How to treat cervical relaxation?

There are many reasons that can cause a woman's cervix to become loose. These reasons can be divided into two categories: congenital and acquired. Some women take certain medications during pregnancy, which can cause the cervix of the female fetus to develop incompletely and cause congenital cervical relaxation in the baby. In addition, there are also acquired factors such as multiple curettages. So what are the ways to treat the problem of cervical relaxation?

How to treat cervical relaxation?

There are more and more cases of miscarriage or premature birth due to intracervical relaxation, but there is currently no precise clinical definition of intracervical relaxation. If painless abortion occurs before 26 weeks of pregnancy and the cervix is ​​relaxed during examination, it can be diagnosed as "cervical relaxation syndrome".

Generally speaking, the cervical canal begins to relax from the 4th to 5th month of pregnancy, resulting in the fetal sac falling into the vagina, which often causes water rupture and miscarriage. However, this type of miscarriage rarely has symptoms of bleeding or lower abdominal distension, but is more likely to have white discharge. However, when you think this, your water may have broken or you may have started bleeding, and it may be too late to save the baby. Therefore, if you feel an increase in white discharge, you should seek medical treatment immediately.

In special cases, surgery can be used for treatment. In case of multiple miscarriages, the "Siloca method" can be used, which is to remove the bladder and tie it high up at the cervix. If not treated in time, it may affect future fertility. Therefore, in daily life, we need to take better care of the uterus.

If it is treated early, medication can be taken to increase the tightness of the uterine tube, and pregnancy can still be achieved later. If taking medicine alone is still ineffective, you can use thread to perform "cervical suture" on the external uterus and then remove the stitches when you give birth.

What does a loose cervix feel like?

The incidence of cervical relaxation is about 1%, but it is as high as 8% to 15% among pregnant women with recurrent miscarriages in the second and third trimesters, posing a serious threat to the health of the fetus. So how can you know if you have a loose cervix?

1. Women who have had premature births or mid- to late-term miscarriages should be alert

Women who have experienced premature birth or late-term miscarriage, especially those who have had multiple late-term miscarriages, should be highly vigilant about this disease. Its diagnosis requires a detailed understanding of the pregnant mother's previous pregnancy history and delivery history, especially whether she has a history of painless mid- to late-term miscarriage or premature birth.

2. Ultrasound examination is the most commonly used and effective method

After pregnancy, ultrasound examination can be performed. Ultrasound examination through the abdomen, perineum or vagina is the most common and effective method for diagnosing cervical relaxation during pregnancy. With the development of perinatal medicine, people's understanding of this disease has been continuously improved. Now some doctors and some hospitals routinely perform cervical length and morphology examinations when performing B-ultrasound screening for fetal malformations in the second trimester (20-24 weeks of pregnancy) to rule out relaxation of the internal cervical os and predict the risk of mid-to-late miscarriage and premature birth.

A cervical length greater than 30 mm during mid-pregnancy is normal, while a length less than 20 mm indicates that the cervix is ​​significantly shortened. The fetal membrane entering the internal cervical os in a bird-beak or funnel-like shape is also one of the ultrasound images for diagnosing cervical relaxation. This sign often appears before the cervix shortens, indicating miscarriage or premature birth.