How can one get rid of a cervical cyst?

Question

Hello doctor,

My wife is 34 years old. She has been suffering from severe menstrual pain for nine years. She was diagnosed with a cervical cyst three times and received injections, but there was no permanent relief. She experiences very painful periods, especially on day 2, with irregular cycles and pain during intercourse. We cannot afford private treatment and are both unemployed. She has not yet done an ultrasound or MRI (magnetic resonance imaging) due to financial constraints.

We are seeking a review of her case and guidance for the next steps, possible causes (for example, endometriosis or fibroids), and affordable treatment or imaging options. Please find her full medical history summary attached.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

You are doing exactly the right thing by advocating for her, and your concern and care are so clear. Here is a structured guide based on the symptoms you have shared.

Summary of her symptoms:

Severe menstrual pain for nine years (especially around day 2).

Irregular cycles.

Pain during intercourse.

Cervical cysts three times, but there is no long-term relief.

Has not had an ultrasound or MRI (magnetic resonance imaging) due to cost.

Possible causes:

These symptoms suggest more than just a cervical cyst.

Likely causes include:

Endometriosis causes chronic pain, especially during periods and sex. These are often missed unless imaging or laparoscopy is done. It can cause infertility, bowel or bladder issues, and irregular bleeding. Fibroids can cause heavy bleeding, pain, and pressure. It is often picked up via a pelvic ultrasound. Ovarian cysts or other structural issues can cause pelvic pain, irregular cycles, or rupture.

Chronic cervicitis or infection.

Recurrent inflammation or low-grade infection could cause persistent pain and cervical cysts.

What you can do (even with financial constraints):

Go to a government or public hospital and request a gynecologic evaluation.
Share her history in writing (even what you wrote above) to avoid repeating details.
Request a free or low-cost pelvic ultrasound.
Even a basic transabdominal ultrasound can detect fibroids, cysts, or other abnormalities.
Mention suspected conditions: endometriosis or fibroids.

Pain management (while waiting):

Take Mefenamic acid or Ibuprofen (if no ulcers or kidney issues), especially one to two days before the period starts. Have warm compresses, pelvic rest, and iron supplements if she bleeds heavily. Taking hormonal birth control pills (if affordable and safe for her) can help regulate and reduce pain or bleeding.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.