^

Health

A
A
A

Endocervical cyst

 
, medical expert
Last reviewed: 05.07.2025
 
Fact-checked
х

All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.

We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.

If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.

The mucous membrane lining the inner surface of the cervix (cervical canal) is called the endocervix. An endocervical cyst is an enlarged gland of the endocervix that is shaped like a cyst.

trusted-source[ 1 ], [ 2 ]

Causes of Endocervical Cysts

The manifestation of this pathology is often noted by gynecologists today. Due to the widespread prevalence of this pathology, it would not hurt to learn more about the causes of endocervical cysts.

  • The healing process of erosions affecting the cervix can lead to the formation of hyperechoic inclusions, which can subsequently develop into endocervical cysts.
  • Endometriosis. This is relevant in cases where endometrial cells enter the cervical canal.
  • Injuries.
  • Blockage of gland ducts with dead cells. This malfunction of the body leads to accumulation of secretion in them.
  • Leukoplakia of the cervix (white spots (up to 0.5 cm in radius) on the mucous membranes).
  • Inflammatory processes of a chronic nature.
    • Colpitis (infectious and inflammatory disease of the vaginal mucosa).
    • Salpingoophoritis (inflammation of the uterine appendages, fallopian tubes and ovaries).
    • Cervicitis (inflammation of the cervix, the part of it that protrudes into the vagina).
    • And others.
  • Infectious diseases.
    • Cytomegalovirus. This pathogen is constantly present in the human body without showing any signs of itself. And only in the case of reduced immunity do its first symptoms begin to appear.
    • HPV (human papillomavirus).
  • Use of an intrauterine device.

trusted-source[ 3 ], [ 4 ]

Symptoms of endocervical cyst

Most women do not even suspect that they have this disease, as there are no signs of its manifestation. But there are still symptoms of endocervical cysts that can be identified by any woman who is attentive to her health. This will allow you to sound the alarm as early as possible, consult with your gynecologist, undergo an examination, diagnostics, and take the necessary tests.

  • Large cystic formations can cause narrowing of the cervical canal, which leads to disruption of the menstrual cycle.
  • This can also become a problem in conceiving a child, leading to temporary or complete infertility.
  • If the endocervical cyst is located on the posterior lip of the cervical canal, minor bleeding is frequent (especially after a visit to the gynecologist or sexual intercourse).
  • If the neoplasm is large, the woman feels some discomfort, a feeling of foreignness in the body.
  • There may be pain in the lower abdomen, bloody discharge appears not only before menstruation, but also in between them.

Endocervical cyst of the cervix

Endocervix is the mucous membrane of the cervix. The homogeneity of its structure is considered normal for women who have not given birth, while minor deviations (anechoic and hyperechoic inclusions up to 5 mm) are considered normal for mothers who have given birth. But it is the hyperechoic changes that most often degenerate, as a result of which an endocervical cyst of the cervix is formed.

The reason for their occurrence is the consequences of cauterization of cervical erosion or blockage of the secretion glands. The cervical endocervical cyst is, in most cases, a benign neoplasm, but this should serve as a reason for a more in-depth examination of the woman's health. The endocervical cyst is no different in shape from the cyst that forms on the glands of other organs. In terms of number, they can grow both individually and represent a group of many small formations. The localization site can be any section of the endocervical canal.

This pathology can only be identified by ultrasound examination. Today, almost every woman giving birth to one degree or another has this disease in her anamnesis, but there are increasingly more cases when endocervical cysts are diagnosed in young girls who have not yet given birth. Multiple small neoplasms are not dangerous in themselves, but if their growth begins to progress, they can negatively affect the course of pregnancy and childbirth.

trusted-source[ 5 ], [ 6 ], [ 7 ]

Single endocervical cysts

The most common pathology of this disease can be called single cysts of the endocervix. They are round neoplasms in the form of cysts and are considered more negative. Their relatively large sizes can partially or completely block the passage canal, which is fraught with many unpleasant moments in the health of a woman. These include disruptions in the menstrual cycle, increased pain, decreased reproductive capabilities of a woman and some other "troubles".

