Patient's question:
I've been feeling very tired and experiencing severe abdominal pain recently. I used to have pelvic inflammatory disease and took some medication. What should I do? How can I determine if it's uterine relaxation?Doctor's answer:
At four months of pregnancy, water breaking could be due to cervical relaxation, also known as cervical insufficiency. In patients with cervical insufficiency, the cervix contains less fibrous tissue, elastic fibers, and smooth muscle. Alternatively, cervical fibrous tissue fragmentation or reduced function of the isthmus sphincter may cause pathological expansion and relaxation of the cervix. The main symptom is recurrent miscarriage or premature birth in the second or third trimester. You can ask your clinical diagnostic doctor to conduct a further detailed examination of the cervix. MRI during pregnancy is an effective and thorough examination method. If a miscarriage has already occurred, Hegar dilators can help confirm the diagnosis after complete recovery of menstruation.