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Doctor insights on: Incompetent Cervix Message Board

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40 yoa female. 10-14 mm thickened uterus. Balloon abalation in 2002. Uterus filled with scar tissue, unable to get biopsy. Pt wants to avoid hyster.?

40 yoa female. 10-14 mm thickened uterus. Balloon abalation in 2002. Uterus filled with scar tissue, unable to get biopsy. Pt wants to avoid hyster.?

Not enough info: I'm assuming there is concern regarding the thickened uterus but we don't know enough about things like risk factors. This is too complicated for a 400 character answer. She needs a tissue diagnosis one way or another. See a good gynecologist and don't waste time on a site like this. ...Read more

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Cervix (Definition)

The uterine cervix is the opening of the ...Read more


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30wks+4dayspregnant on strict hospital br unmeasurable cervix dilated 1cm fully effaced with funneling may be sent home @32 weeks bad idea to send home?

30wks+4dayspregnant on strict hospital br unmeasurable cervix dilated 1cm fully effaced with funneling may be sent home @32 weeks bad idea to send home?

Not necessarily: New data has shown us that women in your situation do not need to be hospitalized long term. In fact, hospitalization can cause other problems (like blood clots or hospital acquired infections). If you're doctor sends you home, it's likely that he/she knows you'll do okay. If your water breaks or you start to have contractions, of course you'll head straight back. Good luck! ...Read more

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29wks pregnant with incompetent cervix and emergent cervical cerclage.CL is 20mm.is that length mucus plug enough to protect from ascending bacteria?

29wks pregnant with incompetent cervix and emergent cervical cerclage.CL is 20mm.is that length mucus plug enough to protect from ascending bacteria?

Cerclage: With certain Cerclage placement the cervical mucus should remain in tact. Therefore believe that you have nothing to worry about but need routine checkups concerning your cerclage ...Read more

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U/s @23 weeks placenta 3.8cm from os-trans abdominal full bladder. At 28w different clinic transvaginal -3.4cm from os. Who is right? It's posterior.

U/s @23 weeks placenta 3.8cm from os-trans abdominal full bladder. At 28w different clinic transvaginal -3.4cm from os. Who is right? It's posterior.

Here are some ...: Are you suffering from pregnancy-related symptoms or sicknesses? If not, why have you got 2 US for the "same" reason - pregnancy? A comparison should be done the same approach preferably with the same machine by the same tech if possible. So, correlate test result with clinical profile, and I would not dig around with anxiety if you're free of undue pregnancy-related disorders. More? Ask Doc... ...Read more

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U/s @23 weeks placenta 3.8cm from os-trans abdominal full bladder. At 28w different clinic transvaginal -3.4cm from os. Who is right? It's posterior

U/s @23 weeks placenta 3.8cm from os-trans abdominal full bladder. At 28w different clinic transvaginal -3.4cm from os. Who is right? It's posterior

Irrelevant: Transvaginal ultrasounds is the best modality for assessing a placenta that is near the os (previa). However because your placenta is more than three centimeters away from the os on both scans, I would not worry about this finding of a difference as it does not matter. Make sure you don't have any bleeding though. Hope that helps and good luck. ...Read more

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3wks ago ri hosp - 1 CM dilated -soft, thin cervix. Ob sent me ma hosp due to cntx in office. Not dilated w/cervix closed tight. Why the difference?

3wks ago ri hosp - 1 CM dilated -soft, thin cervix. Ob sent me ma hosp due to cntx in office. Not dilated  w/cervix closed tight. Why the  difference?

Operator variability: Depends on who is doing the exam. The discrepancy is within the expected range. This is not an exact science. Now, if the exams were different by 3 or 4 cms., i would be concerned. ...Read more

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34wks pregnant w/mcdonalds 2 stitches.take p17,dont have contractions.just went off bedrest w/2cm closed funneled cervix.can pressure dilate cervix?

34wks pregnant w/mcdonalds 2 stitches.take p17,dont have contractions.just went off bedrest w/2cm closed funneled cervix.can pressure dilate cervix?

