What is a cervical Nabothian cyst?
Cervical nabothian cysts, generally referring to cervical glandular cysts, occur when the cervical glandular openings become narrowed or blocked, preventing normal drainage of fluid from the glands and leading to cyst formation. These are typically benign physiological changes.
During the process in which squamous epithelium replaces columnar epithelium in the cervical transformation zone, newly formed squamous epithelium may cover or extend into the cervical glandular orifices, blocking them and obstructing the drainage of glandular secretions, thereby forming cysts. Additionally, local cervical injury or chronic cervical inflammation causing narrowing of the glandular openings can also prevent normal secretion drainage, resulting in cervical glandular cysts. These cysts usually do not cause symptoms, although some patients may experience increased vaginal discharge or cervical enlargement.
Most cervical glandular cysts are physiological and do not require specific treatment. However, if there is contact bleeding or symptoms persist despite repeated medical treatments, physical therapies such as laser ablation or cryotherapy, or surgical interventions such as cyst fenestration or hysteroscopic electroresection of cervical glandular cysts, may be performed by a qualified physician to alleviate symptoms.