When is it best to check for cervical relaxation

Patient's question:

Here is the English translation of the provided text, with line breaks preserved as instructed:
2013 December amniotic sac came out
Could not save the pregnancy
2015 July spotting occurred but the pregnancy was not saved
Doctor guessed it was cervical insufficiency

Doctor's answer:

Relaxation of the cervix may lead to the possibility of miscarriage in the middle and late stages of pregnancy. Gynecological examinations and ultrasound scans can be performed to understand the relaxation phenomenon. Generally, the examination is conducted 3-7 days after the menstrual period ends. To avoid miscarriage, a cerclage surgery can be performed. The occurrence of gynecological diseases not only affects the patient's health but also leads to the development of gynecological conditions. Therefore, it is best to undergo an ultrasound examination in the gynecology department of a hospital to identify the cause and receive targeted treatment. Additionally, it is important to pay attention to personal hygiene and maintain cleanliness in the perineal area.

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