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A nabothian cyst (or nabothian follicle) [1] is a mucus-filled cyst on the surface of the cervix. They are most often caused when stratified squamous epithelium of the ectocervix (portion nearest to the vagina) grows over the simple columnar epithelium of the endocervix (portion nearest to the uterus). This tissue growth can block the cervical ...
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]
Diagnosis is often based on symptoms and examination. [1] If the cystocele causes few symptoms, avoiding heavy lifting or straining may be all that is recommended. [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 ...
Pessaries are a good choice of treatment for women who wish to maintain fertility, are poor surgical candidates, or who may not be able to attend physical therapy. [10] Pessaries require a provider to fit the device, but most can be removed, cleaned, and replaced by the woman herself; however, others have this done for them by a clinician ...
Giuliani et al. found that asymptomatic uterine fibroids are present in 70% of individuals who were diagnosed with it, suggesting that it plays a role in epidemiologic studies underestimating its prevalence. [32] Uterine fibroids are treated if the person is experiencing symptoms such as anemia, infertility, and pelvic and back pain.
Pain and infertility are common symptoms, although 20–25% of affected women are asymptomatic. [1] Presence of pain symptoms are associated with the type of endometrial lesions as 50% of women with typical lesions, 10% of women with cystic ovarian lesions, and 5% of women with deep endometriosis do not have pain. [22]
The diagnosis of a rectocele primarily occurs with a physical examination and an interview where symptoms of difficulty defecating are reported. Women often mention the need to insert a finger in the vagina or use of suppositories and/or enemas to aid in having a bowel movement.
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.