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PCOS and Incompetent Cervix??


Forum: Trying to Conceive With PCOS

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  #1  
December 30th, 2010, 11:41 PM
MandyRS's Avatar Mega Super Mommy
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I feel like EVERY. SINGLE. TIME. I hear about a second trimester loss due to IC, the woman also just "happens" to have PCOS. This is really beginning to frighten me, as I don't think this connection is at all recognized or even wondered about by the medical community. I read a blog post recently from a mom who lost her baby due to IC. She asked for a cerclage after a normal u/s and the OB told her she was being "paranoid". This scares the crap out of me... according to doctors, women must lose one or more babies in the second trimester to even be considered for a cerclage. WHY?!? If I want it, and I'll pay for it, who are you to tell me what to do with my body???

Any thoughts/opinions/experiences?
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  #2  
December 30th, 2010, 11:57 PM
NannyJen's Avatar Mega Super Mommy
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I think you should try not to worry about it too much. Talk to your dr and if it will help you, get a 2nd opinion.
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  #3  
December 31st, 2010, 06:54 AM
SuthrnMommy's Avatar That's "Doctor" to you!
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I am almost through my second trimester, have PCOS, and so far do not have an IC. Although I do have some mysterious bleeding coming from my cervix that nobody can pin point the cause of, but all ultrasounds show a thick and closed cervix. Honestly, your dr. (if he is a nice one ) will do what you want if you are truly scared. But you should get your cervix checked during the pregnancy anyway as a routine treatment. A good dr. will try what you suggest if you are very serious about it.
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  #4  
December 31st, 2010, 12:48 PM
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I know a lot of women with PCOS who've not lost their babies due to IC, however, it is a scary thought.

I do have a friend whos sister has lost TWO babies between weeks 16-22 due to IC, and she also has PCOS. They refuse to give her a cerclage until she has lost a third child. That is just beyond my comprehension.
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  #5  
January 4th, 2011, 12:28 AM
MandyRS's Avatar Mega Super Mommy
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Wow Ash, that is deplorable. Horrific, even. I have never heard of a doctor who won't do it after a single loss due to IC. I asked my mom about it, and none of her losses were ever due to IC, which is comforting. In fact, our membranes were so tough they had to break her water FOR her 2 out of 3 times! Since there is a maternal risk factor that's nice to know, but I will worry all the same. If I ever get the CHANCE to worry...
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  #6  
January 4th, 2011, 06:13 AM
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I know, I don't understand it either!

My mom had to have her water broken all 3 times! It would never break on it's own!

You'll get your chance to worry(and come through it!). I believe we all will! I've just passed the 2 year mark with ttc and I know it gets difficult the longer it takes..but it will happen! Sometimes I need to feel down about it before I can pick myself up again though.
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  #7  
January 4th, 2011, 09:51 AM
BuckeyeGal23's Avatar Happy Mommy
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Wow, I've never realized it was such a common thing. It's scary to think about all of the things that can go wrong with pregnancy.
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  #8  
January 5th, 2011, 03:19 AM
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I don't think the problem is PCOS causing IC, it's probably procedural. Everybody I've known to have IC has had repetitive procedures that involve fiddling with the cervix in some way whether to open it, remove bad cells, etc. It can just happen, but it's much more likely to happen the more treatments you have, especially if they're evasive. My cousin has PCOS and has had 2 babies with no IC problem. I've had 4 and 3/4 times they've had to break my water. My cervix is totally competent. I would try not to worry about it.

And I think you'll find that the reason they don't want to do a cerclage at a woman's request is that it can cause some problems. There is risk of infection from the procedure, it can fuse, it means that spontaneous labor is a risk, closer monitoring may be required, and it can cause IC if you don't already have that problem which means it will be a must in future pregnancies. Unless you have some sign that you need it I wouldn't just go for one. It could cause problems that you wouldn't otherwise have.
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  #9  
January 5th, 2011, 06:45 AM
MommytoaMiracle's Avatar Platinum Supermommy
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I agree with Anna.
As much as we would like to take ALL procautions to keep our baby baking after all the troule just to conceive, we just can't.

It's definitely something that is done for women who have had a 2nd trimester loss & proven it's from IC.
There are alot of health risks & complications that can go wrong from it.

Hopefully, you will never need to worry about it! I hope when you get pregnant, your cervix stays nice & tightly CLOSED for 40weeks!
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  #10  
January 6th, 2011, 03:39 PM
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I decided to jump in here. I'm PCOS and have an incompetent cervix. I lost my first pregnancy to IC - with a dilation at 20 weeks. MamaAnna - I didn't have any procedures to tamper with my cervix and I had it. I know many women get it because of past surgeries or trauma but I'm an example of a woman with no risk factors who still had it.

Ash - some insurance companies don't consider you to have recurrent loss until you've had 3 miscarriages. The doctor's preference not to give it to her may be because of insurance rules. Insurance companies often penalize doctors for referring too many people to specialist services.

I just got my cerclage yesterday and I'm hoping I stay closed for the next 25 weeks.
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  #11  
January 6th, 2011, 05:19 PM
A180's Avatar Super Mommy
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not sure but i have horrible pcos and after a 9 day...yes u read that right 9 day induction i had an emergency c section because all the pitocin cervadil and cytotec in the world wasnt makeing me dilate at all. unfortunately we couldnt wait anylonger as i was almost having seizures from bp. but my cervix wouldnt budge! JMO!
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  #12  
December 11th, 2018, 03:32 PM
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I just found out today that I have PCOS which has made a lot of things make sense for me, but then I began to think about the fact that I lost 2 babies due to IC. One was born at 23weeks the second was born at 19weeks. They finally diagnosed me with IC and was given a cerclage for 3rd and 4th pregnancy and both were born at 37 weeks healthy. It makes me also wonder if there is some correlation. But more than that on a human level it makes me sad that we have to lose multiple pregnancies to have someone pay attention.
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