What is the treatment for a chronic Nabothian (nabothian) cyst?

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Last updated: March 20, 2025 • View editorial policy

From the Research

Nabothian cysts typically don't require treatment as they are benign, normal findings on the cervix that develop when mucus-producing glands become blocked. If a nabothian cyst becomes unusually large or causes symptoms like pain or abnormal bleeding, treatment options include cryotherapy, electrocautery, or surgical removal 1. For symptomatic cysts, a healthcare provider may perform simple drainage or marsupialization, which creates a permanent opening to prevent fluid reaccumulation. Laser therapy is another option for larger cysts. These procedures are typically done in an outpatient setting with minimal recovery time. It's essential to note that while chronic nabothian cysts are generally harmless, any cervical abnormality should be evaluated by a healthcare provider to rule out more serious conditions. Regular gynecological check-ups are recommended to monitor any changes in existing cysts. No medications are typically prescribed for nabothian cysts as they don't respond to pharmaceutical treatment.

Key Considerations

  • Nabothian cysts are benign and usually don't require treatment
  • Symptomatic cysts can be treated with cryotherapy, electrocautery, or surgical removal
  • Marsupialization and laser therapy are options for larger cysts
  • Regular gynecological check-ups are crucial to monitor any changes in existing cysts

Treatment Options

  • Cryotherapy: a procedure that uses extreme cold to destroy abnormal cells
  • Electrocautery: a procedure that uses electrical current to remove abnormal tissue
  • Surgical removal: a procedure that involves removing the cyst surgically
  • Marsupialization: a procedure that creates a permanent opening to prevent fluid reaccumulation
  • Laser therapy: a procedure that uses high-energy light to remove abnormal tissue

It's worth noting that the provided evidence does not directly address the treatment of nabothian cysts, except for the study published in 2009 1, which mentions that hysterectomy may be necessary in rare cases where the cysts are large and cause significant symptoms. However, this is not a common treatment approach for nabothian cysts. The other studies provided are related to different types of cysts, such as Tarlov cysts, pancreatic cysts, lumbar facet cysts, and intracranial arachnoid cysts, and are not directly relevant to the treatment of nabothian cysts.

References

Research

Complex Nabothian cysts: a diagnostic dilemma.

Archives of gynecology and obstetrics, 2009

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.