WOMENS-HEALTH Messages for May, 1998: Re: necessity of abstinance after cervical cerclage

Re: necessity of abstinance after cervical cerclage

From: William D. McIntosh, MD (anonymous@obgyn.net)
Thu, 28 May 1998 16:11:24 -0500 (CDT)

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In reply to: cynthia: "necessity of abstinance after cervical cerclage"

At Thu, 21 May 1998, cynthia wrote: >
>I am looking for new info on the necessity of sexual abstinance
>following placement of cerclage due to short cone length. I have heard
>talk that there may be no real basis for not being active. I have never
>lost a child due to incompetent cervix and am now 21 weeks along with Mc
>Donald cerclage in place. Cone length is 2.5 with no shortening or
>contractions. Any info or guidence to written studies is greatly
>appreciated!
>
>--
>Cynthia
>

Why was it necessary to give you a cerclage in the first place? The whole issue of cerclage is a difficult one. I am not aware of any controlled trials that demonstrate that sexual activity is detrimental to a woman with a cerclage, nor is anyone ever likely to do such a study. The concensus opinion has always been "Why take the risk?", a valid point, but data is lacking. You may be aware that semen contains substances that can stimulate contractions, and may even contribute to architectural changes in the cervix that preceed labor. You got a cerclage because you are considered to have risk factors for preterm delivery. You have to ask yourself if vaginal intercourse is worth the potential for risk.

-- William D. McIntosh, MD

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

Next message: Harvey S. Marchbein, M.D.: "Re: Please help!! PG viability"
Previous message: Harvey S. Marchbein, M.D.: "Re: pronounced symptoms indicating twin pregnancy"
In reply to: cynthia: "necessity of abstinance after cervical cerclage"

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