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What does it mean when your cervix is high: Cervix Position Before Period vs Pregnant


How To Measure Your Cervix or Cervical Position- A Step-by-Step Guide – JuJu

What is the cervix?

The cervix forms a passage between the lower end of the uterus/womb and the top of the vagina. During menstruation blood passes from the uterus through the cervix and into the vagina. You can read more about the cervix in our guide to the female anatomy.

Why would you want to know your cervix position?

Checking your cervical position (CP) may be familiar to people who have used this method to monitor ovulation however it can also be useful to a menstrual cup user. Knowing your cervical position may help you decide if a brand of period cup will suit your anatomy or if you should trim the stem on your cup.

When should you check it?

It helps to check at roughly the same time each day and it’s easiest to check your cervical position in the shower as you are likely to be relaxed.

Do not check your cervical position before, during or immediately after sexual arousal or intercourse as this may cause the cervix to move.

It’s also a good idea to check and record your cervix position a few times a week for a month, as your cervix is likely to move. After monitoring your cervix position for a month, you will have a good gauge of your overall cervix position.

Use the video or instructions below to find your cervical position using the knuckle rule.

A quick method to check your cervix position

STEP 1: Wash your hands well to avoid infection.

STEP 2: Find a comfortable position such as standing with one leg up on the bathtub. It’s best to check your cervical position standing or sitting and not lying down, as this is the cervix’s ‘normal’ position with the effects of gravity.

STEP 3: Insert your index finger into your vagina and slide it upward until you feel your cervix. Your cervix is the shape of a small doughnut and it feels a bit like the tip of your nose.

STEP 4: When you can feel your cervix, stop and take note of the point at which your finger protrudes from the vaginal opening and check it against the cervical positions below – this is referred to as the ‘knuckle rule’ test.



If you can feel your cervix between your 2nd and 3rd knuckle or can barely reach your cervix, you have a high cervix and a Model 3 JuJu Cup. The Model 3 is a longer bodied cup, designed specifically for a high cervix or long vaginal canal.

Many people with a high cervix can still successfully use a Model 1 or 2 JuJu Cup however for some people, their cup may sit higher in the vaginal canal and be more difficult to remove. Read our Menstrual Cup Removal Tips for tips if you are having difficulty reaching your menstrual cup to remove it. The Model 4 JuJu Cup is not recommended for people with a high cervix as this is a short cup and removal of this cup may be difficult.


If you can feel your cervix at your 2nd knuckle or in the middle of your finger, you have a medium height cervix and one of the following cups are recommended;

  • Model 1 JuJu Cup if you are under 30 years of age AND have not had children
  • Model 2 JuJu Cup if you are over 30 years of age OR have not had children (regardless of your age)


If you can feel your cervix at the first bend in your finger or just inside the vaginal opening, you have a low cervix or short vaginal canal and a Model 4 JuJu Cup is recommended for you. The Model 4 JuJu Cup is a shorter-bodied cup and more bulbous in shape than other models.

If your cervix or cup is sitting very low in the vaginal canal, causing bladder sensitivity or causing any discomfort, please see your GP as this may be an indication of pelvic organ prolapse.

All sizing recommendations are a guide only as anatomy varies from person to person. Read more on Choosing the Right Menstrual Cup Size for other points to consider when choosing a menstrual cup size.

A more accurate method to check your cervix position

As finger length varies from person to person, a more accurate measure of cervical positions involves performing this same measure and against a ruler. This will produce a more precise measure of vaginal length or cervical height.

STEP 1: Whilst standing, insert your finger until you can feel your cervix. Take note of the position on your finger where it protrudes from the vaginal opening. (Note the anatomical model used for the purpose of this demonstration below has a high cervix and your cervix is likely to be lower)


STEP 2: Using a ruler, measure the distance from the tip of your finger to the exit point on your finger.

STEP 3: Check this measurement against the JuJu Cups sizing to make sure you have the cup that suits your cervical position.

JuJu Cup lengths are as follows;

  • Model 1 = 65mm including stem, 46mm excluding stem
  • Model 2 = 69mm including stem, 50mm excluding stem
  • Model 3 = 78mm including stem, 58mm excluding stem
  • Model 4 = 50mm including stem, 40mm excluding stem

Trimming the stem

Your cup may be forced to sit lower due to the cervix location and the stem of the cup may protrude. In this case, we recommend you trim the stem of your JuJu as it may cause discomfort or irritate the labia. Please only trim the stem of your cup if you are comfortable with the removal of you JuJu at all stages of your cycle as your cervix may ‘retract’ towards the end of your cycle and be hard to reach. Only trim a small amount at a time; trimming off one node at a time then re-inserting after removing each node to check if it is at a comfortable length.

