Isthmic-Cervical Insufficiency

Isthmic-cervical insufficiency (ICI) is a condition in which the cervix is ​​unable to close completely and support the fetus in the uterus. This can lead to miscarriage or premature birth.

ICI can occur due to various reasons, such as:

1. Hormonal disorders.
2. Cervical injuries.
3. Diseases of the cervix, such as cervicitis or erosion.
4. Age-related changes.
5. Multiple pregnancy.
6. Severe gestosis.
7. Heredity.
8. Certain medications, such as steroids.
9. Premature dilatation of the cervix.

Symptoms of ICI may include:

– Pain in the pelvic area.
– Vaginal discharge.
- Bleeding.
– Weakness and fatigue.
- Nausea and vomiting.
- Temperature increase.

To diagnose ICI, it is necessary to perform an ultrasound of the uterus and cervix, as well as a blood test for hormones. Treatment for ICI depends on the cause and severity of the disease. In some cases, surgery may be required, such as suturing the cervix. Drugs may also be prescribed to strengthen the cervix and improve its tone.

It is important to remember that ICI can be life-threatening for mother and child, so it is necessary to consult a doctor at the first symptoms.

Isthmic-cervical insufficiency: causes, symptoms and treatment

Isthmic-cervical insufficiency (or insufficientia isthmicocervicalis) is a condition in which the cervix is ​​unable to maintain its strength and elasticity, which can lead to unwanted opening of the cervix during pregnancy. This condition can have serious consequences for pregnancy and requires close medical monitoring and treatment.

Isthmic-cervical insufficiency often occurs due to structural changes in the cervix, which may be caused by previous surgery, trauma, infection, or congenital anomalies. The main cause is weakening or stretching of the ligaments and muscles that support the cervix. As a result, the cervix becomes insufficiently strong to maintain normal length and closure during pregnancy.

One of the main symptoms of isthmic-cervical insufficiency is the early opening of the cervix during pregnancy, which can lead to premature delivery or premature leakage of amniotic fluid. Women suffering from this condition may also experience pain in the lower abdomen or lower back. If isthmic-cervical insufficiency is not detected and treated on time, it can lead to many complications such as premature birth, infections and pregnancy loss.

The diagnosis of isthmic-cervical insufficiency is usually made on the basis of a medical examination and instrumental studies. One of the diagnostic methods is an ultrasound examination of the cervix, which allows you to evaluate its length and structure. In addition, a colposcopy may be performed to examine the cervix in detail using a special magnifying device.

Treatment for isthmic-cervical insufficiency usually involves a cervical support procedure called cervical transfer (cerclage). During this procedure, doctors strengthen the cervix by creating additional support using a special thread or loop. Cervical transfer is usually performed in the second trimester of pregnancy and can help prevent early cervical dilation and preterm labor.

In addition, in some cases, conservative treatment may be required, such as rest, limiting physical activity and limiting sexual activity. In some cases, progesterone medications may be prescribed to support pregnancy and strengthen the cervix.

It is important to note that isthmic-cervical insufficiency requires early detection and treatment to prevent potentially serious complications. Therefore, regular visits to the doctor during pregnancy and close medical monitoring are important aspects of the health of mother and child.

In conclusion, isthmic-cervical insufficiency is a condition in which the cervix is ​​unable to maintain its strength and closure during pregnancy. This can lead to premature opening of the cervix and pregnancy complications. Early detection and treatment, including cervical translocation and conservative measures, can help prevent complications and ensure a successful pregnancy.

However, each case of isthmic-cervical insufficiency is individual, so it is important to consult a qualified medical professional for diagnosis and development of the most appropriate treatment plan.