Nabothian Cysts: Benign Cervical Findings – Management Options

Nabothian cysts are mucus-filled retention cysts on the cervix, formed when squamous epithelium blocks endocervical gland ducts. They are:

• Common, benign, asymptomatic.
• Usually 2–10 mm, translucent/white.
• Incidental finding on pelvic exam/colposcopy.

Treatment Indications

Rarely needed. Consider if:

• Large (>1 cm) causing discomfort/dyspareunia.
• Infected (pain, purulent discharge).
• Diagnostic uncertainty (rule out neoplasm).

Options

• Incision/drainage (office).
• Electrocautery/ablation.
• Laser vaporization.
• Excision (if suspicious).

Most require only reassurance and observation.