What does “cystic ovarian cyst” mean?
Ovarian cysts—more accurately termed “Nabothian cysts”—are a manifestation of chronic cervicitis. These cystic uterine masses typically develop when squamous epithelial cells from the cervical surface obstruct the cervical glandular ducts, leading to retention and accumulation of glandular secretions, thereby resulting in cystic lesions. Management options include pharmacological therapy, physical therapy, and surgical intervention, as detailed below:
1. Pharmacological Therapy
Patients with cystic uterine masses may be prescribed blood-activating and stasis-resolving medications—for example, Zhitong Huazheng Granules or Guizhi Fuling Capsules. Such agents enhance blood circulation and metabolic activity within the uterine tissues and help soften and resolve cystic masses.
2. Physical Therapy
Under guidance from medical instruments such as colposcopes or laparoscopes, localized treatments—including cryotherapy and laser ablation—may be applied directly to the cystic mass to destroy cystic tissue.
3. Surgical Therapy
Surgical intervention is indicated for patients with large cystic masses or those exhibiting suspicious features of malignancy. Procedures may include radiofrequency ablation, subtotal hysterectomy, or total hysterectomy.