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First of all THANK YOU for putting a name to what I’ve been dealing with for years. I’ve told multiple gynos about them and none of them knew what they were??? You are very lucky that yours don’t hurt, mine are very painful. The only thing that has helped significantly to prevent them was going on birth control. That has reduced the frequency and size (and thus the pain). Otherwise, hot compresses are the only thing that help once I do get them.
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Sorry I didnt see your question ages ago but in my case my dr didnt know. Ive read many forums and some say inactivity can cause a blockage. Generally when they hurt its bacteria or an infection. Mine still hasnt caused me ant pain so its just a mystery.