[Question #6565] girlfriend symptons related to bartholin cyst

15 months ago
Hi there, sorry to have the need to comeback.

According to our last conversation all was good and Dr. Hook said there wasn't any need to abstain from unprotected sex with my girlfriend. About my last symptoms I visited a dermatologist and was told to not worry as it wasn't a STD. 

Today my girlfriend told me she has a painful cyst on her labia (right side down) and hurts when she touches. I felt it and is like a size of a pea maybe a bit bigger. She has only had it today and has no other symptoms. I have no other symptoms and haven't had any since my last exposure on 19/12/2019. No discharge, nothing and as I was told I resumed sex with my girlfriend.

I'm now worried that her symptoms might be a STD? Seems like bartholin cyst according to location and symptoms. I'm really worried. Thank you.
15 months ago
Let me please add that my girlfriend reminded me of a similar situation that happened 3 years ago. She had similar symptoms and would be painful to walk/sit down. She hates seeing doctors and especially given that we are currently living in a developing country where she doesn't believe their diagnosis. I forced her to go to the doctor when that happened, but she was promptly said that it was an STD and given antibiotics that she rejected and then her tests were confirmed to be negative. At that time her dad (pharmacist) told her to take a course of amoxicillin but she doesn't remember the dosage or for how long (she also doesn't want to ask her dad again - somehow feels embarrassed).  

Because of all of this she already said that she doesn't want to see a doctor and just wants to take the antibiotics again. I understand that this is never a good idea but it will be difficult to change her mind. If she insists to take something, what should she then choose and for how long? Please bare in mind that I will still encourage her to visit a doctor, ESPECIALLY if it gets worse. Thank you for your time.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
Welcome back to the forum, but sorry you found it necessary,

I reviewed your previous discussions with Dr. Hook and agree with all he said, including no need to abstain from sex with your girlfriend. Clearly you do not have gonorrhea or chlamydia, the only STDs that could potentially explain her symptoms. And most infected genital cysts in women are not due to STD. That she has the same symptoms as three years ago favors a congential cyst of some sort -- or perhaps a Bartholin gland -- with partly obstructed opening, leading to recurrent inflammation and localized infection. (The Bartholin glands, which produce lubricating fluid during sexual arousal, have opening on each side of the vagina. Other kinds of cysts can appear elsewhere.)

Accordingly, I am confident your partner's problem has nothing at all to do with the sexual exposure described in your previous threads.

HHH, MD
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15 months ago
Hi Dr, thanks for your reply. I waited a little bit to see the development of this situation. Since I posted here my girlfriend only took ibuprofen (only once). 

Today the thing is pretty much gone and doesn't hurt at all. She says that she can feel a very small lump but nothing compared to what it was two days ago. 

1. Does this mean that it couldn't be a std and the ibuprofen wouldn't have made it smaller?
2. She said she wore very tight shorts the night before and maybe it had caused that, or perhaps another reason difficult to know?
3. As it just got better I'm assuming that I can just let this go and resume my normal sexual life?
4. The fact that I haven't had symptoms since my last exposures makes it VERY unlikely that I might carry any bacterial infection right? By this time I should have had obvious symptoms otherwise?

Thank you.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
1-3) The quick clearance suggests it wasn't an infection (STD or otherwise) but doesn't prove it.

4) Yes, this adds to the evidence you have no STD. You might re-read my other comments above, and the discussion with Dr. Hook. You can move on without fear or concern.

That concludes this thread. Please note the forum does not permit repeated questions on the same topic or exposure. This being your second, let's make it the last about this exposure, testing, your partner's symptoms, and/or your fears about HIV or other STDs. Thanks.

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