Dealing with Anal Abscess Symptoms During Menstruation: What to Do?

Possible anal abscess encountered during menstruation?

A few days ago, I noticed something unusual with my buttocks, and within two days, the area on the left side near the anus became red, swollen, and painful, developing a bump.
I looked it up online, and the symptoms seem to match those of an anal abscess.
However, just as I was about to go to the hospital for a consultation, I got my period.
Now I'm quite worried; if I have to undress for the doctor to examine me, it would be very uncomfortable with menstrual flow.
Should I go for an examination right away, or should I wait until my period is almost over? But I'm also concerned that the abscess might worsen and lead to a rupture, forming a fistula.

Are you., 20~29 year old female. Ask Date: 2022/09/09

Dr. Zhang Shuhao reply Surgery

If the affected area continues to swell, you may try using oral antibiotics and anti-inflammatory medications to manage the symptoms, but it is still recommended to use them under the guidance of a physician.
You can also seek medical attention and explain your condition to the doctor, even during your menstrual period.

Reply Date: 2022/09/09

More Info

Dealing with an anal abscess can be quite uncomfortable, especially when it coincides with menstruation. It's understandable to feel anxious about the situation, particularly regarding the examination and the potential for menstrual flow during a medical visit. However, it is crucial to prioritize your health and address the symptoms of the anal abscess promptly.

An anal abscess typically presents with symptoms such as localized pain, swelling, redness, and sometimes fever. The pain can be sharp and may worsen with movement or sitting. If you suspect you have an anal abscess, it is essential to seek medical attention as soon as possible, regardless of your menstrual cycle. Delaying treatment can lead to complications, such as the abscess worsening or developing into a fistula, which is an abnormal connection between the anal canal and the skin.

When you visit the doctor, they will likely perform a physical examination, which may involve an inspection of the anal area. It is understandable to be concerned about menstrual flow during this examination. However, medical professionals are accustomed to dealing with such situations and will take appropriate measures to ensure your comfort and privacy. You can inform the doctor or nurse about your concerns beforehand, and they may provide you with options, such as using a sanitary pad or other protective measures during the examination.

In terms of treatment, if an anal abscess is confirmed, the typical course of action involves drainage of the abscess. This procedure is usually done under local anesthesia, and it can provide significant relief from pain and discomfort. After drainage, the area may be packed with gauze to promote healing, and you may be prescribed antibiotics to prevent infection.

While it may be tempting to wait until your menstrual period is over, the risk of complications from the abscess outweighs the discomfort of having your period during the examination. If you experience increased pain, fever, or any signs of systemic infection (such as chills or increased swelling), you should seek immediate medical attention, regardless of your menstrual status.

In summary, do not hesitate to seek medical care for your anal abscess symptoms. It is better to address the issue promptly to prevent further complications. Medical professionals are trained to handle such situations with sensitivity and care, so you can feel confident in seeking the help you need. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider. Your health is the priority, and timely intervention can lead to a quicker recovery.

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