Today, doctors recognize ultrasound examination (US) as the most informative method for diagnosing endocervical cysts.

Multiple endocervical cysts

Sometimes there are multiple endocervical cysts on the entire surface of the cervical canal. But they do not entail any significant deviations in the woman's health, including not affecting conception, bearing and birth of the baby.

Small endocervical cysts

When monitoring neoplasms, it was noted that, for example, after the procedure of healing erosions that affected the cervix, small endocervical cysts are formed in place of the scars. The cause of their occurrence can be called the blockage of the gland ducts, which were the result of cauterization.

After diagnosis, but before starting treatment, it is necessary to remember that single small endocervical cysts are not considered a deviation from the norm, and therefore are not subject to treatment. Due to the fact that this type of endocervical cyst does not cause much harm to health, but is still a pathology, it is possible to try treatment with folk remedies.

Where does it hurt?

Diagnosis of endocervical cyst

Due to the fact that there are no clearly expressed symptoms of the disease in question, the diagnosis of an endocervical cyst can begin either with an examination by a gynecologist, or with the fact that the woman is sufficiently attentive to her health and feels the slightest deviations from the norm.

The diagnosis of endocervical cysts may include:

  • Visual examination with a mirror by an obstetrician-gynecologist.
  • Ultrasound examination of the pelvic organs, including the cervix, which makes it possible to see a complete picture of the localization and determine the size and number of endocervical cysts.
  • Colposcopy (an extended version of the analysis), along with ultrasound, is considered a highly informative method of diagnosis. The study is carried out using a colposcope - a microscope specially designed for such a study. Thanks to high-resolution optics, it is possible to thoroughly examine the cervical canal, accurately making a diagnosis.
  • Oncocytology. Due to the complex situation of cancer diseases, in order not to miss this disease at an earlier stage, the doctor necessarily sends the patient's smears for oncocytology. It is preferable to carry it out on the 15th - 17th day of the menstrual cycle.
  • Research of samples for urogenital infection.
  • PAP smear (or as it is called, a Pap smear). This study makes it possible to "catch" the very beginning of cancerous changes. This procedure is carried out using specially developed fixatives and dyes.

trusted-source[ 8 ], [ 9 ]

Echo signs of endocervical cysts

Modern medicine offers several effective methods for diagnosing gynecological diseases, including the pathology under consideration. And one of such studies, doctors consider ultrasound of the cervix. The main echo signs of endocervical cysts are dark (almost black) formations visible on the screen, called anechoics by doctors. These neoplasms have smoothed shapes, close to a circle. They are distinguished by a clearly contoured outline. Its parameters vary from several millimeters to one or two centimeters.

Single small neoplasms are diagnosed more often, but the growth of the cyst often does not stand still, it can increase, blocking the cervical canal and deforming it. Over time, polycystic disease can be diagnosed - the appearance of not one, but several neoplasms.

Who to contact?

Treatment of endocervical cysts

These neoplasms are often differentiated as benign, so they do not require treatment, but it is still worth consulting with your doctor. Treatment of endocervical cysts is indicated when the pathology is clearly visible and clearly affects the health of the woman. The danger of such formations lies in their potential threat of infection of the patient's body. And also the growth of cysts can lead to infertility of the woman or problems during childbirth.

  • Radiosurgical method. When using it, the obstetrician-gynecologist punctures (pierces) the cyst, allowing the secretion to completely exit its cavity. This method can also be used in cases where there is an inflammatory process in the glands.
  • Radio wave method. This procedure is performed under local anesthesia. During it, the cyst is completely removed using radio waves.
  • Laser removal. It can be used to remove endocervical cysts if they are clearly visible during a visual examination by a gynecologist using a mirror. In this case, the location of their localization should be as close as possible to the vaginal segment of the female organ.
  • Cryotherapy. It is performed when endocervical cysts are located deep enough in the cervical canal. The neoplasms are removed by cauterizing them with liquid nitrogen, which produces very low temperatures. The entire procedure does not take much time and is performed on an outpatient basis. The most optimal period for cryotherapy is immediately after menstruation has ended. An inflammatory process in the pelvic organs may be a contraindication to this procedure.
  • If an endocervical cyst is diagnosed with a chronic complication in the form of adnexitis (inflammation of the uterine appendages: fallopian tubes, ovaries, ligaments) or an inflammatory tumor neoplasm, then surgical treatment is necessary. The operation allows you to completely get rid of the problem, but it leaves colloid scars.

