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Doctor insights on: What Are We Talking About When We Say Cerclage

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What are we talking about when we say cerclage?

What are we talking about when we say cerclage?

Cervical pursestring: Cerclage is a purse string type suture around the cervix to keep it closed for patient's who lose repeated pregnancies due to a inappropriately opening or incompetent cervix. ...Read more

Dr. Cynthia Palabrica
126 Doctors shared insights

Cerclage (Definition)

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


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Had preterm labor in week 19.currently in week 16 and talking hydroxprogesterone corpat shot bi- weekly and have cerclage too. What else I should do?

Had preterm labor in week 19.currently in week 16 and talking hydroxprogesterone corpat shot bi- weekly and have cerclage too. What else I should do?

Preterm labor: Progesterone injections and cerclage are the max of what I would consider in a patient with a history of preterm labor or delivery. Bedrest has not been found to be beneficial. The best thing you can do for yourself and your baby is to Listen to your doctor's advice, try to decrease your stress, eat a well rounded diet, and relax. ...Read more

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Watery/slimy discharge for 1 wk/soaks undies. 28 weeks pg-no cervical length but have an in tact cerclage. Dr says only worry about gushes or bleeding?!

Watery/slimy discharge for 1 wk/soaks undies. 28 weeks pg-no cervical length but have an in tact cerclage. Dr says only worry about gushes or bleeding?!

R/O PPROM: You appear to have an incompetent cervix treated with a cerclage. If your cervix is thin, the watery/slimy discharge could be amniotic fluid and this needs to be examined. A 28 week fetus is viable and you currently are at risk for infection, preterm premature rupture of membranes (pprom), and may need to be hospitalized at bedrest. Your doc needs to consider abx and steroids for lung maturity. ...Read more

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Before pregnancy Used to have lots of cervical mucus during ovulation. Since I delivered baby never had CM. Due to history of cerclage? Opk say I ovulate

Before pregnancy Used to have lots of cervical mucus during ovulation. Since I delivered baby never had CM. Due to history of cerclage? Opk say I ovulate

Cervical mucus/ovul: The production of cervical mucus is affected to some extent by the vaginal delivery process, in that the glands which produce the mucus from the cervix may be damaged. Hormone levels do change over time, and cervical mucus production may be less and still be normal for you. A cerclage will not have any effect on cervical mucus. ...Read more

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Can mcdonald cerclage fail?

Yes: Transvaginal cerclages can fail for many different reasons. These types of procedures are reserved for women that have been diagnosed with cervical insufficiency. If you have experienced a pregnancy loss in the second trimester and if you have failed a transvaginal cerclage discuss with your doctor the possibiity of a pre-conceptual transabdominal cerclage (tac) for the next pregnancy. ...Read more

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Is having a cervical cerclage dangerous?

Cerclage: As with any procedure there are risks. As procedures go a cerclage is at the lower end of the risk scale. Be sure to discuss with your OB. ...Read more

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Wfe undrwent prventive transv crclage at 14wks then rescue laprscopic cerclage at 20 weeks due to funeling to 0.5cm. But rescue faild. At 0.9cm. Wht nw?

Wfe undrwent prventive transv crclage at 14wks then rescue laprscopic cerclage at 20 weeks due to funeling to 0.5cm. But rescue faild. At 0.9cm. Wht nw?

Your OB doc: Or the perinatologist should have already gone over a detailed plan with you and your wife, so you really need to call your doc and discuss everything asap, but most likely (of course u will have to ask your doc) bedrest, probably im Progesterone to prevent premature labor but obviously unfortunately she is at increased risk of losing the pregnancy or delivering way early, hope it works out. ...Read more

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Can an oncologist preform my cerclage?

No: U need to have a regular obgyn or a peri-natologist do that surgery if indeed you are a candidate for that. ...Read more

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How many ladies have had a cerclage and the pregnancy gone ok?

Many: Many of my patients have had successful cerclages and delivered at term. The argument is whether bedrest alone is just as good as a cerclage and rest.... I tell my patients that each pregnancy is different and has different risks. What works for one, may not work for another. Usually cerclages after 18 weeks are higher risk and not as successful as ones done earlier in pregnancy. ...Read more

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How long after cervical cerclage is bed rest?

How long after cervical cerclage is bed rest?

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

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Is it safe to have sex after getting a cerclage?

Is it safe to have sex after getting a cerclage?

NO NO NO NO NO NO!!: Did you ask your doctor that?, u shouldn't even be asking that here! Esp at your age, I am shocked that your doctor did not tell you that! But you should ask him or her, but I do not allow my pateints to have sex after a cerclage, because that could put you into premature labor or cause you to get premature rupture of membrances which is just as bad or worse!, you are high risk! ...Read more

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If I need a cerclage, when will the doctor insert it?

