Patient's question:
Doctor, I used to have an abortion, and now I really want a baby. However, I had two miscarriages in the last two pregnancies. One was at 5 months when my water broke, and I had to have a medical abortion. The other was at 6 months because of some gynecological issues that weren't treated in time. The day before the miscarriage, my husband accidentally squeezed my nipples, causing my abdomen to swell. I thought that as long as we didn't have sex, everything would be fine. The next day, when I started bleeding, I didn't go to the hospital in time, and by the third day, my cervix had dilated to 2 fingers. I want to ask if I am experiencing cervical insufficiency now? Should I consider having a cerclage between 3-4 months? How can I get a thorough examination? Can I check for cervical insufficiency now??Doctor's answer:
I'm glad to help clarify things for you. Don't worry too much, and there's no need to be too anxious. Based on your description, it's not possible to diagnose cervical insufficiency at this time. The previous one was likely an unexplained mid-trimester miscarriage, while the second one was probably caused by nipple stimulation. Since you're already four weeks pregnant, there's not much that can be done now—just regular check-ups. At 16–18 weeks of pregnancy, you can have a detailed vaginal ultrasound to check the length of your cervix and the condition of the internal os. It's best to go to a larger hospital for this. I hope my explanation is helpful to you. Wishing you all the best!