Naboth gland cysts: how to treat?

In complicated and recurrent cysts, complex therapy is used. Initially, drug treatment of nabothian cysts is carried out, drugs are prescribed depending on the complexity of the pathology. Usually, anti-inflammatory treatment precedes, then the neoplasms are removed, and at the final stage, existing functional disorders are corrected. Standard therapy is aimed at preventing the ascending spread of infection and the development of complications such as suppuration, sepsis, infertility, etc. [ 1 ]

If nabothian cysts are combined with colpitis and cervicitis, then local antibacterial and antifungal drugs and antiseptics are used. After laboratory identification of the infection, the therapy is supplemented with specific drugs of targeted action. [ 2 ]

To stabilize the monthly cycle, oral contraceptives with estrogen-gestagen effect are used. If there are pronounced menstrual irregularities in the form of anovulation, luteal insufficiency, low-dose monophasic agents are prescribed. To maintain immunity, it is appropriate to use immunomodulators, adaptogens (tincture of ginseng, magnolia vine, etc.).

Cefotaxime (Claforan)	The antibiotic is administered intramuscularly in a quantity of 1.0-2.0 g from 2 to 4 times a day. When using the drug, some patients experience allergic reactions, eosinophilia, nausea, and abdominal pain.
Revitaxa	Suppositories with a combined composition, 1 suppository is prescribed daily in the evening for 10 days. Contraindications: individual sensitivity to the components of the drug (hyaluronic acid, calendula, aloe, tea tree oil, centella asiatica).
Miramistin (Infamed solution)	A local antiseptic used for irrigation and tampon placement (tampon exposure with 50 ml of solution is 2 hours, course is 5 injections, once a day). During treatment, a slight burning sensation may occur in the area of application, which disappears on its own within 20 seconds. Allergic reactions are less common.
Genferon	Vaginal suppositories with antiviral, antibacterial and immunomodulatory effects. Suppositories are placed one per day, at night (500 or 1 million IU), daily for ten days. Possible side effects: itching, chills, loss of appetite, headache.
Betadine	An antiseptic based on povidone-iodine. Suppositories are inserted deep into the vagina, 1-2 per day, for a week. Treatment can be carried out regardless of the day of the menstrual cycle. During the use of suppositories, itching, redness of the mucous membrane, contact dermatitis, acne may bother.

Vitamins for Nabothian Cysts

The female reproductive system requires a constant supply of nutrients and vitamins. In order to normalize hormonal function and prevent the recurrence of nabothian cysts, the body needs regular vitaminization. The necessary vitamins will smooth out the effects of stressful situations, prevent overfatigue, and normalize the functioning of the entire body as a whole.

Vitamin preparations are usually prescribed by a doctor. Most often, multivitamins contain ascorbic acid, tocopherol, group B, and vitamin D.

B ₆ helps to balance the level of male and female hormones, stabilize the function of the adrenal glands. Natural "suppliers" of B ₆ are fish and meat products, bananas.

Vitamin D deficiency, which can occur due to insufficient ultraviolet exposure of the skin, can cause metabolic disorders. The deficiency can be replenished by taking liquid and encapsulated preparations, which are sold in pharmacies. Dairy products can be considered natural sources. [ 3 ]

Tocopherol (vit. E) helps to normalize estrogen levels in the body and stimulate progesterone synthesis. Due to its antioxidant properties, tocopherol prevents the formation of benign and malignant tumors, including cysts. The drug can be taken in capsules or as a liquid oil solution. [ 4 ]

Vitamin therapy helps to normalize shaky hormone levels, normalize metabolic processes, and accelerate the removal of residual harmful substances from the body.

Physiotherapy treatment

Physiotherapy is an effective method of treating many diseases of the female reproductive system. Physiotherapy is especially often prescribed to relieve acute or chronic inflammatory processes, or to accelerate tissue recovery in the postoperative period.

Physiotherapy helps to shorten the treatment period of diseases, increases the effectiveness of other therapeutic methods, and can be used to prevent complications and recurrent exacerbations. [ 5 ]

However, this type of treatment is not used for nabothian cysts: contraindications to physiotherapy include cysts, as well as other benign or malignant neoplasms.

