I have a painful swelling in my perianal area. Could it be an abscess?

Hello,

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Well, I do not know the particulars of your case, it sounds as if you may have what is called a Bartholin’s cyst. This represents inflammation of the glandular structure in the perianal area in women. It is generally benign but can be very painful and uncomfortable. Try sitting in a warm tub with warm water several times a day or applying warm compresses to the area such as a warm cloth for about 15 minutes and as it may bring down the inflammation. If that does not work then you should probably see a local doctor who has other methods of bringing down the inflammation including the use of antibiotics.