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Question 35A 25-year-old woman presents with a painful swelling at the vaginal introitus. What is the most appropriate initial management?A) Immediate surgical excisionB) Oral antibiotics onlyC) Sitz baths and analgesicsD) Aspiration of the cystE) Topical estrogen creamAnswer: C) Sitz baths and analgesicsExplanation: For a Bartholin's cyst or abscess, the initial management typically involves conservative measures such as sitz baths and analgesics. This approach can often lead to spontaneous rupture and resolution.

