he is practicing in ICON Hospital, Pimpri-Chinchwad, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to our portal.

It needs marsupialization or complete removal. And if there is recurrence so many times mean you are not following proper hygiene and precautions told by the doctor. You can take Amoxicillin and Clavulanic acid 625 mg like combination two times a day and Metronidazole 400 mg two times a day, both for five to eight days. You can take a painkiller along with it. But if there is pus then it should be drained. Or the best thing is to reoperate. Drink more water. Keep the vaginal area as dry as possible. Hot water fomenting may help. If increasing more than need a clinical examination and also require to send pus for culture sensitivity test to find out which antibiotics work perfectly on it. According to the report antibiotics should be taken. Also, complete the course of antibiotics. Send some photos to see how severe is the infection.

I hope this helps.

Patient's Query

Hi doctor,

After a sitz bath the abscess drained. The pus has a sweet smell to it almost like grape candy, but I am still in a lot of pain.

Answered by Dr. Mavani Jimesh Himatbhai

Education:

MBBS

Professional Bio:

Dr. Mavani Jimesh Himatbhai is an Obstetrician and Gynecologist with 14 years of clinical experience. He completed his MBBS at Veer Narmad South Gujarat, Maharashtra Medical Council, Mumbai, and DGO at the College of Physicians and Surgeons of Mumbai. He is experienced in managing pregnancy, childbirth, and the postpartum period. Currently, he is practicing in ICON Hospital, Pimpri-Chinchwad, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to our portal

Continue antibiotics and sitz bath. Compress and drain all pus, even if it pains. It is the only option. Otherwise it will increase again and will have short cycle of increase and decrease. All candy like material must be pressed and removed till blood comes. Drink more water. You can take a locally available painkiller such as Paracetamol or Acetaminophen.

Take care.

Medically reviewed by Dr. Vinodhini J.
Published At March 24, 2020
Reviewed At April 25, 2025

Education:

MBBS

Professional Bio:

Dr. Mavani Jimesh Himatbhai is an Obstetrician and Gynecologist with 14 years of clinical experience. He completed his MBBS at Veer Narmad South Gujarat, Maharashtra Medical Council, Mumbai, and DGO at the College of Physicians and Surgeons of Mumbai. He is experienced in managing pregnancy, childbirth, and the postpartum period. Currently, he is practicing in ICON Hospital, Pimpri-Chinchwad, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Mavani Jimesh Himatbhai is an Obstetrician and Gynecologist with 14 years of clinical experience. He completed his MBBS at Veer Narmad South Gujarat, Maharashtra Medical Council, Mumbai, and DGO at the College of Physicians and Surgeons of Mumbai. He is experienced in managing pregnancy, childbirth, and the postpartum period. Currently, he is practicing in ICON Hospital, Pimpri-Chinchwad, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

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