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Incompetent Cervix Progesterone
Will a cerclage and progesterone shots work for an incompetent cervix? Are there good success rates with the combination of the two?
With incompetent cervix how early can I start progesterone injections and can I ask for a trans abdominal cerclage or do I need a tvc?
Depends...: Was your last pregnancy preterm? If so you can start Progesterone injections at 16 weeks. If your cervix is short, how short on ultrasound and how far preg are you? Depending on response you may need vaginal progesterone. (no evidence that injections work for short cervix alone-- evidence is for vaginal). Most people won't do trans abd cerclage during preg. You may get a mcdonald cerclage though. ...Read more
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
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
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
Can a penis hit a cervix so hard to cause an incompetent cervix to open completely? I feel like its my fault i lost the baby on monday
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 moreSee 1 more doctor answer
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