Only an obstetrician-gynecologist can make a decision on the need for treatment and only after a complete diagnosis of the patient and establishment of a diagnosis.

In case of surgical intervention, antibiotics are necessarily prescribed:

Ampicillin. This drug is taken orally regardless of meal time. For adults, the daily dosage is two to three grams, with 0.5 g of Ampicillin taken at one time. Based on this, the required daily amount of the drug is divided into four to six doses. The duration of the treatment course is determined individually and depends on many factors (the form of the disease, the severity and severity of the course, the patient's condition) and ranges from one to three weeks.

Taking this drug is accompanied by multiple side effects, but the strength of their manifestation corresponds to the individual characteristics of the patient.

  • Dysbiosis and diarrhea.
  • Stomatitis.
  • Nausea and vomiting.
  • Headache and pain in the lower abdomen.
  • Tremor.
  • Rhinitis and conjunctivitis.
  • Thrombocytopenia and leukopenia (lack of leukocytes and platelets in the blood plasma).
  • Peeling of the epidermis and itching.
  • Urticaria (dermatitis mainly of allergic origin).
  • Quincke's edema.
  • Fever.
  • And many others.

There are also contraindications for this drug^

  • Individual hypersensitivity to the components of the drug, as well as to the penicillin group.
  • It is not recommended to use it to treat children under three years of age.
  • Infectious mononucleosis (an acute infectious disease affecting the lymphatic and reticuloendothelial systems).
  • Pregnancy and lactation.
  • Lymphocytic leukemia (oncological lesion of lymphatic tissue).

Tetracycline. According to the instructions attached to the drug, this medicine should be taken half an hour to an hour before meals four times a day (or every six hours) in a dosage of 250-500 mg for adults and 25-50 mg per kilogram of weight for children over eight years old.

Manufacturers of Tetracycline list the following as contraindications for taking this medication:

  • Hypersensitivity to tetracycline and its components.
  • It is not recommended for use in treating children under eight years of age.
  • Pregnancy and lactation period.
  • Leukopenia or low levels of white blood cells in the blood plasma.
  • Tendency to allergies.
  • It is necessary to take a sufficiently measured approach to the administration and dosage of the drug in case of renal failure in a patient.

When taking this medication, there are also multiple side effects:

  • Dysphagia is a disorder of swallowing functions, nausea and vomiting.
  • Exacerbation of ulcerative diseases of the duodenum and stomach.
  • Pancreatitis (inflammation of the pancreas).
  • Increased intracranial pressure.
  • Decreased appetite and dizziness.
  • Increase in blood creatinine levels.
  • A decrease in the level of platelets in the blood serum.
  • Anaphylactic shock and Quincke's edema.
  • Skin rashes.
  • And other symptoms.

Cefotaxime. This medicine is administered to the patient intravenously (by jet or drip) or by injection into the muscle. This medicine is prescribed to patients who are already 12 years old (the child's weight should be 50 kg or more) and adults.

For prevention and for infections not complicated by complications, Cefotaxime is administered intravenously or intramuscularly every eight to twelve hours at 1 g.

If the clinical picture shows an acute form of infection, the dosage can be increased to 2 g with the same frequency of administration, and in particularly severe cases, the drug can be administered at 2 g every four to eight hours.

To prevent the development of postoperative infection, 1 g of the drug is usually dripped immediately before the operation together with anesthesia. If a medical need arises, Cefotaxime can be re-administered only after six to 12 hours. The same dosage and time interval are maintained during a cesarean section.

For intravenous and intramuscular administration, 1 g of the drug is mixed with 4 ml of special water for injections (or 1% lidocaine (novocaine) solution). The rate of administration is three to five minutes.

