Multiple Nabothian Cysts: An Unusual Cause of Primary Infertility

Nabothian cysts (also called mucinous retention cysts or epithelial cysts) are a common and benign gynecological condition located at the uterine cervix. They are usually asymptomatic, of no clinical significance, and require no treatment. Naboth cysts can mimic some benign or malignant pathologies. Cervical factors in infertility may result from blockage or narrowing of the cervical opening. Nabothian cysts are one of the causes of cervical opening narrowing or blockage. In case of diagnostic doubt, the biopsy is recommended to eliminate adenocarcinoma. Treatment is based on simple drainage or excision whenever cyst is symptomatic. We report the case of multiple Nabothian cysts obstructing the cervical canal in a patient with primary infertility. The diagnosis was made by MRI.