[27F] Experiencing vaginal swelling with intermittent discomfort

Patient Description

A 27-year-old female has been experiencing swelling on the right side of her vagina for almost a year. The swelling is described as red and itchy, occasionally causing discomfort but does not present with pain. The size of the swelling fluctuates, often increasing after sexual activity. A distinct line has appeared within the swollen area. The patient has had multiple or new sexual partners in the past year and has used substances such as tobacco, alcohol, or recreational drugs. There are no new lumps or growths, fever, chills, known allergies, current medications, or pre-existing conditions reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Bartholin's Cyst or Abscess: The Bartholin's glands are located on each side of the vaginal opening and can become blocked, leading to the formation of a cyst. If a cyst becomes infected, it can turn into an abscess. This could explain the swelling and discomfort you're experiencing, especially if the swelling gets larger after sexual activity (as the glands secrete fluid during sexual arousal).

    • Treatment typically involves sitz baths, antibiotics, or surgical drainage if the cyst or abscess is large or painful.
  • Vulvar Varicosities: These are varicose veins that occur in the vulva. They can cause swelling, discomfort, and a feeling of pressure, and may become more pronounced after sexual activity.

    • Treatment usually involves lifestyle changes, such as avoiding standing for long periods and elevating the hips when lying down. In severe cases, medical or surgical treatment may be necessary.
  • Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or syphilis, can cause swelling and discomfort in the genital area. Given your history of multiple or new sexual partners, this could be a possibility.

    • Treatment involves specific antibiotics or antiviral medications, depending on the type of STI.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis. It's important to consult a healthcare professional for an accurate diagnosis and treatment.

What you can do

  1. Schedule an appointment with a healthcare provider: Given the duration and recurrent nature of your symptoms, it's important to seek medical attention. A healthcare provider can perform a physical examination and order tests as necessary to determine the cause of your symptoms.

  2. Practice safe sex: Use condoms during sexual activity to reduce the risk of STIs.

  3. Try sitz baths: If the swelling is causing discomfort, sitting in warm water for 15-20 minutes several times a day can help to relieve the symptoms.

What you should look out for

You should seek immediate medical attention if:

  • The swelling becomes significantly larger or more painful
  • You develop a fever or chills
  • You notice any open sores or ulcers in the swollen area
  • You experience any unusual vaginal discharge
  • The swelling does not improve or worsens after trying home remedies

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult a healthcare provider for a definitive diagnosis and treatment.

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9 mo ago

People Also Ask


What is a Bartholin's cyst and how is it treated?

A Bartholin's cyst occurs when the Bartholin's glands, located on each side of the vaginal opening, become blocked, leading to fluid accumulation. Treatment may include sitz baths, antibiotics, or surgical drainage if the cyst is large or painful.


Can vulvar varicosities cause swelling and discomfort in the genital area?

Yes, vulvar varicosities are varicose veins in the vulva that can cause swelling, discomfort, and a feeling of pressure. They may become more pronounced after sexual activity. Treatment often involves lifestyle changes or, in severe cases, medical or surgical intervention.


What are the symptoms of sexually transmitted infections that could cause genital swelling?

Symptoms of sexually transmitted infections that could cause genital swelling include itching, redness, sores, or ulcers in the genital area, unusual discharge, and discomfort. It's important to get tested if you suspect an STI.


How can I reduce the risk of sexually transmitted infections?

To reduce the risk of sexually transmitted infections, practice safe sex by using condoms, limit the number of sexual partners, and get regular STI screenings. Open communication with partners about sexual health is also important.


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