Not impossible: it sounds like you have a diagnosis of cervical insufficiency and you have a stitch place to prevent dilation. The stitch should be able to holdyour cervix closed, however there are some situations where your cervix will continue to try to open anyway, such as infection. If you begin having contractions, get seen by a doctor immediately. Otherwise take it easy. Good luck ...Read more

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Why would a cervix be slighlty open? Does your cervix close directly after conception?

Depends: Several factors come to play........How far from vag. Delivery/ procedures like d & e, iud, some have congenital open cervix ( incompetent ). Consult pmd. ...Read more

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Hidden cervix after leep difficult to do smear test?

Hidden cervix after leep difficult to do smear test?

Sometimes: Many things can make doing a pap smear difficult. If the uterus is severely tilted, displaced, or removed (partial or supra cervical hysterectomy); visualizing the cervix may be difficult. Relaxed vaginal walls, scarred or shortened cervix, or even body size are more common reasons for a "hidden" cervix. Most gyns know the tricks to find the cervix, just find one more stubborn than your cervix! ...Read more

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Forceps assisted delivery 9w ago and Mirena (levonorgestrel) fitting 4w ago. Dr removed vaginal polyp. Related? Dr explained why hut don't remember. Concerned!

Forceps assisted delivery 9w ago and Mirena (levonorgestrel) fitting 4w ago. Dr removed vaginal polyp. Related? Dr explained why hut don't remember. Concerned!

Vaginal Polyp: Polyps are benign growths, almost like pimples. They can cause bleeding and discharge, but otherwise are not a problem. It does not sound like there is anything to worry about ...Read more

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My cervix was 4cm at 20 weeks and water bag broke at 21 weeks cervix was 2cm. Is it incompetent cervix? can we go full term with incompetent cervix?

My cervix was 4cm at 20 weeks and water bag broke at 21 weeks cervix was 2cm. Is it incompetent cervix? can we go full term with incompetent cervix?

Highly suggestive: Your presentation is suggestive of a loss of cervical integrity. The regression back to 2cm occurred because the bag of water broke. PPROM at 21weeks in the face of cervical dilatation, unfortunately, carries a poor prognosis. However, subsequent pregnancies can be have very favorable outcomes when treated with progesterone and/or cerclage and serial cervical ultrasounds. ...Read more

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I am 44 & faced with problems of fibroids in uteris causing irregular bleeding. Want to wait till menupause against doctors advice of uterine emboliza?

I am 44 & faced with problems of fibroids in uteris causing irregular bleeding. Want to wait till menupause against doctors advice of uterine emboliza?

If you: have an endometrial biopsy which is benign, you can wait, as long as the bleeding is not causing other problems like anemia. Even then, there are medications that can help your bleeding. If non life threatening, waiting and watching is certainly an option. ...Read more

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Sex position for title cervix ?

Sex position for title cervix ?

Unchanged: I'm quessing that you mean tilted cervix and are trying to conceive. You can still conceive in any position and do not need to use any particular position. Sperm are very good at swimming and finding their way in if they are in the neighborhood! Hope this helps and you have a beautiful little one soon. ...Read more

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Can an internal digital cervix exam at 28wks pregnancy cause mucus plug to come away? Worried after obgyn did internal due to bleeding. Cervix closed.

Can an internal digital cervix exam at 28wks pregnancy cause mucus plug to come away? Worried after obgyn did internal due to bleeding. Cervix closed.

No: The mucus plug is produced more or less continuously and you would not loose it if your cervix is closed.An internal exam can be necessary to evaluate bleeding. Sounds like everything is good. ...Read more

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My mom s gyn. Removed a 6mm uterus polyp. The uterus and ovaris normal. He sent polyp for pathology. Gyn view was that polyp is benign. Shall we wait?

My mom s gyn. Removed a 6mm uterus polyp. The uterus and ovaris normal. He sent polyp for pathology.  Gyn view was that polyp is benign. Shall we wait?

Wait for the report: The gyne sent the polyp to be analyzed by a pathologist to rule out cancer. The clinical impression at the time of surgery is very often right, but would wait for the final pathology report to make sure there is no microscopic abnormality. ...Read more

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What is incompetent cervix?

