Do Nabothian cysts of the cervix cause infertility?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on December 04, 2024
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Women with cervical Nabothian cysts will not become infertile because of them.

Cervical Nabothian cysts are actually cysts of the cervical glands. Abnormal substances, such as squamous epithelium during the healing process, have entered the gland ducts, blocking them and preventing the contents of the cysts from escaping. They merely indicate the squamo-columnar junction of the cervix and do not affect the cervical canal or cause it to narrow, nor do they affect vaginal secretions or female infertility.

However, if a woman has a particularly large single cervical cyst or multiple cervical gland cysts, they may cause cervical hypertrophy. When the cervix is enlarged, there might be hyperplasia in the interstitial part and possible formation of fibrous tissue. This could potentially affect the dilation of the cervix during childbirth.

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Reproductive Medicine
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Precautions for Infertility Examination

Infertility examinations primarily involve tests for both men and women. For men, the examination includes a semen analysis which requires abstinence for 2-7 days. Semen should be collected through masturbation, using a specialized semen collection cup provided by the laboratory. Ordinary condoms should not be used for semen collection. After collection, the semen must be kept warm and promptly delivered back to the laboratory. For women, the examinations include several aspects. First, during the menstrual period, blood is drawn on an empty stomach between the 2nd and 4th days to check hormone levels, and an ultrasound is used to assess the baseline state of the ovaries. Second, between the 3rd and 7th days after the menstrual period ends, when sexual intercourse is prohibited, tests are conducted to examine the uterus and fallopian tubes. These may include hysterosalpingography, hysteroscopy, or laparoscopy to evaluate the condition of the fallopian tubes. Third, monitoring ovulation with ultrasound begins from the 8th to 10th day of the menstrual cycle, tracking the development of follicles and the uterine lining until the follicle matures and ovulation occurs.

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What are the routine examinations for infertility?

Infertility examinations typically include physical exams and special tests. Physical exams mainly involve checking the development of internal and external reproductive organs and secondary sexual characteristics. Special tests can include examining the quality of male semen, endocrine conditions, and anti-sperm antibodies. Additional procedures can include scrotal ultrasound, prostate ultrasound, prostate massage fluid analysis, and monitoring of the spermatic veins with ultrasound to check for varicoceles. For females, it is important to check for any underlying diseases and ensure normal development of the uterus, ovaries, and adnexa. Examinations should also check for uterine fibroids, ovarian cysts, and endometriomas, and assess for any abnormalities in the reproductive tract. Monitoring ovulation is also crucial to identify any abnormalities in ovulation. If ovulation is normal, the patency of the fallopian tubes should be checked, which can be done through a fallopian tube iodine contrast imaging procedure.

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How to treat infertility?

The treatment methods for infertility primarily include medication, surgical treatment, and assisted reproductive technologies. For couples with infertility, it is essential to adopt appropriate treatment methods based on different causes and conditions. Medication is a commonly used method, mainly targeting conditions such as oligospermia, asthenozoospermia, and reproductive tract infections in men, as well as menstrual disorders and reproductive tract infections in women. Surgical treatment mainly targets conditions such as varicocele and vas deferens obstruction in men, and uterine fibroids and polycystic ovary syndrome in women. Assisted reproductive technologies are mainly used for some patients who do not respond well to medication or surgery, such as men with idiopathic oligospermia and women with blocked fallopian tubes, requiring these technologies for treatment.

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Where is a good place to treat infertility?

The best treatment for infertility is to visit reputable public hospitals or specialized reproductive medicine institutions in your area. Treating infertility often isn't a matter of days, nor can it be resolved simply with medication or injections. It requires a clear diagnosis of the cause, and treatment should be targeted accordingly. For instance, if the cause is related to the male partner, he should receive treatment; if it's related to the female partner, she should be treated. Therefore, choosing these reputable reproductive medical institutions for effective examinations and accurate diagnoses is vital for effective treatment and to avoid wasting time and money.

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Can infertility be inherited?

Regarding the question of whether infertility is hereditary, we cannot generalize. We should analyze specific situations individually. For infertility caused by chromosomal or genetic abnormalities, it may be inherited by offspring. In such cases, one should choose targeted treatments under the guidance of a specialist. However, infertility due to non-genetic factors can often be cured through proactive treatment. Usually, the female can conceive and the condition will not be passed on to the offspring. For better treatment and diagnosis, it is recommended to visit a reputable public hospital locally to get a clear diagnosis and treatment, which can save both time and money.