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Re: cervical polyp

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 8 Sep 1997 19:18:06 -0500 (CDT)


At Mon, 8 Sep 1997, Melissa wrote: >
>I had a bleeding cervical polyp removed when I was 7 weeks pregnant. In
>my 20 th week (Feb 97) I miscarried due to the dilation of my cervix.

I am *so sorry* to hear that.

>Could the removal of the polyp somehow weakened or damaged my cervix for
>it to dilate ?

A polyp removal, even in pregnancy, should *not* weaken the cervix because no part of the cervix should be removed, just the cervix.

>I am currently trying for another baby, so will I be
>considered to have an incompetent cervix & should go for a cerclage
>procedure, or was my miscarriage just due to the polyp & my next
>pregnancy to proceed as normal.
>
>I look forward to your reply, thank you.

If you had a painless dilatation of the cervix, I'd consider incompetent cervical os and perform a cerclage. If it was a painful labor, I'd think in terms of infectious etiology (cause) and re-think the cerclage.

This point should be discussed with your doctor. It is possible that cultures were done at the 20 week loss that will be helpful, whether positive or negative.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response. **Thank you for your understanding ;-)




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