The cervix is the small organ that connects the vagina and the uterus. The cervix has glands that naturally produce mucus that changes throughout your menstrual cycle.
At times, an excess growth of skin cells can block these endocervical glands. This results in nabothian cysts — the accumulation of mucus and the formation of glandular bumps on the surface of the cervix.
Nabothian cysts usually occur in the transformation zone of the uterine cervix, an important area where the type of cells lining the cervix changes.
Nabothian cysts are benign (non-cancerous) mucus-filled cervical lesions, also known as cervical cysts, cervical polyps, epithelial cysts, or mucinous retention cysts. They are common, generally harmless, and usually don’t require treatment.
How does Dr. Aliabadi diagnose nabothian cysts?
Nabothian cysts can be seen during a regular pelvic exam and Pap test. They are visible as individual cysts or as a cluster on the surface of the cervix.
Beyond a pelvic exam, nabothian cysts may also be noticed during:
Transvaginal ultrasound imaging
Radiographic imaging such as MRIs (magnetic resonance imaging)/CT scans
Colposcopy
Dr. Aliabadi may perform other tests to confirm that the bumps on your cervix are nabothian cysts. These tests may include:
STI testing
Complete blood count
Hormone level tests
Biopsy of the cyst
What are the risk factors of nabothian cysts?
In most cases, nabothian cysts occur when new tissue regrows on the surface of the cervix after childbirth. Nabothian cysts are a normal finding on the cervix of women with children. They are also seen in menopausal women whose cervical skin has thinned with age. Less often, nabothian cysts are related to chronic cervicitis — long-term cervix infection.
Lone nabothian cysts are distinctive and normally do not carry an imaging differential. When they appear in clusters, the primary differential consideration for nabothian cysts is adenoma malignum, a rare and aggressive mucinous form of cervical cancer that appears as a multicystic mass within the cervix, in contrast to the solid infiltrative appearance of standard non-mucinous cervical cancer.
Nabothian cysts may also appear as a possible complication of a hysterectomy.
What are the symptoms of nabothian cysts?
Most of the time, nabothian cysts are painless and symptomless. But on occasion, they can cause symptoms such as:
A feeling of fullness or pressure
Pain during or after sexual intercourse
Pelvic pain
Irregular bleeding and vaginal discharge
Pale yellow to amber mucus secretion
A change in the smell of vaginal discharge
When a nabothian cyst ruptures, you may notice a short-term change in discharge. However, you should contact our office if the symptoms last more than a couple of days or interfere with your day-to-day life. This could indicate a more serious infection or abnormality.
What are Nabothian cyst treatments?
In most cases, nabothian cysts do not cause any symptoms and, in most cases, require no treatment. In some cases, large nabothian cysts could obscure the cervical canal, making it more difficult for our healthcare provider to take samples for a Pap smear or other test. In these cases, you’ll probably need excision (removal) or drainage of the nabothian cysts.
Our gynecologist may also choose electrical or cold ablation to remove the cyst. Electrocautery ablation involves using electrical currents to heat and ultimately eradicate the cyst. Cryotherapy uses liquid nitrogen to freeze and destroy the cyst.
If there is uncertainty about whether the cyst contains potentially cancerous cells, Dr. Aliabadi may choose to remove the cyst and test for malignancy surgically.
Have questions about your health? Talk to Dr. Aliabadi
Dr. Aliabadi and her compassionate team are experts in women’s health care. When treated by Dr. Aliabadi, you’re guaranteed to feel safe, heard, and well cared for. Certified by the American Board of Obstetrics and Gynecology, Dr. Aliabadi provides high-quality medical care and support to women in every stage of their lives, from routine exams to pregnancy, childbirth, and menopause.
We invite you to establish care with Dr. Aliabadi. Please make an appointment online or call us at (844) 863-6700.
The practice of Dr. Thais Aliabadi and the Outpatient Hysterectomy Center is conveniently located for patients throughout Southern California and the Los Angeles area. We are near Beverly Hills, West Hollywood, Santa Monica, West Los Angeles, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, and Downtown Los Angeles.
