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How Can Amenorrhea With An Incompetent Cervix Be Treated For A Pregnancy?
Hi Doctor
I have had to babies born prematurely and they both passed away shortly after giving birth. The obstetrician have confirmed that I have an incompetent cervix. It's coming on a year now that I lost my last baby, I have been trying to fall pregnant again but no luck. Prior to falling pregnant the first time my period was irregular and regulated for about 2years, in the last four months I have not had a period (I am not pregnant). I'm in my early twenties, I do not smoke, I exercise regularly, eat healthy and have a normal bmi..should I be very concerned.
I have had to babies born prematurely and they both passed away shortly after giving birth. The obstetrician have confirmed that I have an incompetent cervix. It's coming on a year now that I lost my last baby, I have been trying to fall pregnant again but no luck. Prior to falling pregnant the first time my period was irregular and regulated for about 2years, in the last four months I have not had a period (I am not pregnant). I'm in my early twenties, I do not smoke, I exercise regularly, eat healthy and have a normal bmi..should I be very concerned.
Tue, 6 Jun 2017
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.
Before planning for a baby, you should get the treatment for getting regular menses. Consult a gynecologist for thorough check up and relevant investigations to find a cause followed by the specific treatment.
You can plan a baby after you have attained regular menses with ovulation.
Check for ovulation by LH surge test and have unprotected sex, from positive test, for 5 to 6 days. Pregnancy home test is done after 8 days delay in menses. Have regular pregnancy check-ups, take advised test regularly.
In case of incompetent OS, stitch is applied to cervix to tighten the cervical opening at 4 to 5 months of pregnancy this may be followed by bed rest for few days. Stitch is removed in the ninth month or at the time of the delivery. This way with gynecologist's hello you can give birth to a full term healthy baby.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Vasudha Jayant Athavale
I have reviewed your query and here is my advice.
Before planning for a baby, you should get the treatment for getting regular menses. Consult a gynecologist for thorough check up and relevant investigations to find a cause followed by the specific treatment.
You can plan a baby after you have attained regular menses with ovulation.
Check for ovulation by LH surge test and have unprotected sex, from positive test, for 5 to 6 days. Pregnancy home test is done after 8 days delay in menses. Have regular pregnancy check-ups, take advised test regularly.
In case of incompetent OS, stitch is applied to cervix to tighten the cervical opening at 4 to 5 months of pregnancy this may be followed by bed rest for few days. Stitch is removed in the ninth month or at the time of the delivery. This way with gynecologist's hello you can give birth to a full term healthy baby.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Vasudha Jayant Athavale
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