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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