Doctor insights on:
Cervical Cerclage Suture
If you have a history of cervical insufficiency, or if your cervix appears short on an ultrasound, you may be offered a cerclage. A cerclage is a surgical procedure that involves stitching the cervix closed with a strong thread for the full-term of the pregnancy. After having a cerclage, a woman is usually prescribed medication to prevent a surgery-related miscarriage. The stitches are removed around the ninth month of pregnancy, or sooner if labor commences, ...Read more
No: But you really should make sure its ok by your doctor as asex causes contractions, and if you just had this done why push your luck. ...Read more
Complicated: In general cerclage is indicated when a woman has a clear history of incompetent cervix and previable second trimester delivery. Its complicated though, and somewhat controversial among experts. One should consult with an OB or mfm about the issue if one thinks a cerclage might be needed. ...Read moreSee 3 more doctor answers
Difficult: Your cerclage will be checked by your OB either by inspection or ultrasound. I prefer ultrasound to check for length of cervix and any beaking membranes (amniotic sac pushing into the cervix). You should call your doc if you have pressure or increased discharge (especially watery, mucousy, or blood-tinged) for an evaluation. Try to keep pressure off your cervix and good luck. Avoid any straining. ...Read more
NO oral sex: When youare pregnant because there have been rare reports of an air embolis which is usually fatal, and you do not want to be doing any sexual activity if you ahve a cerclage because there is too much cahnce of you going into labor or getting premature rupture of membranes at an early gestaational age which is bad and I have seen both, so for the sake of your unborn child u need no sex untilafter. ...Read more
Your O.B.'s decision: Cervical cerclage ('putting a string around the cervix) in order to prevent 2nd/3rd trimester pregnancy loss is a clinical decision usually based upon history of prior early pregnancy losse (s). You must decide if the cerclage procedure (w/ low complication rate) is worth the risk or the risk of losing the baby is greater. Congrats on the baby! ...Read more
Should not be: Cervical cerclage should not affect/interfere with the ability to reach climax. It maybe emotionally inhibitted--i.e. By having a cerclage in place, you might be worrying that relation may injure it etc...Which in turn may have negative effect on your orgasm point etc...Otherwise, the cerclage itself should not. Good luck with the pregnancy! ...Read more
It will heal: The cervical tissue is very forgiving and heals well. ...Read more
I had a sudden loss at 19w. Now 18w preg again. Cervix measuring 30mm. Dr. is not giving cerclage or pshot. Is it ok or should I worry n consult?
Depends: It really depends on the reason for the miscarriage. If you had "cervical incompetence", meaning if your cervix opened before the right time, then you would need a cerclage for subsequent pregnancies. If you miscarried for other reasons then you probably don't need a cerclage. But you may need other treatment to prevent another miscarriage. Discuss this with your OB. ...Read moreSee 1 more doctor answer
20. 3 day u/s 1.3 CM cervix w/funneling (16. 3 u/s 3 CM cervix w/o funneling). Dr200mg progest tabs-cerclage risky. 21.3 u/s 1.9 w/funneling. Do more.
Not much: I'm so sorry you're going through this, it must be nerve wracking. Your cervix is shortening. I'm sure you're being followed by a maternal fetal medicine specialist, if not, consider a consultation with one. Hopefully the cervix doesn't continue to shorten. Definitely get steroids for fetal lung maturity at 24 weeks. Pelvic rest and off work. Progesterone can't hurt, and may help. Good luck! ...Read more
Please ask your OB: Or the peri-natologist who placed your cerclage because that depends how the procedure went and if your cervix was already dilated or not and if you have any other problems and how much cramping if any you had after the procedure, so this is a question that should only be answered by the doc doing the cerclage. ...Read more
I'll be 16 weeks in 2 days. How would I know if my cervix with cerclage is funneling and what causes it, how can I avoid it?
By sonogram: The issue with an incompetent cervix is that the cervix softens and dilates without contractions and without the patient being aware. The only way to know is for your doctor to perform sonographic measurements of the cervical length. Ask your doctor if you are a candidate for 17 OH Progesterone injections too. ...Read more