Nabothian Cysts: These are usually multiple. They are formed due to blocking of the cervical gland mouths usually as a result of healing of ectopy (epidermidization). The pent up secretion produces cysts of varying sizes from microscopic to pea. The presence of the cysts furthest from the external os indicates the extent of transformation zone. The lining epithelium is columnar. The treatment is directed towards chronic cervicitis.
Endometriotic Cysts: These are situated in the portio vaginalis part of the cervix. The cyst is small and reddish and of less than 1 cm in diameter. It is more explained by the implantation theory.
The implantation of the endometrium occurs during delivery or surgery. The lining epithelium shows endometrial glands and stroma.
Symptoms include intermenstrual or postcoital bleeding, deep dyspareunia and dysmenorrhea.
Speculum examination reveals a small reddish cyst.
Mesonephric Cysts: These are usually situated on the outerside of the cervical stroma. They seldom exceed 2.5 cm. These are lined by cuboidal epithelium. They are asymptomatic. The existence of
the cyst is discovered on speculum examination and confirmation by excision biopsy.
The medicines that can be thought of use are:-
Silicea
Pulsatilla
Lycopodium
Lachesis
Graphites.
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