If the patient underwent surgery for a nabothian cyst, then in the future – at the postoperative stage – the following procedures may be used:

• magnetic therapy (to speed up healing);
• electrotherapy, ultrasound therapy (to relieve pain and vascular spasm);
• laser therapy (promotes reparative and regenerative processes, activates cellular immune defense).

Folk remedies

As an auxiliary means for nabothian cysts, you can use folk methods, or so-called "grandmother's" recipes. There are quite a few of them, but we suggest you familiarize yourself with the most effective of them.

• Make your own lemon peel tincture. Take 200 g of freshly cut peel, pour in 0.5 l of vodka, and leave in a dark place for 14 days. Then take 1 tbsp. three times a day before meals. Duration of treatment is 4 weeks.
• Tampons are prepared from onions and honey. In the morning, take one medium onion, chop it finely and pour honey over it. In the evening, place the honeyed onion and wrap it well in gauze, shape it into a tampon and insert it into the vagina. Leave it overnight and remove it in the morning. Do this daily for ten days.
• Make sitz baths with soap. Grate baby soap and mix with raw egg whites (for one bar of soap you need four whites). Pour the resulting mass into a basin of warm water and stir. Repeat the baths daily, for 15 minutes, for one week. This treatment should not be carried out during menstrual bleeding.
• Tampons with pharmaceutical white clay are inserted into the vagina. The procedure is carried out in the evening, and the tampon is removed in the morning. The duration of treatment is from ten days to one and a half months.

Herbal treatment

The development of nabothian cysts can be stopped with the help of medicinal plants.

The most successful and accessible is considered to be the use of fresh juice from large burdock leaves. This juice is drunk 1 tbsp. three times a day, between meals. The most healing juice is considered to be May juice. [ 6 ]

In addition, it is quite effective to douche with celandine infusion. To prepare such an infusion, you need to brew 1 tbsp. of the plant in 500 ml of boiling water, insist and carefully filter. The course of therapy is one week, after which they take a break (also one week). Pharmacy suppositories with celandine are also successfully used (we will talk about this later).

There is another popular recipe that helps to get rid of almost any cysts. The main ingredient in this recipe is red fly agaric tincture. The remedy is taken drop by drop, starting with one drop (washed down with 200 ml of water), with a daily increase in dosage by one more drop. The dose should be increased to 20 drops, after which the amount is reduced - again by one drop daily. After completing the course, take a break - about 2 weeks. If necessary, repeat the treatment again. The remedy is drunk every day, in the evening, before going to bed. If the patient begins to feel discomfort at a dosage of 10 drops, then she should remain on this amount for a few more days - until her health returns to normal. After normalization of the condition, the increase in dosage continues, bringing to the required twenty drops.

It is very important not to stop treatment prematurely. On average, 2-3 months of intensive herbal therapy are required to get rid of nabothian cysts.

Treatment of Nabothian Cysts with Celandine

Celandine is a virtually universal plant for many diseases. In particular, celandine successfully cures skin problems, stops the development of inflammatory processes, digestive disorders, etc. Traditional medicine includes celandine in mixtures for the treatment of the liver, to correct metabolic processes. This plant is also used to combat cysts. [ 7 ]

Almost any pharmacy sells suppositories containing thick celandine extract. This remedy has a pronounced antispasmodic, analgesic, anti-inflammatory effect, stops the growth of various formations - both benign and malignant, has a bacteriostatic and fungicidal effect.

Among the basic indications for the use of suppositories one can find polyposis, uterine fibroids, adnexitis and cysts.

For a nabothian cyst, suppositories are inserted vaginally, one piece once or twice a day. The duration of treatment is from ten to twenty days, depending on the complexity and neglect of the disease.

Celandine suppositories are not only effective, but also affordable and inexpensive. However, their use still needs to be agreed upon with a doctor.

Homeopathy

Homeopathy is a specific and unconventional method of treating many pathologies using specially prepared remedies. Homeopathic medicines contain extremely small amounts of active ingredients. Specialists practicing this type of therapy point out that the action of such remedies supports and stimulates the immune system of the sick organism, which allows it to defeat the disease almost independently.

