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Bartholin abscess — DRCOG MCQ

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EasyGynaecologyBartholin abscessDRCOG

A 28-year-old woman has a painful swelling at the left posterior introitus and difficulty sitting. She is afebrile but the swelling is fluctuant and very tender. What is the most appropriate management?

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Correct answer: B — Refer for drainage of a Bartholin abscess

A fluctuant tender posterior introitus swelling suggests a Bartholin abscess, which usually requires drainage, often with Word catheter placement. Reassurance alone is inadequate when pain is significant and abscess is present. Topical oestrogen and pelvic floor exercises do not treat an abscess. Cervical screening is unrelated to acute management.

Reference: NICE CKS Bartholin cyst/abscess; BNF