Cyst or Abscess Above the Left Labia: Symptoms and Treatment

Cyst or abscess on the outer upper side of the left labium?

Hello, doctor.
The location is on the outer side of the upper left labia majora.
The shape is elongated, and it does not hurt when lightly pressed, but it does hurt with firm pressure.
This is the second occurrence in the same area (the first time I saw a dermatologist and took antibiotics for two weeks until it disappeared).
I noticed it again after my menstrual period was almost over.
I have no sexual experience but have engaged in masturbation.
I have had folliculitis before, but this particular lesion is different in shape from the previous ones.
Initially, there was no itching or pain.
I seek your advice and thank you very much.

Lurén, 20~29 year old female. Ask Date: 2023/09/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it could possibly be related to inflammation, but it is still recommended to have a check-up with a gynecologist to determine the issue.
Wishing you good health.

Reply Date: 2023/09/10

More Info

When dealing with a cyst or abscess located above the left labia, it's essential to understand the symptoms, potential causes, and treatment options available. Based on your description, it seems that you have experienced a similar issue previously, which was resolved with antibiotics. This recurrence raises some important considerations.

Symptoms and Characteristics
You mentioned that the lesion is elongated, not painful to light touch, but does cause discomfort when pressed harder. This suggests that it may be a cyst, possibly a sebaceous cyst or a Bartholin's gland cyst, rather than an abscess, which typically presents with more pronounced pain, redness, and swelling due to infection. The fact that it appears after your menstrual cycle could indicate a hormonal influence, as hormonal changes can affect the skin and glands in the genital area.

Potential Causes
1. Sebaceous Cyst: These are common and occur when a hair follicle becomes blocked. They are usually painless unless infected.

2. Bartholin's Gland Cyst: This occurs when the duct of the Bartholin's gland becomes obstructed, leading to fluid accumulation. They can become infected, turning into an abscess.

3. Folliculitis: Given your history of folliculitis, it's possible that this could be a recurrent issue, especially if hair follicles are blocked or inflamed.

4. Hormonal Changes: Fluctuations in hormones during your menstrual cycle can lead to changes in the skin and glands, potentially causing cysts to form.

Treatment Options
1. Observation: If the cyst is not causing significant discomfort and is not infected, observation may be a reasonable approach. Many cysts resolve on their own.

2. Antibiotics: Since you previously responded well to antibiotics, if there are signs of infection (increased pain, redness, swelling), a course of antibiotics may be warranted.

3. Warm Compresses: Applying warm compresses to the area can help reduce discomfort and promote drainage if it is an abscess.

4. Surgical Intervention: If the cyst or abscess recurs frequently or becomes bothersome, surgical drainage or excision may be considered. This is typically a minor procedure performed in an outpatient setting.

5. Hygiene and Care: Maintaining good hygiene, avoiding irritants, and wearing breathable cotton underwear can help prevent recurrence.

When to Seek Medical Attention
You should seek medical attention if:
- The lesion becomes increasingly painful or swollen.

- You develop fever or systemic symptoms.

- There is persistent drainage or changes in the discharge.

- You notice any changes in your menstrual cycle or other unusual symptoms.

Prognosis and Prevention
The prognosis for cysts and abscesses in this area is generally good, especially with appropriate treatment. Preventive measures include maintaining good hygiene, managing any underlying skin conditions, and being mindful of hormonal changes.

In conclusion, while your current situation may not seem alarming, it is essential to monitor the lesion and seek medical advice if symptoms worsen or do not improve. Regular follow-ups with a healthcare provider can help manage and prevent future occurrences effectively.

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