I'm 44. Discovered a lump in the vaginal cavity on thursday. Called the gyn to make an appointment. By saturday it had grown so large that I could not walk, sit or do anything else comfortably. Went today and found it was an abcess on the bartholin gland. The doc drained it and put me on antiobiotics. Did some research on the internet and found these are rare in women over 40. The research tends to lead towards doing a biopsy but my doc is recommending that we wait to see if another cyst develops. Does this make sense? My concern is that if it is cancerous that the prognosis is very poor. One article indicated that only 10% of the women diagnosed live past 5 years and the reoccurrence rate is very high as well. Does anyone have any advice or thoughts on this?