From the Research
Nabothian cysts are typically harmless and require no treatment, but if they become unusually large or cause symptoms, drainage or removal through a simple procedure may be recommended. These cysts are common, benign growths that form on the cervix, developing when mucus-producing glands become blocked with mucus, creating small, smooth bumps that can range from a few millimeters to several centimeters in size 1. They are frequently discovered during routine pelvic examinations or Pap smears and are considered a normal finding in women who have had children or are of reproductive age, resulting from tissue changes during the healing process after childbirth or from chronic inflammation.
Diagnosis and Treatment
- Nabothian cysts can be diagnosed through pelvic examination, ultrasonography, and magnetic resonance imaging (MRI) 2, 3, 1.
- If a Nabothian cyst becomes unusually large or causes symptoms like abnormal bleeding or pain, a healthcare provider might recommend drainage or removal through a simple procedure, such as laparoscopic excision or total hysterectomy 2, 4, 1.
- It is essential to differentiate Nabothian cysts from other cervical cysts, particularly malignant or premalignant lesions, to ensure proper treatment and management 3, 1.
Key Considerations
- Nabothian cysts are not related to cancer, do not affect fertility, and typically do not interfere with normal cervical function 5, 2, 3, 4, 1.
- Large Nabothian cysts can be misdiagnosed as malignancy, and careful preoperative examination, including the use of imaging methods, is crucial for diagnosis and differentiation from other differential conditions 2, 3, 1.
- Laparoscopic excision is a valid option for treating large Nabothian cysts, allowing for a fast recovery for patients 2, 1.