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12-13-2012 at 9:16 AM
thecuddlee...
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thecuddleeffect is online. Last active: 05-18-2013, 11:02 PMSilver

Time frame Q for Incompetent Cervix

So one way I heal is by getting as much information as possible.

I am just curious if you also had an incompetent cervix what the OB/RE/MFM said about TTC time frame, the one MFM (who we HATED and spoke with before our angels were born) told me 2 years before we should even start the IVF process again. Not that we want to jump right into it, we need to heal emotionally and physically first. But 2 years feels like a SUPER long time. What did your OB say?

 

Also, what will they do to ensure that this wont occur again? is there anything I can do before we TTC to help my cervix? 


Lilypie Angel and Memorial tickers

Me(24)PCOS, Hypothyroidism & IC DH(26)Azoospermia
4/11 Off BCPs -- Cycle 1-3 (6months) - No ovulation, Provera
Cycle 4-6 - Provera, Clomid 50mg, CD23BW - All BFN (HSG-all clear)
Dec 2011 DH S/A shows zero count - dx Azoo
TESE 4/13/12 - Sperm found!! 5 viles frozen
IVF ICSI #1- 5R 2F 2dt- 2DP & 4CF - BFFN
Break Cycle - June/July (Going to Disney!)
IVF ICSI #2- Started stims 7/26
ER 8/8 11R 9F 3dt - 9BF & 7BF (+HPT 8dp3dt)TWINS! EDD 5/1/13
12/9 Joshua David and Zoe Faith born too early at 19w4d due to incompetent cervix
April 15 - LAP Transabdominal Cerclage - only possibility of carrying my children to term
Mid June - start stims for IVF#3!

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My Local Nestie Besties: MrsHo1030, MABride0808,flowerpower and JenniferLuvsCandy!  
12-13-2012 at 9:23 AM
fluttergir...
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fluttergirlmoonchild79 is not online. Last active: 05-17-2013, 4:32 PMBronze

I didn't have an IC so I can't really attest to that but 2 years seems like a really long time to me.  Everyone's doctors will say something different and if there's physical things involved there may also be different answers.  We were told we could start right away but personally chose to wait a year. 

With regards to what can be done in the future, a lot of IC ladies I know have a cerclage put in during pregnancy.


In memory of Corbin Scott 10/28/11-12/3/11. Heaven got another angel the night you left this world behind Heaven got a little better the day it took you away from me Missing you tonight, see you again sometime For now I'll close my eyes and dream of heaven tonight I'll love you forever I'll like you for always As long as I'm living My baby you'll be Lilypie Angel and Memorial tickers corbinsmommy.blogspot.com Lilypie Pregnancy tickers  
12-13-2012 at 9:33 AM
lolee465
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My loss was due to IC. My OB first told me to wait 6 months to a year, when I questioned why she said it was to give us time to heal emotionally. Physically she said we could try after 3 months, and my MFM agreed.

2 years seems like a crazy long time to wait, I would definitely get a second opinion. From what I hear 3-6 months is the typical wait for IC with an uncomplicated birth. Everyone says to listen to your doctor- and they're right, but in your case I would get a second opinion.

In future pregnancies I will get a cerclage at 13 weeks, and be on bedrest (moderate to strict) from 13 weeks on.. I don't think there is anything you can do to help your cervix.


Jillian Rose- born 8/26/12 at 24 weeks. "It broke my heart to lose you but you didn't go alone, for a part of me went with you, the day God took you home"
I love you always, my beautiful girl.
My Ovulation Chart || Ovulation Chart
Hysteroscopy 3/1/13 Dx: Unicornuate uterus
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BFP#2 3/18/13- We love you already, little one..please be our rainbow! Lilypie Maternity tickers 
12-13-2012 at 10:18 AM
nola78
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I'm so sorry for your loss.  My loss was due to PTL and an infection, but my cervix is monitored very week for shortening.  A cerclage was not recommended in my case (since they are contraindicated when a loss occurs secondary to infection, but that's off topic).  We were told to wait one cycle before TTC.  Initially we were told 3, but my OB changed her mind at my first PP appointment (1.5 weeks after the birth and my uterus was back to a normal size and my cervix was closed).  She said we were ready at that point. 


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BFP #1: 1/10/12; EDD: 9/20/12, born too early on 5/7/12 (20w4d) due to IC/PTL/chorioamnionitis.
BFP #2: 8/30/12; EDD: 5/9/13, emergency cerclage placed at 22w5d, dx cardiomyopathy, strict bed rest for 14 weeks. DD born at 39 weeks.


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12-13-2012 at 10:24 AM
ILoveRedVi...
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ILoveRedVino is not online. Last active: 05-18-2013, 9:13 PMSilver
I didn't have an incompetent cervix, but I was given different timeframes by different doctors.  I was eventually told that the longer timeframes (a year) were based on emotional things, not physical.  While you're situation is different physically than mine, I'd guess that 2-year thing is based on mental healing, not necessarily physical.  That being said, you did go through labor -- so your body did have hormonal changes that probably need to even-out before getting pregnant again.

 
12-13-2012 at 10:29 AM
thecuddlee...
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thecuddleeffect is online. Last active: 05-18-2013, 11:02 PMSilver

Thank you all for your responses

We wouldnt try IVF again until July/August of next year, so 10ish months. I just wasnt sure if that seemed to be a poor decision. Of course we need to talk to various doctors, but its nice to know we arent off base


Lilypie Angel and Memorial tickers

Me(24)PCOS, Hypothyroidism & IC DH(26)Azoospermia
4/11 Off BCPs -- Cycle 1-3 (6months) - No ovulation, Provera
Cycle 4-6 - Provera, Clomid 50mg, CD23BW - All BFN (HSG-all clear)
Dec 2011 DH S/A shows zero count - dx Azoo
TESE 4/13/12 - Sperm found!! 5 viles frozen
IVF ICSI #1- 5R 2F 2dt- 2DP & 4CF - BFFN
Break Cycle - June/July (Going to Disney!)
IVF ICSI #2- Started stims 7/26
ER 8/8 11R 9F 3dt - 9BF & 7BF (+HPT 8dp3dt)TWINS! EDD 5/1/13
12/9 Joshua David and Zoe Faith born too early at 19w4d due to incompetent cervix
April 15 - LAP Transabdominal Cerclage - only possibility of carrying my children to term
Mid June - start stims for IVF#3!