After 12 weeks: Usually women who need a cerclage have a history of lossing a pregnancy around 16 to 22 weeks. Generally women with an incompetent cervix will dilate painlessly. If a woman has such a history she may receive a cerclage or a stitch around the cervix to prevent it from opening. Generally such a cerclage would be placed after 12 weeks when the risk of a miscarriage is fairly low. ...Read more

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Is it safe to do orgasms when there is cervical cerclage?

Risky: Orgasm would be expected to be associated with uterine contractions. That could cause a cervical cerclage to bleed or fail. The general recommendation after a cerclage is placed s for "pelvic rest", i.e. No sex (and no orgasms). ...Read more

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Cervix length is 3.8, am 12weeks pregnant. Do I need a cerclage?

See your doctor!: That should be a question for your obstetrician. I wish you the very best! ...Read more

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How soon can I get a transabdominal cerclage put in after a d & c at 21 weeks.

Months: If your doctor is sure this is what you need, then I would probably wait 2-3 months for your uterus to recover from the pregnancy loss and shrink down to it's normal size and vascularity prior to undergoing an abdominal cerclage. There are some specialists who can do this procedure laparoscopically, which may be less invasive, and with a faster recovery. Good luck to you in the future. ...Read more

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Any doctors in california experienced in performing a transabdominal cerclage?

MFMs: There are many. Try university-based maternal fetal medicine docs. If you're in pasadena, check usc. Also uc irvine. ...Read more

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I had a cerclage at 14 week s I have small trace of blood when I wipe I have pain only when I pee is it normal?

No: The more likely explanation is a bladder infection (UTI) but the cerclage also needs to be checked. See your doctor ASAP. ...Read more

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I have a cerclage removal procedure at 37 week now I'm 35 week what to expect and is that mean I m gonna be in labor?

Cerclage removal: Given that you had a need for cerclage in the first place because of a cervix that dilates too easily, I would suspect that labor will follow shortly after the cerclage is removed at 37 weeks. ...Read more

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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?

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

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Any hope after a 22 weeks MC while having a TVC. Before, I had 2 MCs at 16 weeks; both w/o cerclages. (Progesterone injctns?

Miscarriage cause: Was the gestational material from the previous miscarriages sent for genetic analysis? If the cause was genetic issues only then progesterone injections or cerclages will not solve the problem. If the cervix is opening without labor at 16 weeks, cerclages are beneficial. Talk to your GYN MD about this issue to make a determination as to your future conception course. ...Read more

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I have had 3 cervical cerclages, the last became infected and I lost my baby girl at 20 or so weeks. Should I get another this time?

I have had 3 cervical cerclages, the last became infected and I lost my baby girl at 20 or so weeks. Should I get another this time?

Absolutely: I have a different insight to this question compared to most ob's because my wife has an incompetent cervix. It's horrible that you lost your baby because of an infection, but I would definitely recommend another cerclage for you. If you have been diagnosed with an incompetent cervix, that will never change. Get the cerclage placed early, 13-14wks, when risk for problems is lowest. ...Read more

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At 20 weeks, is cerclage good option and safe? My cervix length is 3 CM so not sure if I should go for cerclage now or at later stage?

At 20 weeks, is cerclage good option and safe? My cervix length is 3 CM so not sure if I should go for cerclage now or at later stage?

Usually earlier: A cerclage is typically placed earlier in the pregnancy in patients who meet very specific criteria. A cervical length of 3 cm would be normal but their could be circumstances that a cerclage may be appropriate. Do not hesitate to get a second opinion from a perinatologist.. ...Read more

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When is the soonest can I have my cervical cerclage? I'm 4-5 weeks, my cervix opened last year around 12wks and my baby basically fell out : (

When is the soonest can I have my cervical cerclage? I'm 4-5 weeks, my cervix opened last year around 12wks and my baby basically fell out : (

After 12 weeks: It is recommended that a cerclage not be placed until after the first trimester. Most first trimester losses are because of a serious fetal abnormality and you don't want to sew an abnormal baby in. Good luck. ...Read more

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We removed cerclage yesterday and I had some spotting afterwards. I am rh negative and have taken rhogam a month ago. Should I take one more now?

We removed cerclage yesterday and I had some spotting afterwards. I am rh negative and have taken rhogam a month ago. Should I take one more now?

Good question: But we don't know where's the blood coming from, it might be your own genital tract not the placenta, at any rate you need to ask your obstetrician, and I believe no harm of getting another rhogam shot, have a safe pregnancy and a healthy baby ...Read more

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Can I have penetrating sex and/or oral sex with a cervix cerclage? And if I do not orgasm during penetrating sex, is it safer than oral sex when I do?

Cerclage stitch: A cerclage is often done with a type of suture called Prolene. It is very sharp like chicken wire. I think your partner would find vaginal penetration very unpleasant. Typically there are no restrictions regarding other sexual activity in patients with a cerclage. You will have to get clearance from your doctor if their are unique circumstances regarding your specific pregnancy. ...Read more

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Do you bleed after cerclage removal?

Do you bleed after cerclage removal?

Probably: It would be normal to have some spotting or bleeding after a cerclage is removed. ...Read more