Last Thursday my cyst flared up. I hoped it would go back down but it did not. As of today I am in so much pain. I went to urgent care earlier to hopefully have it drained before it gets worse. The Dr. stated that he wants me to try antibiotics first. He prescribed bactrim, painkillers and a topical ointment. I've been crying all day. I feel so hopeless. Today was my last day of spring break and starting tomorrow I'm back on a 6 day a week schedule. I'm balancing work, school, a child and an internship. I graduate in May, so these next two months are power packed. Any time off would be detrimental. I've had two flare ups before, both needed drained and packed. This is just the pilonidal. I've had ongoing problems with a bartholin cyst as well, with that one drained at least three times, the biopsies and removal of my cervix, along with the total removal of my lymph nodes in my left groin. This makes a total of 8 outpatient procedures. The one I have now will need drained, I'm sure of it, with the rate it is swelling. Unfortunately mine is in my crack, and has never developed an opening for drainage. I'm setting an appointment with my family Dr tomorrow and will return to urgent care if it becomes unbearable. In the meantime, it's really my head space that is making it worse. I can't stop crying and have not been able to find a positive outlook since Thursday. I was quite depressed for weeks the last time this has happened. I feel all of that returning. I'm in so much pain, feel so unattractive and gross, and am so worried that it's something more than it is. I really do not want to live with this forever. I feel very hopeless that this will keep returning. I absolutely hate having a drainage. I know it provides relief but it always hurts, is very embarrassing and uncomfortable. I feel so cursed. I'm hoping my family Dr can recommend me to a specialist of some sort. I can't stop with the "what if's?" kind of thoughts and my self esteem is so, so low. Please, if you have any advice on how to stay positive, or how to feel pretty, or how to look at this differently, or who to see in central Ohio, please share. I'm feeling very hopeless right now.