Question

You are performing a pelvic exam on a 25-year-old sexually active woman. You

palpate a tender and warm cystic mass on the lower edge of the left labia majora,which is red. The most likely diagnosis is________________.

A) Skene’s gland cyst
B) Cystocele
C) Lymphogranuloma venereum
D) Bartholin’s gland abscess

Answer 1

Answer: D) Bartholin's gland abscess

Explanation: Bartholin's gland abscess is an accumulation of pus in one of the bartholin's gland. Bartholin glands are two small pea shaped glands that are found on both sides of the vaginal opening.

The Bartholin's glands secrete fluid that lubricate the vagina during sexual arousal. Bartholin's gland abscess is characterized by intense pain on one side of the vagina, redness and general swelling of the area. It is usually experienced by women of child bearing age especially those in their twenties

Answer 2

Option D

Step-by-step explanation:

The cyst described in the question is the Bartholin's cyst usually felt as a soft and painless lump. It causes no issues when it is small in size but as it grows in size it causes vaginal pain while sitting, walking or having sex. The cysts becomes painful with time and develops pus known as abscess in the Bartholin's glands

Hence, option D is correct