Is your cervix on the move?

For some people, their cervix is almost always high and for others, almost always low.

However, if your cervix does move around a bit, that’s normal too! As the lining of the uterus thickens during your menstrual cycle, the uterus expands and can double in size and weight. This extra weight coupled with the increased size of the uterus can push the cervix lower prior to and during menstruation. Then, as the lining of the uterus is shed during menstruation, the uterus will start to return to its original size and the cervix may move higher.

These model wombs are anatomically correct in size, shape and weight. They show the non-menstruating uterus (pink) which weighs 12g and the size of a menstruating uterus (red) which weighs 23g.



Image: Clay models depicting a non-menstruating (pink) and menstruating (red) uterus.

Things to Remember

Cervical Position FAQs

What is cervical position, and how can I check it?

Cervical position refers to the position and texture of the cervix, which is the opening to the uterus. You can check your cervical position by inserting a clean finger into your vagina and feeling for the cervix. It will feel like a firm, round, or oval-shaped bump with a small opening in the center. The position of the cervix can vary throughout your menstrual cycle and can provide information about fertility.

What are the different positions of the cervix?

The cervix can be high or low, and it can be positioned at the front or back of the vagina. During ovulation, the cervix is typically higher and softer to the touch, while during menstruation, it is usually lower and firmer. After menopause, the cervix may become smaller and more difficult to locate.

What can changes in cervical position indicate?

Changes in cervical position can provide clues about where you are in your menstrual cycle and your fertility status. For example, a high, soft cervix may indicate ovulation and a more fertile time for conception. Conversely, a low, firm cervix may indicate menstruation or an infertile time.

Can cervical position be used as a method of birth control?

Cervical position alone is not an effective method of birth control, as it can be difficult to interpret and can vary from person to person. However, when used in combination with other fertility awareness methods, such as tracking basal body temperature and cervical mucus, cervical position can be a useful tool for identifying fertile and infertile times.

Are there any risks or complications associated with checking cervical position?

Checking cervical position is generally safe and does not pose any significant risks or complications. However, it is important to ensure that your hands are clean and that you are gentle to avoid causing discomfort or injury. If you experience pain or discomfort during or after checking cervical position, or if you notice any unusual changes, it is important to consult a healthcare provider.



Related reading

How to Check Cervix Position

Your cervix position is a major factor in which menstrual cup you should purchase

Learning how to check your cervix position will help you determine which menstrual cup length and shape to choose, as well as whether or not you should trim the stem. It can also be helpful to determine when you are ovulating and the state of your reproductive health. Below we will discuss some simple guidelines for locating your cervix.

Where is the cervix?

The cervix is the vaginal opening that leads to a women’s reproductive system, allowing sperm to travel through and fertilise eggs. Your cervix is positioned at the end of your vaginal canal (usually around 7.5 to 15cm inside the vagina). 

Imagine a long hallway with a door at the end – that’s what the cervix looks like. It attaches to the vaginal wall and is sometimes described as feeling like the tip of your nose and in the shape of a doughnut. Where the vaginal canal is soft, the beginning of the cervix feels firm.

Note: If you currently have a yeast infection or any other form of vaginal infection, it is best not to check your cervix until this is all cleared up. Unusual vaginal discharge is usually a sign of infection. In addition, menstruation, sexual arousal, and early pregnancy may result in cervix changes too.

When should I check my cervix?

Your cervix height will change throughout your menstrual cycle, often being higher when you are ovulating and then lower during menstruation. To get an idea of whether you have a low or high cervix for the purpose of choosing a menstrual cup, you are best to check your cervix a few times during your period. This can be done in the shower to reduce mess and will help you determine an average position. Sometimes the cervix will change from a high to low position during your period. This is completely normal and may help solve why a cup works for half of your period and not the other.

Do not check your cervix before, during, or after sexual intercourse as arousal can affect position.

Step-by-step guidelines for checking your cervix position

1. Wash your hands thoroughly

Not much explanation is needed here. You will be inserting your fingers into your vaginal canal, so wash your hands to reduce any chances of introducing infection. Do not apply any moisturisers to your hands before feeling for your cervix. You may also want to consider trimming your nails if they are long in order to avoid potential scratches – ouch! 

2. Find a comfortable position

Some of the best positions for checking your cervix are either squatting, sitting on the toilet, or raising one leg and resting it on the toilet seat, edge of the bathtub, or a chair. Whichever position you get into when inserting a tampon or menstrual cup is probably your best option.

3. Gently insert your finger into your vagina

Use an inwards and upwards motion and move your finger in as far as it will go. You will know when you are touching your cervix, as your finger will not be able to reach any further. You will also feel the firm doughnut shape of your cervix. If you are ovulating, your cervix will most likely be located higher. It will then be located lower once you have finished ovulating. 

4. Use the knuckle rule to measure your cervix height

1st Knuckle = Low Cervix

If you are touching your cervix by the time your first knuckle enters the vaginal opening, then consider your cervix low. In this instance,  trimming the the stem of your cup may be enough to make it fit comfortably. We do not recommend doing this until you are confident in removing your cup since your cervix may move higher up during your cycle. If trimming the stem doesn’t work and your cup continues to slip out, you may need to select a shorter or low cervix cup. 

2nd Knuckle = Average Cervix

If you are touching your cervix by the time your second knuckle enters the vaginal opening, then consider it an average height. You should be able to comfortably wear most standard length menstrual cups without issue.

3rd Knuckle = High Cervix

If you are touching your cervix up to or beyond your third knuckle, or if you have trouble reaching it at all, then consider yourself to have a high cervix. Try to position your menstrual cup lower in your vaginal canal. It may travel up the canal a bit, however, this just makes it a little trickier to remove. With practice, it shouldn’t cause you any long-term grief or difficulties. We would also highly recommend trying a longer cup to make removal easier. 

5. Choose a cup based on your cervix height

Once you know what height cervix you have, you will find it easier to choose the correct length of menstrual cup. If you have a cup that continually falls out, then it is possible the cup is too long and you need a low cervix cup. If you have difficultly reaching your cup to remove it, then you likely have a high cervix and should opt for a longer cup. Menstrual discs are suitable for any cervix height as they tuck up behind the pubic bone and are less likely to slip down or travel up the vaginal canal.

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Why should you check your cervix position?

Checking your cervix position allows you to ensure the cup fits and helps prevent buying brands that don’t work for you. It also makes you aware of what your cervix normally feels like so you can identify concerning cervical changes such as polyps, cysts and scars. Furthermore, it can help you monitor the different phases of your menstrual cycle. It’s advisable to consult a gynaecologist or healthcare professional even if you notice seemingly subtle changes in your cervix.

Frequently asked questions:

Learn more about finding your cervical position in the FAQs below.

How to tell if your cervix is high or low?

You can tell if your cervix is high or low by inserting one or two fingers into the vagina to try and feel for the cervix. If you can touch your cervix by your first knuckle, you have a low cervix. Alternatively, if you only reach your cervix after your second knuckle it means you have an average to high cervix.

Why is my cervix so low?

Your cervix might be low due to menstruation, pregnancy or childbirth. In addition, the pelvic muscles often become weaker with age, causing the cervix to become lower over time. Women experiencing menopause also typically have a lower cervix due to having less oestrogen.

How do you check your cervix position?

You can tell if your cervix is high or low by inserting one or two fingers into the vagina and feeling for the cervix. If you can reach the cervix by your first knuckle, your cervix is low. If you can reach it by or beyond the second knuckle of your finger, your cervix is average height or high.

Why does the stem of my cup keep sticking out?

If your cup slips out or cannot be completely inserted, this may be a sign that you have a low cervix and need a shorter cup.

Why am I having trouble reaching my menstrual cup?

If you are having trouble reaching your cup to remove it, then you most likely have a high cervix. Look for a longer cup to make removal easier.

Can I use a menstrual disc if I have a low or high cervix?

Yes you can. Menstrual discs stay in place by tucking up behind the pubic bone. This means they do not travel up and down the vaginal canal like a menstrual cup can, and are therefore suitable for any cervix height.

Learn more about choosing the correct menstrual cup:

Which Menstrual Cup?

Deciding which brand of menstrual cup to buy can be daunting. While many women will have success with any brand of cup, there are some instances where it may be a case of trial and error. Or, depending on cervix height and your level of menstrual flow, there may only be a couple of suitable

Read More »

Menstrual Cup Sizing Guidelines

Menstrual Cup Sizing – which size cup do you need? This article is for anyone who is confused about which size menstrual cup to buy. While each brand of menstrual cup may differ slightly, when it comes to sizing your menstrual cup, there are five main factors to consider. 5 Menstrual Cup Sizing Tips While

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Top 5 Menstrual Cup Brands as Reviewed by MCA Online Customers

We have compiled a list of the top 5 menstrual cup brands currently sold on our website. We have chosen each one according to sales, number of customer reviews, and average 5 star rating, however, the ranking order does not particularly indicate that one brand is better than the other. These are simply the 5

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Changes in the cervix during pregnancy

Pregnancy is always pleasant, but sometimes not planned. And not all women have time to prepare for it, to be fully examined before its onset. And the detection of diseases of the cervix already during pregnancy can be an unpleasant discovery.