In case of a dropper, 1-2 g of the drug is dissolved in 50-100 ml of a special diluent (0.9% sodium chloride solution or 5% glucose solution). The procedure takes up to an hour.

When taking Cefotaxime, various side effects are observed:

  • Excessive amount of urea in blood plasma.
  • Kidney failure.
  • Dizziness and pain in the head and stomach.
  • Flatulence and diarrhea.
  • Dysbacteriosis and constipation.
  • Nausea leading to vomiting.
  • Stomatitis.
  • Skin rash and itching.
  • Hives.
  • Fever and chills.
  • Anaphylactic shock.
  • And others.

There are also contraindications to the use of this drug:

  • Individual intolerance to the components of Cefotaxime.
  • Pregnancy and breastfeeding period.
  • Age of children up to three years.

During the treatment, antiseptics are also prescribed. For example, such as the drug Tsimezol.

This product in the form of a spray is applied externally to the wound surface for one to two seconds (approximately two to four grams of the drug). The intensity of administration is every two to three days, until the connective tissue begins to actively form at the site of injury. At the same time, there are no contraindications or side effects of this drug. To maintain the vitamin-mineral balance of the patient's body, the attending physician, without fail, prescribes multivitamins.

Nutrimax. A highly effective vitamin complex that the patient takes one capsule once a day, during meals. The drug is washed down with a significant amount of water.

Any medicine should be prescribed only by a doctor, and specifically Nutrimax is not recommended for use in cases of individual intolerance to the components of the drug, as well as during pregnancy and lactation, with obvious pathology in the liver and hypercalciuria. Nutrimax should not be given to children under 12 years of age.

Treatment of endocervical cysts with folk remedies

When diagnosing small single or multiple cysts that do not cause significant harm to a woman's health and do not require drug treatment, you can still try treating endocervical cysts with folk remedies. But even in this case, you should consult with your doctor, since they are almost unable to completely rid a woman of this pathology, but they can slow down or completely block its further growth. This tincture can be used as a necessary preventative measure against relapses.

Collect a sufficiently large composition:

  • one part of each of the following herbal components:
    • valerian root;
    • stinging nettle;
    • tripartite succession;
    • walnut leaves;
    • wild pansy;
    • buckthorn fruits;
    • wormwood;
    • horse sorrel root;
    • oregano.
  • in four parts:
    • flowers of sandy immortelle;
    • burdock root;
    • knotweed;
    • centaury herb.
  • and six parts of St. John's wort.

Pour 3 tablespoons of the collected herbal mixture with half a liter of boiled water. Let it stand for 12 hours and drink half a glass 30 minutes before meals. The tincture should be taken two to four times a day.

More information of the treatment

Prevention of endocervical cysts

If we talk about some specific measures that should definitely protect the fair sex from the pathology in question, then we can say unequivocally that there are none. Prevention of endocervical cysts can only be reduced to a more careful attitude towards yourself and your health:

  • Try to avoid injuries and abortions.
  • Treat all infectious diseases promptly and until complete recovery.
  • Don't freeze.
  • It is necessary to undergo periodic preventive examinations with your obstetrician-gynecologist.
  • Be very careful when choosing an intrauterine device.
  • Maintain a balanced diet.
  • Maintain personal hygiene.

Endocervical cyst prognosis

The prognosis for endocervical cysts is favorable in most cases. Just remember that the disease is easier to treat in its early stages, so it is necessary to undergo preventive medical examinations periodically.

All information provided in this article is intended for those who care about their health and want to know more about it. But you should not use this information as instructions for action. In any case, you cannot self-medicate. Only a specialist can make a correct diagnosis and prescribe adequate treatment. An endocervical cyst is not a death sentence. With such a diagnosis, you can easily live to a ripe old age, without undergoing any treatment, but still, the need for drug and surgical treatment can only be determined by a doctor and no one else.

You are reporting a typo in the following text:
Simply click the "Send typo report" button to complete the report. You can also include a comment.