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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bump Under Labia Majora?

Hi I am 21 year old female, sexually active with one partner only. I have recntly noticed a small pea sized swelling or a bump under skin of labia majora. Its a little hard and a little tender on pressing. It popped up a day after i had sex , and there was also use of lubricant. My boyfriend does has a histroy of genital warts which he got removed. I am really worried as to what this lump can be. Please. Help
posted on Fri, 31 Oct 2014
Twitter Tue, 10 Nov 2015 Answered on
Twitter Thu, 12 Nov 2015 Last reviewed on
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OBGYN,  's  Response
Hallow Dear,

Your history suggests that your Bartholin's Gland is infected.

Bartholin's Glands are present under the Labia majora - one on each side. When it gets infected it is called as Bartholinitis. Usually they get infected due to sexually transmitted infections like gonorrhoea and/or chlamydia. Soon they form abscess which needs to be incised for drainage and the edges have to be marsupialized (sutured to the outer skin). The wound is allowed to heal by secondary healing.

If untreated, the abscess appears to be subsided temporarily during menstruation. This happens because it gets burst during menstruation. Again it starts increasing in size due to pus collection. Hence, it does require surgical treatment once the abscess is formed.

From your narration, it seems that your infection has not progressed to the abscess stage and is still in the cellulitis stage. May be, it can respond to the prompt antibiotics treatment. Please report to the Gynaecologist ASAP for diagnosis and timely treatment.

Please get your blood examined for VDRL test since many a times gonorrhoea coexists with syphilis. Also get your HIV test performed.

Your sexual partner needs to be examined for Sexually Transmitted Infections and HIV.

I hope this gives you the important message.
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What Causes Bump Under Labia Majora?

Hallow Dear, Your history suggests that your Bartholin s Gland is infected. Bartholin s Glands are present under the Labia majora - one on each side. When it gets infected it is called as Bartholinitis. Usually they get infected due to sexually transmitted infections like gonorrhoea and/or chlamydia. Soon they form abscess which needs to be incised for drainage and the edges have to be marsupialized (sutured to the outer skin). The wound is allowed to heal by secondary healing. If untreated, the abscess appears to be subsided temporarily during menstruation. This happens because it gets burst during menstruation. Again it starts increasing in size due to pus collection. Hence, it does require surgical treatment once the abscess is formed. From your narration, it seems that your infection has not progressed to the abscess stage and is still in the cellulitis stage. May be, it can respond to the prompt antibiotics treatment. Please report to the Gynaecologist ASAP for diagnosis and timely treatment. Please get your blood examined for VDRL test since many a times gonorrhoea coexists with syphilis. Also get your HIV test performed. Your sexual partner needs to be examined for Sexually Transmitted Infections and HIV. I hope this gives you the important message.