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concerned about rv fistula

I have wondered if I have an rv fistula for about a year. I was initially assured that it was a bartholin cyst which was successfully treated with antibiotics. It returned and was again given antibiotics and a referral to a gynecologist. He said there was no bartholin cyst present but there was a sinus visible. He doesn't believe it goes anywhere. However, I have ongoing redness and irritation in the vagina around the opening of the sinus. I don't see any discharge however. There is air coming from vagina when I empty the pouch.There is a lump which sometimes, not always, has a white head. I find it really burns and stings when the pouch is full or when I'm emptying.  I could live with the irritation if it didn't prevent sexual intercourse - it's much too painful (topical estrogen has helped the vaginal tissue but this one particular area is not helped by it).  I have had negative biopsies and cultures. An MRI is scheduled four months from now. Any thoughts of what else it might be? I am feeling pretty down about it. 

A long post to read, I know...sorry.

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