PREGNANCY-BIRTH Messages for January, 2002: Re: bartholin cyst treatment and pregnancy

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Re: bartholin cyst treatment and pregnancy

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 15 Jan 2002 17:36:50 -0600 (CST)

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In reply to: Tina: "bartholin cyst treatment and pregnancy"

At Tue, 15 Jan 2002, Tina wrote: >
>This is the third time the bartholin cyst on my left side is inflammed
>and tender. The first time (about 5 years ago) the cyst reduced after a
>month or so on its own but a small lump could still be felt. The second
>time was about 1 year ago and was extremely painful. A Word catheter
>was put in for about 3 weeks with no antibiotics. A small lump recurred
>several months later but was not painful so I left it alone. Now, I am
>32 weeks pregnant and the lump is very large. The lump itself is not
>too painful (its tolerable - unlike the 2nd time) but I am having
>tremendous pain on both sides of vaginal area and the pubic bone - I
>assume it is just from being pregnant. What are your recommendations
>for treatment. I am having a scheduled c-section in 7 weeks. I read
>that these cysts are often caused by sexually transmitted diseases but
>all of my routine pregnancy blood work is negative. Specifically, what
>are your thoughts on marsupilization (sp?) - I read that healing from a
>treatment like this could be difficult during pregnancy because of
>increased bleeding from increased blood in the vaginal area. Please
>offer suggestions. Should I wait until after delivery if the pain is
>tolerable?

Bartholin's gland abcesses are not necessarily caused by STDs. Marsupialization is the best solution in my opinion, though a Ward catheter is a bit simpler. It is also more likely to fail.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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In reply to: Tina: "bartholin cyst treatment and pregnancy"

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