Homeopathic medicines are prescribed individually for each patient. In this case, not only the remedy itself is selected, but also its dosage and frequency of administration.

Treatment of nabothian cysts begins as soon as possible after the problem is detected. As a rule, the course of therapy is long, but in most cases it allows to reduce the size of neoplasms, or even to achieve their complete elimination.

For nabothian cysts, the following homeopathic remedies are often prescribed:

• Apis;
• Bovista;
• Bufo;
• Colocyntis;
• Iodium;
• Lachesis;
• Palladium;
• Phosphorus;
• Platinum;
• Podophyllum;
• Silicea;
• Thuja.

This is a list of basic drugs that are always considered for prescription to women with various types of cystic neoplasms. When selecting a remedy, the homeopath will definitely pay attention not only to the main diagnosis, but also to the accompanying complaints, the constitutional and temperamental features of the patient. For most women, simultaneous traditional and homeopathic treatment is recommended.

Surgical treatment

After a full diagnosis, the doctor decides on an individual basis whether to remove the nabothian cysts. If the neoplasms are single, small in size and do not cause discomfort to the patient, then they may not be removed: in such a situation, dynamic monitoring of the pathology will be prescribed. [ 8 ]

Removal of a nabothian cyst is necessary in the following cases:

• if a purulent process has begun;
• if there are large or multiple cysts;
• if the pathology negatively affects the quality of life and makes it difficult to become pregnant;
• if there is reason to suspect malignant degeneration of the formations.

In medical practice, the following methods of removing nabothian cysts are most often used:

• Ablative methods, minimally invasive procedures are prescribed in uncomplicated cases of nabothian cysts. Such treatment methods include cryodestruction, laser treatment and radiofrequency ablation.
• Surgical intervention is indicated for patients who are in the pre- or postmenopausal stage, who do not plan to have children in the future, or in the event of complications (for example, if Nabothian cysts are complicated by dysplasia, severe cervical malformation, or suppuration). In such situations, cone-shaped amputation of the cervix is performed. This type of surgery minimizes the risk of recurrent cyst development.

Any removal, including cauterization of nabothian cysts, can be performed immediately after the end of menstrual flow. Before the procedure, special preparation is carried out, including:

• routine gynecological examination;
• ultrasound;
• testing for the presence of sexually transmitted infections;
• smear test for microflora;
• oncocytology;
• biopsy followed by histology.

The electrocoagulation method involves the application of high-frequency current to tissue. Local anesthesia is used to perform the "cauterization". After removal, scabs are formed, which are removed after some time. In the first days of the postoperative period, yellowish discharge may appear.

Laser resection involves contactless removal of neoplasms. This allows for the complete elimination of secondary infection of wounds, with exceptional precision of tissue processing (healthy tissue is not affected). The use of a laser is a bloodless procedure, after which there are no cicatricial changes. [ 9 ]

Cryodestruction involves the use of liquid nitrogen. Sharp, intense cold allows nerve endings to be blocked, so the procedure is completely painless. Cooling causes vascular constriction, so there is no risk of blood loss.

Radio wave therapy is based on the use of a special radio wave "knife": the surgeon removes the contents of the nabothian cyst and destroys the walls of the capsule. The procedure is safe and takes relatively little time. [ 10 ]

The rehabilitation period after surgery lasts about 1-1.5 weeks. The following are mandatory conditions for rapid tissue healing:

• sexual rest;
• compliance with the rules of intimate hygiene;
• exclusion of thermal procedures (hot baths, saunas, etc.);
• avoid swimming in pools and open water bodies;
• avoid lifting and carrying heavy objects;
• moderate physical activity;
• avoiding douching and refusing to use tampons.

After removal of the nabothian cyst, ichthyol ointment, anti-inflammatory suppositories and drugs that accelerate tissue regeneration are used:

• Vagiferon;
• Acylact;
• Hexicon;
• Depantol, etc.

Proper removal of nabothian cysts is a guarantee of recovery and significantly increases the patient’s chances of successfully conceiving a baby.