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Staph infection in labia?!

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About a week ago I noticed a small round mass inside of my right labia majora. It was slightly painful and I thought maybe is was jut aan ingrown hair from shaving. But it never came to a head. A few days later a much larger mass erupted below it. Close to where a Bartholomew abscess would emerge I think. This one was very painful. The pain has lessened but it it still there. Not coming to a head and no sign of it on the surface. This morning I noticed another under the skin mass on the left side. Pretty much on my perinium area. Its tender to touch as well. What is this??! I thought maybe staph infection since therevare multiple abscesses. And if it is what should I do? The clinic in my area has been closed for two days and I'm very fearful that if it is indeed staph, and because they are not coming to a head, that one may burst under the skin and spread the infection. Is this something that is emergency room worthy? Can they handle issues like this in the ER or would they direct me to follow up with a GYN? I don't have insurance as I am between jobs so I have to use the free clinic (which as I said, is closed) anyone have a clue what this is? And should I wait to try and get in to the clinic later this week? Or make an ER trip? Any advice is appreciated.
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replied November 9th, 2012
Hi,
Welcome to ehealthforum,
It is difficult to comment on the exact cause for the labial swelling/mass that you describe without examining you. Causes could include folliculitis, sebaceous cyst, blocked paraurethral gland ducts, infected/blocked Bartholin’s gland duct, etc. The exact cause can only be made out after careful evaluation done by your doctor/gynecologist. Consider visiting your doctor/gynecologist at the earliest for thorough examination and evaluation to look for the exact underlying cause. You can try warm Sitz bath to help relieve the pain and soothe the area (temporary measure). You can also consider using Caladryl lotion or aloe vera gel to soothe the symptoms. Avoid any self-manipulation or intercourse for 3-4 weeks time (if you are sexually active). Further treatment measures as appropriate (based on examination findings and evaluation results) would be started to help you control the symptoms. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet and lifestyle. Avoid vaginal douching, or use of harsh soap or perfumes in the area. Use loose cotton undergarments and avoid use of tight fitting clothes. Avoid sweat accumulation. Keep area clean and dry. If infective cause is detected, and if you are sexually active, get your partner also treated simultaneously to prevent chances of re-infection, and avoid having intercourse while being on treatment.
Take care.



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replied November 9th, 2012
Hi, and thanks for your query on eHealth forum!

Well, without examining you, it is difficult to say whether you should go to the ER or wait for the free clinic to open. You probably have infected and swollen Bartholin cysts. You can apply a local vaginal antibiotic cream. You can soak in a tub filled with a few inches of warm water (sitz bath) several times a day for three or four days. This may rupture cyst and which will then drain on its own. If this does not help, then please consult your gynecologist for incision and drainage. Hope this helps. Take care!



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