Hi I've had pilonidal abscesses for about 7 years, I'm 28 year old female, I've never had it drained or had any sort of op, the first one I ever had my docs sent me to hospital but they said it had burst and everything had come out and they sent me on my way, from there on I've had them probably once every 6 months and until recently one every other month or so, normally before my period is due. They are always terrible, can't sit, sleep drive etc for about two days then they burst and loads of crap and blood comes out and I have immediate relief although always a little sore and go back two work. I try to aviod antibiotics unless I suppose my gut tells me to get some!! Seen a few doctors and spoke to a few on phone appointments and they have always just sort of said I'm managing it, it bursts by itself so in a way my bodies is doing what is supposed to and when I ask about an op they almost sway me against it because of the success rates being so low. But i am worried it's getting worse i have two small holes (sinus?) and always swell on the right hand side (I'm not sure if that's where it drains from) and my Doc did say I have a lot of scar tissue. Any advice? Is there anyone in the same situation as me!! Ideally I don't want to op because I'm scared And also I don't want to go through all that if it doesn't work because of healing time etc etc. And to be honest I can cope with this, I just don't want to do long term damage to my back or anything!! I wash i antibacterial body wash. Don't have baths (unless I have an abscess then bath in salt!) after showers I stick my bum in the air under the shower and really clean the area it's hair free, I use caster oil and salt water when I get one to drain it, and ice cubes to get the swelling down!! Sorry for the long boring story but I'm sure as you all know when your laying on you tummy or on your side in agony for days on end you have the time to write long story's!! Thanks in advance!!