Nabothian cysts

Question 1

What are Nabothian cysts

Answer 1

Fluid-filled cysts on the surface of the cervix. Also called nabothian follicles or mucinous retention cysts. Harmless and unrelated to cervical cancer

Question 2

Nabothian cysts presentation

Answer 2

Often found incidentally on speculum examination. Don’t typically cause any symptoms.
If very large, may cause a feeling of fullness in pelvis.
Smooth rounded bumps on cervix, usually near to os. Can range in size from 2mm to 30mm.
Whiteish or yellow appearance

Question 3

Causes of Nabothian cysts

Answer 3

Columnar epithelium produce cervical mucus. When squamous epithelium slightly cover mucus-secreting columnar epithelium, the mucus becomes trapped and forms a cyst.
Can happen after child birth, minor trauma to cervix or cervicitis secondary to infection

Question 4

Nabothian cysts management

Answer 4

Reassurance, no treatment required, Do not cause harm and often resolve spontaneously.
If uncertain, can be referred for colposcopy - may be excised or biopsied.