Causes and Risks:

The cervical canal is lined by glandular cells that normally secrete mucus. These endocervical glands can become covered by normal squamous epithelium in a normal process called metaplasia. These nests of glandular cells (Nabothian glands) on the cervix may become filled with secretions. As secretions accumulate, a smooth, rounded lump may form just under the surface of the cervix and become large enough to be seen or felt upon examination. Each cyst appears as a small, white pimple-like elevation. They can occur singly or in groups, and they are not a threat to health. The cysts are more common in women of reproductive age, especially those who have borne children.

Prevention:

There is no known prevention.

Symptoms:

There are no observable symptoms.

Signs and Tests:

Pelvic examination reveals a small, smooth, rounded lump (or collection of lumps) on the surface of the cervix. Rarely, a colposcopic examination is necessary to distinguish Nabothian cysts from other types of cervical lesions.

Treatment:

No treatment is necessary, however, they do not spontaneously clear. They can be easily cured through electrocautery or cryotherapy. Both procedures can be done in the doctor’s office.

Prognosis:

This is a benign condition.

Complications:

Rarely, cysts may become so numerous or enlarged that the cervix becomes clinically enlarged.

This condition is usually discovered during a routine pelvic examination.