I have a recurring knot outside my vagina, which bursts and bleeds. What is it?

Q. I have a knot that keeps coming up just on the outside of my vagina. It hurts really bad. Is it something serious?

Answered by
Dr. Dattaprasad Balasaheb Inamdar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 26, 2015 and last reviewed on: Dec 19, 2018

Hello doctor,

I am 34 year old female weighing 300 pounds. My height is 5'2". I have a vaginal issue that I need advice about. I have a knot that keeps coming up just on the outside of my vagina, and it eventually bursts and bleeds for a while. This has happened twice now, and it has really started to scare me. The knot hurts really bad before it bursts. What can I do for this? Is it something serious that I need to go to the gynecologist?



Welcome to icliniq.com.

From the description you have given, it appears to be either Bartholin's abscess or a boil. Both cases can be recurrent if immunity is low, most common cause being diabetes mellitus. Following is my advice for managing the symptoms:

  1. Get your blood sugar levels checked; if found to be high, you need medicines to control it.
  2. Your weight is in the range of obesity. Obesity itself reduces immunity and likely aggravates the problems which you are facing. Kindly consult a dietician and follow some structured weight reduction program.
  3. When the knot reappears, consult a gynecologist in person to know the exact nature. If it is a simple boil, antibiotics will be sufficient. But if it is Bartholin's abscess, it needs surgical treatment.

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