Lilypie Assisted Conception tickersDaisypath Anniversary tickers


My Local Nestie Besties: MrsHo1030, MABride0808,flowerpower and JenniferLuvsCandy!  
12-13-2012 at 3:52 PM
mdluv21
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I had a TAC done it was the only way I felt comfortable trying again - I had to know I did everything possible to prevent the same outcome.

 We waited 9 months after my TAC surgery to do our first FET which was right at the year mark of our loss.  Physically I probably didn't need that long but I did to be as emotionally healed as possible before entering ino another high risk pregnancy.

 

hugs to you as you start to hel and make the decisions for moving forward. 


TTC since 07/2009
Me: PCOS, Blood/Immune Issues DH: Low all 3
Jun.- Sep. 2010 IUI#1-#3 = BFN
Oct. 2010 = IVF #1 = B/G Twins (passed away Feb. 2011)
May 2011 = Myomectomy and trans-abdominal cerclage (TAC)
Sep. 2011 = Surprise BFP = C/P
Feb. 2012 = sFET #1 = BFN
Feb.2012 = Hail Mary IUI #4 = BFN
April/May 2012 = FET #2 w/our last two embies = BFP (Please let this be it!)
Beta #1 8dp5/6dt = 234 Beta #2 10dp5/6dt = 695 Beta #3 12dp5/6dt = 1796 Beta #4 17dp5/6dt = 17,888 U/S #1 May 17, 2012 = Twins
Baby B's heart stop beating at 9 weeks 5 days
Our little miracle baby is a boy. :)

Baby Boy Owen and Baby Girl Avery were born too early on Feb. 13, 2011 due to a pedunculated fibroid, incompetent cervix and suspected placental abruption.
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Lots of love and luck to my PAIF/3T/IF Veteran ladies, especially my dear friend Zookie. Congrats to Papps, Teach84 and Starbuck on their little ones.  
12-13-2012 at 6:03 PM
ehlersm
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ehlersm is not online. Last active: 05-18-2013, 8:19 PMNewbie

I lost twins due to IC/PTL at 22 weeks. We were told to wait 6 months, I got pregnant again after about 8. We had discussed a cerclage this time but since I am only carrying one baby this time,  we are sticking with weekly cervical checks. A cerclage will be done only if my cervix shortens.

2 years seems a bit long, I would certainly get another opinion. And I totally get what you said about getting as much information as possible as a way to heal. I did, and continue to do, the exact same thing.


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12-14-2012 at 9:08 AM
Jennifer27...
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Jennifer271012 is not online. Last active: 05-10-2013, 7:21 PMBronze
ehlersm:

I lost twins due to IC/PTL at 22 weeks. We were told to wait 6 months, I got pregnant again after about 8. We had discussed a cerclage this time but since I am only carrying one baby this time,  we are sticking with weekly cervical checks. A cerclage will be done only if my cervix shortens.

2 years seems a bit long, I would certainly get another opinion. And I totally get what you said about getting as much information as possible as a way to heal. I did, and continue to do, the exact same thing.

This!!

My docs have mentioned this to me a few times.. 


me (31) & dh (36)
bfp 04/06/12 - 21 week twin loss 27/10/12 DX: Incompetent Cervix
17/11/12 - hemorrhage and d&c

Feb. TTCAL siggy challenge - favorite love story (book or movie)

Live as if you were to die tomorrow. Learn as if you were to live forever. ~ Ghandi

PGAL/PAL always welcome!

 

12-14-2012 at 6:26 PM
lilynblue
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lilynblue is not online. Last active: 03-02-2013, 3:49 PMNewbie

I understand completely about needing as much information as possible as I was/am the same way. 

I told my OB that I wanted try again right away. He was completely supportive and said there was no medical reason I couldn't try. I knew that the longer I had to wait to get pregnant the harder it was going to be on me emotionally and he understood that. That said the first couple months I wasn't pregnant afterwards were devastating, but a few months later I was beginning to become more fearful than hopeful about becoming pregnant. I got pregnant on clomid (I also have PCOS), but I had decided we were going to stop treatments if I hadn't gotten pregnant the cycle we did and take a break for a while. 

As for treatment my OB was very proactive in treating me. I took prometrium from positive test until 36 weeks, and I had a McDonald cerclage placed at 14 weeks. I was on bedrest for 2 weeks after my cerclage and another week around 20 weeks for some mild bleeding. My OB's restrictions were no sex or exercise, but I worked 2 jobs while taking classes. However I was very careful not to lift anything heavy, and I tried to really listen to my body if I thought I was doing too much. I also saw my doctor every other week from 5-14 weeks, and every week from 14-38 weeks when I delivered. I would have gone to the normal schedule at 28 weeks, but I had other complications come up unrelated to cervical incompetence. 

To my knowledge there is nothing you can do to strengthen your cervix pre-pregnancy. However, if I were you I would look into having an abdominal cerclage placed prior to pregnancy since you will be doing IVF and have a greater chance of twins. 

Sorry for the book, let me know if you have any other questions! 


BFP 1 early loss BFP 2 baby boy born sleeping at 24 weeks BFP 3 due 10/21/12 
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