Hi there, I have understood your concern and I will suggest you the best possible treatment options.
First of all do not panic.
As such there is no connection between Nabothian cysts and ovulation.
Ovulation occurs in the ovary and Nabothian cysts are seen over the cervix.
Treatment of Nabothian cysts is with the use of a 5 days course of a broad spectrum antibiotic like Doxycycline 100mg two times a day,and local vaginal pessary containing Clindamycin and
Clotrimazole once every night for a week.
Use of Lactic acid containing vaginal wash during bath time is advisable.
As far as
ovulation induction treatment is concerned, Tablet Clomiphene citrate 50 mg once a day for 5 days from day 2 of the cycle is advisable. You can get USG done for follicle study from day 10 of the cycle. You can have IUI-
Intrauterine insemination on the day of ovulation or opt for unprotected sex activity on and around the day of ovulation.
Please start on Folic acid and vitamin B 12 supplements regularly, This helps to prevent various complications during conception, pregnancy and delivery.
Please seek proper sex counseling services for safe and protected sex activity. This will help to prevent STDs.
In my opinion, your problem can be due to
polycystic ovarian syndrome, having multiple small fluid sacs on the ovary that hamper ovulation.
As you might be aware that PCOS ,
polycystic ovaries syndrome, is a lifestyle disorder.
Please opt for a healthy diet and regular exercise regimen.
Include more portions of fruits and vegetables and salads in daily diet.
Avoid refined sugars and deep fried foods and bakery products in the diet.
Drink plenty of water.
In PCOS- there is absence of egg formation and excess of male hormone in female body. Also there is
insulin resistance.
All this can lead to anovulation- absence of egg formation and will need attention while getting pregnant.
Also, insulin resistance makes such patients prone for
gestational diabetes during pregnancy and type 2 diabetes and menstrual period irregularities in the later age group.
SO LIFESTYLE CHANGES AND GYNECOLOGICAL SUPPORT WILL BE THE MAINSTAY OF THE MANAGEMENT OF PCOS.
I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar