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Can cervical incompetence cause repeated miscarriages?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a history of miscarriage at 18 weeks, and hysteroscopy and laparoscopy confirmed cervical incompetence, and my polypoidal endometrium was removed.

Recently, I conceived again with a follicle test procedure during which CG 10000 was injected into my blood, but unfortunately, I had to undergo D and C at eight weeks because of no sign of fetal pole (no yolk sac and heartbeat).

My TSH value is 7.44. Please let me know the cause of my first miscarriage, the lack of proper development, and the absence of a fetal pole in the second pregnancy.

Which is the exact specialty that would be best placed for resolving my problem?

Kindly help.
Answered by Dr. Sameer Kumar

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

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Hello,

Welcome to icliniq.com.

I read your query and

It is evident from the history that you have cervical incompetence, and that is the possible cause of your mid-second-trimester spontaneous abortion. Next, your TSH (stimulating thyroid hormone) levels are high, qualifying you to be hypothyroid, which is the probable cause of anembryonic gestation, the second time.

Your TSH levels should be between 2.8 and 3.2 by taking thyroxine supplementation to achieve safe levels for conception and prevent future complications.

Also, it has to be kept in mind that at 16 to 18 weeks of your next gestation, a cervical McDonalds or Shirodkar stitch has to be applied to the cervix to avoid spontaneous mid-second-trimester abortion. I hope I have answered your query.

I hope this helps you.

Take care.

Regards.

Medically reviewed by Dr. Nithila. A
Published At June 29, 2019
Reviewed At November 6, 2025

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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