Conversation: The conversation between human and AI assistant.
[|Human|] I have been to my gynelogist several times this year with different issues.  Painful intercourse, leg and lower back pain.  I was prescribed a hormone replacment therapy that did not work.  I went back to him a week ago with severe pain in the vaginal area and buttocks.  I was diagnosed with a barthilon abcess and was prescribed an antibiotic therapy.  Didnt work.  Went back yesterday and now he is telling me that I need surgery - possiblity of cancer(!)  Needless to say I am in shock today.  The symptoms I have today were present when he first saw me only now that have excellated to unbearable.  Where can I search for answers to this issue?  I have to go to a surgeon next week and I want to be fully armed with my questions so that I will receive the right treatment.  What are the symptoms of barthilon gland cancer?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Bartholin gland cancer can present as Bartholdi cyst or abscess initially. And if not relieved by routine treatment like antibiotics than possibility of cancer should be raised. Symptoms are vaginal discharge, lower abdominal pain, pain during sexual act, low grade fever, weakness and weight loss. Sometimes lump can be felt too. But you need biopsy and histopathological examination first to confirm cancer. So consult surgeon and ask him about biopsy first.