Sources
Matalliotakis, M., et al. (2021). Coexistence of cervical endometriosis with premalignant and malignant gynecological pathologies: Report on a series of 27 cases. https://pubmed.ncbi.nlm.nih.gov/34696701/
Oguri H, Maeda N, Izumiya C et-al. MRI of endocervical glandular disorders: three cases of a deep nabothian cyst and three cases of a minimal-deviation adenocarcinoma. Magn Reson Imaging. 2004;22 (9): 1333-7. doi:10.1016/j.mri.2004.08.013
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What are the common indicators that someone might have developed one of these benign cervical growths?
Common indicators of nabothian cysts include a feeling of fullness or pressure, pain during or after sexual intercourse, pelvic pain, irregular bleeding and vaginal discharge, pale yellow to amber mucus secretion, change in the smell of vaginal discharge. If symptoms like these arise, consulting a healthcare provider is essential.
Is it possible for these cervical growths to have an impact on reproductive capabilities?
Nabothian cysts typically do not impact reproductive capabilities. However, in rare cases where large cysts obstruct the cervical canal, they may make it more challenging for healthcare providers to perform certain tests, like a Pap smear. In such instances, removal or drainage of the cysts might be necessary.
How can someone differentiate between these cervical mucous cysts and other similar growths in the area?
Nabothian cysts can be differentiated from other similar growths in the area through pelvic exams, transvaginal ultrasounds, imaging tests like MRIs/CT scans, and colposcopy. Dr. Aliabadi may perform additional tests for confirmation. Adenoma malignum, a rare form of cervical cancer, is a primary consideration with cyst clusters.
What are the typical manifestations of these mucous-filled cervical cysts?
Typical manifestations of mucous-filled cervical cysts, known as nabothian cysts, include a feeling of fullness or pressure, pain during or after intercourse, pelvic pain, irregular bleeding and discharge, pale yellow to amber mucus secretion, and changes in vaginal discharge odor.
What triggers these cervical cysts?
Nabothian cysts are commonly triggered by the accumulation of cervical mucus due to the blockage of the cervical glands. This blockage can occur as a result of various factors, including hormonal changes, inflammation, or prior childbirth trauma.
Do they necessitate medical intervention?
In most cases, nabothian cysts do not require any treatment. Occasionally, if they obstruct the cervical canal, excision or drainage may be necessary. If malignancy is suspected, surgical removal for testing may be warranted for peace of mind.
Can they lead to reproductive complications?
Nabothian cysts typically do not lead to reproductive complications. In most cases, they are benign, harmless, and require no treatment. However, large cysts may obscure the cervical canal, making Pap smears difficult. Surgical excision may be necessary in rare cases where malignancy is suspected.
Are they indicative of hormonal imbalances?
Nabothian cysts are not typically indicative of hormonal imbalances. They are benign cervical lesions filled with mucus and are generally harmless, not directly linked to hormonal imbalances. The cysts are usually asymptomatic, only causing issues if they become large enough to obstruct the cervical canal.
Is there a link to contraceptive use?
There is no information provided in the content about a link between nabothian cysts and contraceptive use. The focus of the content is on the nature of nabothian cysts, potential symptoms, diagnosis, and treatments, but it does not specifically address a correlation with contraceptive use.
Does age affect their development?
Age can influence nabothian cyst development, as they tend to be more common in women of reproductive age. Younger women may be more prone due to hormonal changes. However, they can also occur in women of all ages, generally without significant impact on development.
Are they detected during routine exams?
Nabothian cysts may be detected during routine exams, such as pelvic exams. They can also be noticed through transvaginal ultrasound imaging, radiographic imaging like MRIs/CT scans, and colposcopy. If symptoms arise, further evaluation may be needed to confirm the presence of nabothian cysts.
Might they cause discomfort during intercourse?
Nabothian cysts may cause discomfort during intercourse if they become large enough to press against surrounding tissue. Symptoms like pelvic pain during or after sexual intercourse can be signs of potential discomfort caused by the cysts.
Is their appearance alarming to patients?
Nabothian cysts are generally benign and non-alarming to patients. They are typically harmless, often asymptomatic, and do not require treatment unless they cause significant symptoms or obstruct the cervix. In some cases, healthcare providers may need to remove them if necessary.
Can they be confused with other growths?
Nabothian cysts can be confused with other growths, such as adenoma malignum, a rare and aggressive mucinous form of cervical cancer. However, nabothian cysts typically present as mucus-filled benign lesions on the cervix and are different from potential cancerous growths. Always consult with a healthcare provider for accurate diagnosis.
