Incompetent Cervix & Cerclag

Incompetent Cervix & Cerclag

This is a condition in pregnancy where the cervix begins to open (dilate) too early, often without pain or contractions, typically in the second trimester (around 16–24 weeks). It can lead to miscarriage or preterm birth.

Causes / Risk Factors:

Previous second-trimester pregnancy loss without pain

Cervical trauma (e.g., from D&C, cone biopsy, or LEEP procedure)

Congenital cervical abnormalities

Multiple gestations (twins, triplets, etc.)

History of cervical insufficiency in prior pregnancy

Symptoms (may be subtle or absent):

Pelvic pressure

Mild cramping

Vaginal discharge or spotting

Feeling of fullness in the pelvis

Sudden rupture of membranes

Cervical Cerclage

This is a surgical procedure to stitch the cervix closed to help prevent early opening. It's usually done between 12–24 weeks of pregnancy.

Types of Cerclage:

History-indicated cerclage: Done prophylactically around 12–14 weeks due to a prior history.

Ultrasound-indicated cerclage: Done when a short cervix (<25mm) is found on ultrasound before symptoms develop.

Emergency/rescue cerclage: Done when the cervix is already dilating but membranes are still intact.

Our Services & Treatments

High Risk Pregnancy Diabetes Fetal Health Evaluation Recurrent Pregnancy Loss or Miscarriage Incompetent Cervix & Cerclag Placenta Previa and Bleeding Fetal 3D Viewing Pregnancy Genetic Screening CVS, Amniocentesis, Nuchal Translucency Natural Vaginal Birth Pre-term Labor and Delivery Well-Woman Programs Premenstrual Syndrome Therapy Contraceptive Therapy Hormone/Diabetes/Thyroid Endometriosis Treatment Variety of Surgical Inventions IUI IVF EGG Freezing PCOS Tubal Reversal GYN Surgery Hormone Balancing Programs Adrenal and Thyroid Testing Sex Hormone Testing Salivary and Blood Hormone Testing