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Cerclage or progestrone tratment
Hell dr.. I m 20 week pregnent i dine my anamoly scan my cervical length is 4.1 cm...i had two misscarage at past at 20 & 24 weeks bcoz of incompotent cervix.... My dr give me susten 200 and dupasthon two times a day along with iron, calcium etc...Is progestrone helpful in my case to reduce preterm or i go for cerclage for best.... Becoz i dont want to loose avain... Plzzz help
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It is better to undergo a cervical encirclage as ther eis history of previous loss of pregnancy at 20-24weeks which is typically the time for pregnancy loss due to incompetent os...also you should continue progesterone
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Progesterone support and bed rest , is what you require
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According to your history, Cervical insufficiency is more apt a diagnosis and I would advice you to have a encerclage done at the earliest. Presently at 20weeks your cervical length being 4cm is good . But an incompetent cervix can suddenly shorten and cause problems. Since you already have had 2 traumatic losses please go ahead for the procedure along with progesterone supplementation.
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As cervical length is 4 cm at 20 week I don't think incompetent os was reason for your previous abortion. Progesterone is good enough
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Dr. Falak Chowdhary
Gynecologist
11 yrs exp
Mumbai
Theres no incompetence at present
Avoid unnecessary invasive procedure
Instead start medicine to avoid complications
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Dr. Pendekanti Malleswari
Obstetrician
24 yrs exp
Bangalore
If it is a proved Incompetent cervix better go for cervical cerclage.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.