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Nabothian cysts usually require no treatment and frequently resolve on their own. [4] Cryotherapy has been used to treat nabothian cysts but is rarely necessary. [4] Very rarely a cyst may be so large that it prevents a clinician from performing a pap smear, in which case the clinician may puncture the cyst with a needle and drain it. [4]
Symptoms depend on whether the cervical canal is partially or completely obstructed and on the patient's menopausal status. Pre-menopausal patients may have a build up of blood inside the uterus which may cause infection, sporadic bleeding, or pelvic pain. Patients also have an increased risk of infertility and endometriosis. [1]
In those with more significant symptoms a vaginal pessary, pelvic muscle exercises, or surgery may be recommended. [1] The type of surgery typically done is known as a colporrhaphy. [11] The condition becomes more common with age. [1] About a third of women over the age of 50 are affected to some degree. [5]
Historically, discussions surrounding feminine reproductive and sexual health have been subject to social stigma within Western society. [3] Women in Western society may avoid discussing problems relating to the female reproductive system, including problems related to female sexual health, with their healthcare providers. [3]
In an attempts to estimate the prevalence of AS in the general population, it was found in 1.5% of women undergoing hysterosalpingography HSG, [51] and between 5 and 39% of women with recurrent miscarriage. [52] [53] [54] After miscarriage, a review estimated the prevalence of AS to be approximately 20% (95% confidence interval: 13% to 28%). [19]
A small opening in the septum called the fenestration allows the menstrual blood to flow out of the vagina. However, it takes longer than the usual menstrual cycle. For the women who do not have a fenestration, blood will pool in the upper vagina and this would lead to serious abdominal pain. This also results in infertility. [17]
The patients ranged in age between 24 and 39 years with an average age of 32.7. All women had amenorrhea for at least 6 months (average 16.75 months) and FSH levels greater or equal than 40 mIU/mL (average FSH 68 mIU/ML). The researchers believe this protocol would work for women in early post menopause as well. [32]
It is common for many women to develop a cyst in their lifetime. [4] At times, these can go unnoticed without pain or visible symptoms. A cyst may develop in either of the ovaries that are responsible for producing hormones and carrying eggs. Ovarian cysts can be of various types, such as dermoid cysts, endometrioma cysts, and the functional cyst.