Patient's question:
In 2008, I had an operation for a Bartholin gland abscess. It has been three years. Now it has recurred. It's not very painful, just about the size of a blackberry, sometimes it shrinks. I would like to ask, if not for surgery, how can it be treated?Doctor's answer:
The duct of the greater vestibular gland can cause cystic expansion of the gland due to obstruction from chronic inflammatory stimulation. Cysts can also form after pus is absorbed during acute inflammatory infections. During childbirth, severe scar tissue may develop in the vagina and lateral perineum, and damage to the duct of the greater vestibular gland from an episiotomy can obstruct the gland's secretion and drainage, leading to cyst formation. When the cyst becomes infected, it can develop into an abscess.Recommendation: Simple puncture drainage can be used, or oral Chinese herbal medicine: Gentiana root, Bupleurum root, Platycodon root, Gardenia fruit, Scutellaria root, Psyllium seed (single packet), Sparganium fruit, Rehmannia root, Forsythia fruit, Rheum rhizome, and Fructus Meliae. Boil in water, take 1 dose in the morning and 1 dose in the evening, warm.