Are they affected by pregnancy?
During pregnancy, nabothian cysts may increase in size due to hormonal changes. In most cases, these cysts do not pose a risk to the pregnancy itself. However, if there are concerns about complications or symptoms, it's essential to consult with a healthcare provider for monitoring and management.
Does their size indicate severity?
In most cases, the size of nabothian cysts does not indicate severity. Larger cysts may affect Pap smear testing. If symptoms occur, such as pain, pressure, or bleeding, consult a healthcare provider for further evaluation and potential treatment options.
Can they contribute to cervical inflammation?
Nabothian cysts, though generally benign, can rarely lead to symptoms like pelvic pain or irregular bleeding. They do not typically cause cervical inflammation. If they become problematic or obstructive, medical treatment or surveillance may be necessary. Consulting with a healthcare provider is advised.
Are lifestyle changes effective against them?
Lifestyle changes are not typically effective against Nabothian cysts since they are benign and usually resolve on their own without intervention. Monitoring symptoms and seeking medical advice for management are recommended if symptoms arise.
Is their occurrence hereditary?
The occurrence of nabothian cysts is not hereditary. They are benign cervical lesions typically caused by blockages in the mucous glands of the cervix, rather than being passed down through genetic inheritance.
Can they fluctuate with menstrual cycle?
Nabothian cysts may fluctuate with the menstrual cycle, potentially changing in size or appearance. These changes can occur due to hormonal shifts that impact the cervix. If you notice any significant alterations, consult Dr. Aliabadi for further evaluation and guidance.
Are they responsive to hormonal treatment?
Nabothian cysts typically do not require treatment, as they are benign and harmless. In most cases, they do not respond to hormonal treatment. Some larger cysts may require excision if they obstruct the cervical canal or cause symptoms like pain or irregular bleeding. Dr. Aliabadi may surgically remove cysts if cancer is suspected.
Might they interfere with IUD placement?
In some cases, large Nabothian cysts could obscure the cervical canal, potentially making it more difficult for the healthcare provider to place an IUD. Excision or drainage may be necessary to remove the cysts if they obstruct the insertion process.
Are they ever considered malignant?
Nabothian cysts are benign, but when uncertainty exists regarding potentially cancerous cells, a surgical removal may be necessary for testing malignant cells. Treatment by Dr. Aliabadi guarantees safety and attentive care in managing cervical conditions.
Can they cause changes to cervical tissue?
Nabothian cysts typically do not cause changes to cervical tissue. They are generally benign, filled with mucus, and do not require treatment unless they cause symptoms such as pressure, pain, or obstruction. In rare cases, large cysts could interfere with sampling during a Pap smear, necessitating excision.
Do they impact Pap smear results?
In some cases, nabothian cysts can obscure the cervical canal, making it challenging to take samples for a Pap smear. When this occurs, removal or drainage of the cysts may be necessary for accurate Pap smear results.
Might they be mistaken for infections?
Nabothian cysts can sometimes be mistaken for infections due to symptoms such as irregular bleeding, vaginal discharge, and a change in the smell of discharge. However, a medical professional like Dr. Aliabadi can accurately diagnose nabothian cysts through various tests to differentiate them from infections.
Are they ever present without symptoms?
Nabothian cysts are typically asymptomatic; however, in some cases, they can cause symptoms like irregular bleeding, pelvic pain, and changes in vaginal discharge. Most often, they do not require treatment but may need excision if they obscure cervical canal sampling.
Can they be a response to cervical trauma?
Nabothian cysts are not typically a response to cervical trauma. They are benign, mucus-filled lesions on the cervix that are usually harmless and do not require treatment unless causing symptoms or obstruction. In cases of uncertainty, further evaluation by a healthcare provider is recommended.
Do they alter the cervical canal?
If large nabothian cysts are present, they can obscure the cervical canal, potentially making it difficult for healthcare providers to take samples for a Pap smear or other tests which may necessitate excision or drainage of the cysts.
Is their removal a complex procedure?
The removal of nabothian cysts may require excision or drainage in certain cases. Larger cysts can obstruct the cervical canal, making sample collection difficult. In cases where malignancy is suspected, surgical removal may be necessary for testing.
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