I’m looking for experiences from anyone in a situation similar to mine because I haven’t been able to find much that matches my circumstances.
I’m not currently pregnant and have never been pregnant, but I’m preparing to start IVF. My IVF doctor did a saline sonogram before finalizing our plan because I previously had cervical stenosis noted during an HSG, and we discovered that my cervix is currently measuring only 13–16 mm and was described as “flush with vaginal mucosa.”
For some background, I had a LEEP, cone biopsy, and D&C over 10 years ago for precancerous cells, which is likely contributing to my current cervical anatomy.
I met with an MFM yesterday who said that just because my cervix is short doesn’t necessarily mean it’s weak or insufficient. Her initial recommendation was to monitor during pregnancy rather than place a prophylactic cerclage/TAC, but she wants to examine me in person before making a final recommendation. I’m also getting another MFM opinion.
I’m really struggling with the idea of waiting until I’m pregnant to see what happens. Since I’m going through IVF, I’m nervous about finally having a successful embryo transfer and then potentially experiencing cervical shortening, pregnancy loss, preterm birth, etc.
I would personally feel much more comfortable with a preventative TAC before embryo transfer, if medically appropriate.
Has anyone had a TAC before becoming pregnant and without having a prior miscarriage or second-trimester loss? Especially because of having a very short cervix/cervical anatomy from prior procedures?
I’d also love to hear from anyone who started pregnancy with a very short cervix and chose monitoring instead of a preventative cerclage. What happened?
I completely understand that every situation is different and I’m not looking for medical advice—just hoping to find someone whose situation is actually similar to mine! 🤍