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I have quite a bit of scar tissue on my cervix following a LEEP in '04 - so much in fact that most docs have had a near impossible time giving me a pap. That said, I was succesfully inseminated so it's not completely jammed closed.
I'm wondering if any one can tell me what is the usual procedure for a cervix with scar tissue in cervix. Does it usually just break open on it's own or does a care provider typically need to manually break it open? If it's the latter, how is that done and how horribly does it hurt? I want to go natural again and am afraid that I'll either fail to progress and want an epidural OR that the pain of having to manually break open the cervix will throw me over the edge.
I should add that my first labor (also following another LEEP, although that one didn't seem to give me any scar tissue) was fabulous - six hours from start to finish, arrived at the hospital at 7cm and had no pain med.
Ok, now I'm worried. I have been told that my cervix is a dimple now.
And my big fear is that I'll have hard core contractions and won't dilate - and this sounds like what a lot of you have witnessed...
Will EPO really make all that much difference??? I have brought it up with my OBs and I've got varying answers from each of them...some have said that labor usually pops it open and others have said that they will insert a finger if possible and help prod it open. No one has said anything about what happens if those measures are ineffective.
I have other issues on my mind now (like my recently lanced thrombosed hemorhoids) so I'm trying to let my cervix worry me too much. Easier said than done, though.
mwherbs - any idea if that MDC mama you were referring to was birthing her first babe and if not, how her previous labors went?? My docs seem to think that since I had such a great labor and delivery with my first that the scar tissue shouldn't matter much.
And, I think one of the reasons why I've had such trouble with paps is because my cervix is also tipped way far back by my rectum. My reproductive endocrinologist told me in was simple to find when he inseminated me - all he had to do was raise the table I was lying on. And then a few weeks ago I went to the hospital because I was bleeding and the OB couldn't find my cervix with the speculum - it took her forever and it was quite painful as she poked and prodded despite me telling her repeatedly how far back it is. Maybe some practitioners are just less intelligent than others?!
In late pregnancy, it is completely normal for the cervix to be extremely posterior. Your cervix has changed position since insemination.
|Difficulty with paps is different from difficulty in finding a cervix. If I can find the cervix, I can get a pap, unless there is a LOT of scar tissue. Position of the cervix doesn't really affect the pap itself, just the ease in finding it.|
|A "dimple" cervix is a pretty normal finding for first babies until labor. It just means that the internal os is still closed, and the external os is pretty much closed as well.|
Then that doesn't explain why a previous Reproductive Endocrinologist coudln't locate my cervix easily. I'm sure my cervix has changed since then but I do know that prior to conceiving it wasn't exactly *normal*.
True, but I had a few different practitioners unable to get the pap once it was found - and all told me it was because of scar tissue. That was until I saw the doc who finally helped me conceive - he told me there was hardly any scar tissue. So, I've been told a bunch of different things.
This isn't my first baby...it's my second. I also had a very difficult missed abortion (almost 2 yrs ago - my only daughter is now 4 and I had the LEEP prior to the miscarriage) where I *thought* I had had a miscarriage at home but it turned out that all that pain wasn't the end of it. A month later my body finally *delivered* the clot. Does that change things??
Jen Mama of 2 precious boys (9) (6) and still in with my Matt after 12 years together.
Domestic Violence Children's Advocate and Counselor
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