1. A Woman With a Painful Labial Swelling
Recent Cases at the
Denver Metro Health Clinic

2. Case 22-year old heterosexual woman
Painful swelling right labium majus, increasing in size since 4 days
Last sex: 1 week ago
2 partners in past 3 months
No condom use
No birth control

4. Case Diagnosis: Labial Abscess Treatment:
Probably related to shaving of genital area
Treatment:
Incision and drainage
Doxycycline 100 mg bid 7 days

5. Case
At presentation
4 days later

6. Differential Diagnosis
Bartholin’s Cyst / Bartholinitis?
No: Bartholin’s cysts are typically located more posterior and protrude into the vaginal introitus from he inside of the labium minus

7. Discussion Genital shaving is becoming the norm
Appears to be associated with:
Folliculitis (both men and women)
Abscess (especially labial)

8. Disclaimer Copyright all clinical photos:
Dr. Kees Rietmeijer, STD Control Program, Denver Public Health Department
Individual slides can be used for educational purposes with reference to source and/or inclusion of the DMHC logo