Nabothian cyst on my cervix

So yesterday I had an OB appointment. When I went to the bathroom to leave my urine sample, I noticed blood tinged mucous when I wiped. In addition, I wasn't feeling great, so I got a little worried and mentioned it to my OB during the appointment. He said that everything looked good, pregnancy-wise - my BP is awesome, I'm not having protein issues, no GD issues, no contractions, and no history of premature labor, but that it might be a good idea to check my cervix anyway. So he did. What he found was a nicely closed, thick cervix, and a nabothian cyst on my cervix that is about the size of a ping pong ball! That's huge! It's most likely that, coupled with the fact that DH and I had BD'd the previous night, that caused the blood tinge in my mucous. He said that he's not worried about it being cancerous, but it is large and there is a possibility that we may want to drain it... but he thinks there is a possibility that if we do that, it may just fill back up again... which scares me as far as my delivery goes...

He said that if you imagine the cyst compared to the baby's head, size-wise, that you'd think baby's head should win, so there may be no issues at all. But what worries me is that it may affect dilation, and cause my labor to not progress which would, of course, probably lead to interventions and a possible c-section. He mentioned that we can talk about it more at my next appointment with him (in 4 weeks - my next appt in 2 weeks is with a NP) and discuss the possibilities.

Have any of you dealt with this before? Should I press for him to drain it before I hit 37 weeks so that it is smaller when I go into labor? I'm pretty sure that once I'm in labor there is no chance they will want to touch it... nor will I want them to touch it!

I'm really discouraged already that this may impede my natural birth... I need some advice.

OH man! I know nothing about this- but hopefully someone will have some advice for you. Try not to let it get you down.... Hopefully there is a way around it! Or maybe it will just resolve on its own (no idea if that is possible...). Keep us posted on how you're doing!

I actually had one as well when at the end of my last pregnancy. It wasn't quite that big though. BUT my midwife did say that she had a client that had one about the size of yours and it didn't effect the labor at all. Though I believe she said it did pop once baby was crowning. Mine went away after I had my baby and it hasn't came back.

I've heard of women who had no problems with a nabothian cyst, but never one that large. What are the pros & cons of leaving it alone? If it ruptures during delivery, might it cause excessive bleeding, or might it open you to a greater risk of infection? My choice would be to have it drained when I was closer to term so the odds of it getting that big again are minimized. I would be afraid that something that large on the cervix might impede dilation.

I'm not sure about the risks - I've tried to find information online, but there's not much out there about cysts and childbirth. I had a meeting with my doula yesterday and she'd actually never heard of it, so she was no help. lol My OB said that we would talk about it more at my 35 week appointment and make a decision about whether to drain it then, but I'm sure that once I start asking questions about it, he will be a wealth of info. Unless I hear something that convinces me otherwise, I am leaning toward having him drain it. I figure that it certainly can't hurt...