Hello, Nabothian cysts are a common finding on pelvic examination. This lesions are discrete cystic structures that form when a cleft of columnar epithelium becomes covered with squamous cells and the columnar cells continue to secrete mucoid material. Nabothian cysts are typically asymptomatic. The only indication for treatment is relief from pain or a bothersome feeling of fullness in the vagina, although of the diagnosis is unclear, the cyst can be opened, drained, and a portion or all can be sent for pathologic evaluation. Ablation of the cyst using electro-surgery is the usual approach, however, if the diagnosis is uncertain, excision to evaluate for cervical neoplasia is advised. The main disadvantage to surgical treatment is the possibility of causing scar tissue, which itself can lead to dyspareunia or cervical stenosis. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Heang Chan Raksmey, General & Family Physician