Opening up too early: The cervix normally has a very small opening--the os--even during pregnancy. It should remain so until close to delivery at which time passage of the baby through the os is needed. Thus, close to birth time, the cervix begins to dilate from about <1cm to 10. If dilating too early (incompetent), there is risk of preterm delivery, hence concerning for incompetent cervix. Hope that helps. Good luck. ...Read more

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How common are incompetent cervix?

How common are incompetent cervix?

Very uncommon: The incidence of incompetent cervix is well less than 1%. When suspected, the norm is for serial trans-vaginal ultrasound measurements of the cervix, usually starting at about 10 or 12 weeks of pregnancy. If incompetent cervix is detected, then a cerclage can be considered. ...Read more

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What's the outcome of incompetent cervix?

Preterm birth: The real risk of an incompetent cervix is as it relates to future pregnancies. An incompetent cervix can result from various causes but basically it causes the cervix to dilate easily which puts women at high risk for preterm labor and delivery . If this problem is discovered early doctors may put a stitch in the cervix called a cerclage to make the cervix stronger to prevent early delivery. ...Read more

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How do you know you have an incompetent cervix?

How do you know you have an incompetent cervix?

Repeated losses: Repeated pregnancy losses in 2nd trimaster painless bleeding and spontaneous termination repeatedly. ...Read more

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How would I know if I had an incompetent cervix?

Diagnosis with loss: Unfortunately most women don't know that they have an incompetent cervix until they experience a late miscarriage. Sometimes we discover cervical shortening on ultrasound that can clue us in before a loss occurs, but that is not typical. ...Read more

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What can I expect if I have an incompetent cervix?

Close surveillance: There are many ways of managing a patient with a history of incompetent cervix. Some women may receive a cerclage or a stitch around their cervix. You may be placed on bedrest or modified activity. Some women receive vaginal Progesterone suppositories or injections. Some women have frequent sonograms to measure their cervical length. ...Read more

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How do you know if you have an incompetent cervix?

How do you know if you have an incompetent cervix?

Painless early deliv: Painless midtrimester delivery is a typical definition of incompetent cervix. More modern definitions rely increasingly on sonographic features before preterm birth, such as a very short cervical length (<15 mm by transvaginal sonography) in asymptomatic women. If you are diagnosed with incompetent cervix, vaginal Progesterone and possibly cervical cerclage could help you carry a pregnancy 2 term. ...Read more

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What does incompetent cervix feel like? Something in vagina

A weak cervix: An incompetent cervix is a weakened cervix. It is usually characterized by painless cervical dilation. It usually seen between 15 and 22 weeks and patients will ultimately end up experiencing spotting, watery discharge, cramping or vaginal pressure prompting them to go to the hospital. When they arrive at the hospital they already have cervical dilation. ...Read more

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Cervix is slightly dilated. Does this mean I have an incompetent cervix?

Not necessarily..: If this is your first baby/pregnancy, then it may mean so. If second or more, slightly dilated cervix is common/normal and it likely stays that way until close to delivery time. Nevertheless, regular follow-up with your OB is strongly advised to ensure that it is so. If it dilates/opens up more too early, then it is incompetent and treatment maybe needed. Congrats on your pregnancy. Good luck. ...Read more

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Does anyone know the rate of a full term birth with an incompetent cervix?

Good: If pregnancy reaches full term then circlage can be divided and removed and normal healthy baby is delivered. ...Read more

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If losing two children because I have an incompetent cervix will i ever carry full term ?

Yes: A cerclage done at approximately 12-13 weeks of gestation will allow you to carry your baby to term. Cerclage is a procedure where a wide suture encircles the cervix to keep it closed till it is time to have your baby. ...Read more

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If I have an incompetent cervix i dilated at 14 weeks do I still have to have a d&e or can I have d&c?

Technicality only: D&C and D&E are not that different; yes, technique and risks are slightly different, but it's kinda moot point. The specific difference is using a curette (D&C) and there is a limit to the size of products of conception (POC) that can be evacuated (think vacuum hose and bowling ball). The cervix can only be dilated so much mechanically. D&E uses instruments to fragment the POC thus has no limit. ...Read more

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