A narrowed cervical opening is one of the abnormalities in the uterus that causes infertility in females. The cervical hole is narrower than usual and there are even cases of complete closure that prevent sperm from finding eggs for fertilization and make it difficult to support assisted reproduction treatments.
1. The role of the cervical uterus in pregnancy
The cervical role plays several important roles in fertility and pregnancy as follows:
- During the menstrual cycle, endometrial tissue escapes from the uterus through the cervical.
- The cervical is the entrance for sperm to swim from the vagina through the cervical to the proboscis and fertilize.
- The cervical contains tissue that produces mucus. Cervical mucus is essential to help sperm move effectively onto the uterus during ovulation and helps prevent infection and prevent unwanted microorganisms outside from entering the uterus.
- During pregnancy, the cervical creates a mucous node to protect the fetus. This mucous node is also tightly closed, resembling a sealing seal, until the moment of birth.
2. How does cervical stenosis affect fertility?
Cervical stenosis can negatively impact fertility, directly and indirectly.
2.1 Sperm path blocked or limited
If the cervical opening is blocked or excessively narrowed, the sperm cannot or is difficult to get to the ovulation tube.
2.2 Inflammation of the uterus and risk of endometriosis
Bleeding during menstruation can be completely blocked (in severe cases) or withered and cannot easily flow out resulting in blood stagnation in the uterus, causing pain and inflammation. For a long time formed a hematoma.
If an infection occurs, the uterus may become purulent, also known as hematometra. Even if the cervical is slightly open and blood can flow out, menstrual blood can sometimes flow upwards through the vents leading to endometrial damage and cause endometriosis.
2.3 Reduction of cervical mucus secretion
Cervical stenosis is most commonly caused by scar tissue. Scar tissue can affect the production of cervical mucus. Sometimes, surgery causes scar tissue associated with cervical surgery and leads to further limitations in the production of cervical mucus. If there is not enough mucus in the cervical, sperm may have difficulty moving and surviving to reach the egg.
2.4 Complications during treatment of reproduction
Both IUI and IVF treatments require cathetheses to be placed inside the cervical. With IUI,the catheser transporting sperm has been washed. As for IVF,cathethees carry fertilized embryos. In both cases, if the cervical hole is blocked or too narrow for the cathethe tube to pass through, making it difficult to treat infertility, forcing the doctor to take measures to insert the cathethe.
2.5 Increased risk of miscarriage and premature birth
Treatment of cervical stenosis can weaken the cervical neck or cause damage to cervical tissue. Later, during pregnancy, this can lead to an insufficiently strong or uns closed cervical uterus to keep the pregnancy safe. Leads to miscarriage in the last 6 months or premature birth.
3. What causes cervical stenosis?
The most common cause of cervical stenosis is cervical surgery.
Other possible causes of cervical stenosis include:
- Congenital (born with a closed or narrowed cervical)
- Cervical dysblastous dysbrodic (prec cancer cells)
- Cervical cancer or endometriosis
- Infection of the uterus or cervical
- Cervical radiotherapy
- Asherman syndrome
- Endometrial resurgencies
4. Symptoms of cervical stenosis
Depending on the severity, cervical stenosis can be detected when finding the cause of symptoms. Symptoms may include:
- Abnormal menstrual bleeding
- No menstruation or very little
- Menstrual cramps
If these symptoms occur after cervical surgery then the doctor may suspect cervical stenosis. In addition, infertility is also a possible symptom of cervical stenosis.
5. Treatment of the cervical stenosis
Cervical stenosis can be treated by such a method as:
Your doctor can start your cervical nong by using algae. This is a piece made from natural or synthetic materials, used to place in the cervical. The piece of algae will remain in place for hours. The piece of algae will absorb the water from the cervical and expand, helping the cervical to expand. It is possible to use the drug to soften the cervical, making it easier for the cervical to expand.
Sometimes, place the stent for use to keep the cervical open and prevent scar tissue from forming and closing again. This stent will be drawn in a few weeks.
If the relaxer is unsuccessful or inappropriate, then the doctor can perform the hysterscoptic technique. This is a surgical technique performed in a uterus endoscopy or performed laser treatment to remove scar tissue.
In women who do not have the need for pregnancy, the doctor can place the contraceptive ring after treatment of cervical stenosis. The contraceptive ring works to prevent scar tissue from forming again. If the patient wants to get pregnant again in the future, the doctor can withdraw the contraceptive ring to regain fertility.
There are potential risks to cervical stenosis treatments that depend on which treatments are used, including:
- Rupture of the uterus
- be infected
- The cervical is reduced in its ability to hold the pregnancy (during future pregnancy)
6. The possibility of natural pregnancy after treatment of cervical stenosis
Sometimes, cervical stenosis is the main cause of infertility so that, if treated, you can conceive yourself later. The doctor will propose a timeframe for trying the couple to conceive naturally within 6 months. If you are not pregnant, you may consider options for assisted reproduction treatment.
At Share99 International Health Hub, we are currently implementinga BASIC GYNECOLOGY CLINIC and SCREENING PACKAGE, helping customers detect inflammatory diseases early, so that the treatment process will be easy and inexpensive. It is also possible to screen for early detection of gynecologic cancer, (Cervical cancer) cervical stenosis even if there are no symptoms.
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