Re: Question re. hysteroscopies & incompetent cervix

[Guest guest]

Dear Terry,

My RE was concerned after I became pregnant and suggested I have a vaginal cerclage. I did not understand why a small scope would cause incompetant cervix when women dilate to 10 cm and deliver babies without developing it. My RE said that a pregnant cervix can stretch a lot, but that a non-pregnant cervix (like in a hysteroscope) is not so stretchy and thus may get incompetant. Also, I had three scopes, maybe it is less likely if you only have one hysteroscope?

Thanks,

[Guest guest]

I do not know what the odds are, but I know that after spending four years getting rid of the scar tissue and making enough lining , losing my son was that much more devastating because I do not know if I will get another chance to get pregnant. But if we are blessed again, I will have an abdominal cerclage if I get pregnant again (or before we get pregnant again) just to decrease my risk of losing another baby. It was the worst thing I have ever experienced. I feel for all women who have lost their baby, no one should have to go through that pain. So I am all for conservative measures! You should not have to have a loss before you are taken seriously. And even though I had a vaginal cerclage in place, I question whether my doctor did all he could have.....

[Guest guest]

Terry M,

There are those who believe repeat hysts does raise the risk of i/c

and those who don't. I personally believe that there is a link

because we have seen it happen within the group. My other theory is

that ALL pregnant patients should be closely monitered during the time

when i/c can show up. I carried my first daughter to 40 weeks with no

problems but lost my second daughter at 19 weeks due to i/c. I had NO

risk factors but it still happened. I become a little angry when

doctors do not take the risk seriously because all it would take is

some extra monitering to be sure that the cervix is not shortening.

Doesn't it seem worth it to save your baby? I will step off of my

soapbox now but this is something that I am passionate about!(and

believe me I am not passionate about much these days just ask my dh)

Roxie

[Guest guest]

Terry,

Both Dr. Copperman, and my perinatologist BOTH said repeat cervical procedures increase your risk for IC. I think from all our cases by now, we can see a pattern! The regular population has only a 1-2% incident rate of IC. I would say we are more like 40 or 50%. (There is another non active member who just had a cerclage this week)

gsterryberry wrote:

I've noticed that some women on this board have had problems with incompetent cervixes and have required cerclages. I asked both my regular ob-gyn and Dr. March if having a hysteroscopy would put me at a higher risk for having an incompetent cervix. Both doctors said that it does not increase the risk.As anyone seen any information that draws a link between operative hysteroscopies and incompetent cervixes? I just want to be sure I have all the info.Thanks!Terry M.

[Guest guest]

Terry,

From what I have been told you are at higher risk for IC after 3

procedures where your cervix is manually dialated. I asked Dr.

Palter if/when I'm able TTC would I see a perinatologist because of

IC among other things and he said I should be monitored for IC but my

regular ob would probably just consult with a peri. After hearing

's advice I will still try to see a peri if/when I'm ever preg.

again, but that may be easier said than done. In any case, I do

think there is a proven link to multiple D&C or hysteroscopies and

IC.

Jen Czap