How to treat cervical relaxation? This works really well!

If a woman is found to have a loose cervix, she can receive appropriate treatment. There are currently two treatment methods for this situation: surgical and non-surgical. The specific method to be chosen depends on the actual situation, but it is recommended that everyone listen to the doctor.

1. Surgery during pregnancy: Surgery is mainly performed in the second trimester of pregnancy (16-22 weeks). Ultrasound examination is routinely performed before the operation to rule out stillbirth and other possibilities. Salbutamol sulfate is taken before and after the operation to reduce the sensitivity of the uterus. Surgical methods include cervical suture and cerclage, the latter of which is divided into buried and pocket suture. Regular follow-up is performed after the operation. If suture slippage is found, a second suture can be performed. Hospitalize half a month before the due date or in advance and remove the sutures when delivery is imminent.

2. Surgery during non-pregnancy period: It is usually performed 3-5 days after the menstruation ends. The surgical methods include internal cervical os constriction and internal cervical os circular tightening. Currently, surgery during pregnancy is often used clinically. Non-surgical treatment mainly uses vaginal pessaries to prevent miscarriage or premature birth through mechanical blocking.

3. Non-surgical methods: including restricting activity, bed rest and pelvic support devices, etc., are actually not effective in treating cervical insufficiency and are therefore not recommended. In addition, the clinical value of selective placement of vaginal pessaries in high-risk patients remains controversial.

4. Transabdominal cervical cerclage: It is usually suitable for patients who have been diagnosed with cervical insufficiency but cannot undergo transvaginal cervical cerclage due to anatomical limitations, such as after cervical resection; or to prevent fetal loss due to failure of transvaginal cervical cerclage in mid-pregnancy patients. Transabdominal cerclage can be performed through open or laparoscopic surgery, depending on the surgeon's experience or the patient's preference.

5. There is no evidence to show that any one type of cervical cerclage is superior to other procedures. Transabdominal cervical cerclage is usually performed in the late first trimester or early second trimester (10 to 14 weeks of gestation), or in the non-pregnant state. The sutures can remain in the abdominal cavity throughout the pregnancy until the delivery is completed by cesarean section.