Q. Is it normal to have dilated cervix without labor?

Answered by
Dr. Muhammad Zubayer Alam
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 12, 2021

Hello doctor,

I have a few questions. I had a child about two years ago, my cervix still feels open, almost like I am still dilated. Is that normal? I just got off of my period, a week after my period ended, I was having extremely light spotting, almost not noticeable. Yesterday, I had spotting only when I wiped. Today it is light, almost like the first day of a period. It is not bright blood; it is more of a dark color, but not brown. I have pretty normal periods, so I am concerned.

Sleeping pills such as Unisom and Melatonin have the opposite effect on me. I was given a Trazadone, hoping I would be able to sleep on that, and it gave me the opposite effect as well. I have trouble sleeping at night and find it hard to stay asleep. I find it extremely difficult to focus during the day, even when I have had a decent sleep, especially when I am in class. I do not know what to do.



Welcome to

I can understand your concern. According to your statement, you have been suffering from the dilated cervix's feeling, spotting between periods, sleeping difficulties at night, and lack of focus or concentration.

Cervical dilatation without labor may result from some conditions like some surgical or gynecological procedures like D and C, cervical trauma or tear during previous labor, uterine abnormalities, and genetic disorders affecting a fibrous type of proteins that makes your body's connective tissue or collagen may cause, exposure to an estrogen hormone called diethylstilbestrol, black women are more prone to develop, etc.

Spotting may result from other than pregnancy-related causes: OCP (oral contraceptive pils), trauma, uterine or cervical polyps, sexually transmitted infections, pelvic inflammatory disease, uterine fibroids, endometriosis, and thyroid problems, polycystic ovarian syndrome, stress, medications, etc.

In some cases, sleeping pills have started to interfere with sleep. Again, if your body may develop a tolerance for the sleeping medications, you may need to take more to get the same effect or sleep. Lack of proper sleep, hangover effects of sleeping pills, anxiety, stress, hypoglycemia, anemia, and many more causes can hamper concentration or focus.

Treatment depends on causes. Some investigations like pelvic ultrasound or transvaginal ultrasound, urethral or vaginal swab for C/S, CBC (complete blood count), RBS (random blood sugar), thyroid function tests, etc., help to detect the underlying causes for your present sufferings and then treat them accordingly.

Your present and past history of medications, contraceptive methods, history of diseases, and any relevant history are important to find out the underlying causes.

I hope this helps.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I have two fibroids about 5 to 6 cm. Could that cause preterm labor?

In pregnancy, if not multiple seedling fibroids in grand multipara with soft and weak tissue texture of uterus (dangerous for post-delivery bleeding), normally one or two fibroids of 5 to 6 cm should reduce in size naturally ...   Read full

I am 18 weeks pregnant.I am tensed about low lying placenta.Kindly help.

Unfortunately there is nothing which can be done for it as long as there is pregnancy ...   Read full

I am bleeding after sex. Please tell me why.

.. possibility is that you are pregnant. The risk of pregnancy after using a male condom varies from two to 15 %. As this act was less than 48 hours ago, you may need emergency contraception, either emergency pills or the insertion of IUCD (intraute...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.