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Doctor insights on: Incompetent Cervix Progesterone

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Will a cerclage and progesterone shots work for an incompetent cervix? Are there good success rates with the combination of the two?

Will a cerclage and progesterone shots work for an incompetent cervix? Are there good success rates with the combination of the two?

Please discuss with: Your OB , that is something that the OB who will be delivering you should discuss with you at length, it all depends on your individual situation, how short your cervix is , etc. Most women do quite well on the combination of the 2, but there are no gurantees. ...Read more

Dr. Seth Derman
1,132 doctors shared insights

Progesterone (Definition)

Progesterone has been found to be helpful in preventing preterm birth in a patient who has a history of delivering babies too early. It can be given as vaginal suppositories. It is most often given as weekly ...Read more


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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?

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

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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?

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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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?

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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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

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

Not guilty: A penis can not cause a woman's cervix to open up. A long penis can certainly reach the cervix and possibly cause some discomfort, but will not induce a miscarriage. More likely there was a problem with the developing baby. Certainly not your fault nor his. ...Read more

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What is incompetent cervix?

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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Cervix (Definition)

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