The cervix is ​​the lower segment of the uterus in the form of a cylinder or cone. In the center is the cervical canal, one end of which opens into the uterine cavity, and the other into the vagina. On average, the length of the cervix is ​​3–4 cm, the diameter is about 2.5 cm, and the cervical canal is closed. The cervix has two parts: lower and upper. The lower part is called the vaginal, because it protrudes into the vaginal cavity, and the upper part is supravaginal, because it is located above the vagina. The cervix is ​​connected to the vagina through the vaginal fornices. There is an anterior arch – short, posterior – deeper and two lateral ones. Inside the cervix passes the cervical canal, which opens into the uterine cavity with an internal pharynx, and is clogged with mucus from the side of the vagina. Mucus is normally impervious to infections and microbes, or to spermatozoa. But in the middle of the menstrual cycle, the mucus thins and becomes permeable to sperm.

Outside, the surface of the cervix has a pinkish tint, it is smooth and shiny, durable, and from the inside it is bright pink, velvety and loose.

The cervix during pregnancy is an important organ, both in anatomical and functional terms. It must be remembered that it promotes the process of fertilization, prevents infection from entering the uterine cavity and appendages, helps to “endure” the baby and participates in childbirth. That is why regular monitoring of the condition of the cervix during pregnancy is simply necessary.

During pregnancy, a number of physiological changes occur in this organ. For example, a short time after fertilization, its color changes: it becomes cyanotic. The reason for this is the extensive vascular network and its blood supply. Due to the action of estriol and progesterone, the tissue of the cervix becomes soft. During pregnancy, the cervical glands expand and become more branched.

Screening examination of the cervix during pregnancy includes: cytological examination, smears for flora and detection of infections. Cytological examination is often the first key step in the examination of the cervix, since it allows to detect very early pathological changes that occur at the cellular level, including in the absence of visible changes in the cervical epithelium. The examination is carried out to identify the pathology of the cervix and the selection of pregnant women who need a more in-depth examination and appropriate treatment in the postpartum period. When conducting a screening examination, in addition to a doctor’s examination, a colposcopy may be recommended. As you know, the cervix is ​​covered with two types of epithelium: squamous stratified from the side of the vagina and single-layer cylindrical from the side of the cervical canal. Epithelial cells are constantly desquamated and end up in the lumen of the cervical canal and in the vagina. Their structural characteristics make it possible, when examined under a microscope, to distinguish healthy cells from atypical ones, including cancerous ones.

During pregnancy, in addition to physiological changes in the cervix, some borderline and pathological processes may occur.

Under the influence of hormonal changes that occur in a woman’s body during the menstrual cycle, cyclic changes also occur in the cells of the epithelium of the cervical canal. During the period of ovulation, the secretion of mucus by the glands of the cervical canal increases, and its qualitative characteristics change. With injuries or inflammatory lesions, sometimes the glands of the cervix can become clogged, a secret accumulates in them and cysts form – Naboth follicles or Naboth gland cysts that have been asymptomatic for many years. Small cysts do not require any treatment. And pregnancy, as a rule, is not affected. Only large cysts that strongly deform the cervix and continue to grow may require opening and evacuation of the contents. However, this is very rare and usually requires monitoring during pregnancy.

Quite often, in pregnant women, during a mirror examination of the vaginal part, polyps cervix. The occurrence of polyps is most often associated with a chronic inflammatory process. As a result, a focal proliferation of the mucosa is formed, sometimes with the involvement of muscle tissue and the formation of a pedicle. They are mostly asymptomatic. Sometimes they are a source of blood discharge from the genital tract, more often of contact origin (after sexual intercourse or defecation). The size of the polyp is different – from millet grain rarely to the size of a walnut, their shape also varies. Polyps are single and multiple, their stalk is located either at the edge of the external pharynx, or goes deep into the cervical canal. Sometimes during pregnancy there is an increase in the size of the polyp, in some cases quite fast. Rarely, polyps first appear during pregnancy. The presence of a polyp is always a potential threat of miscarriage, primarily because it creates favorable conditions for ascending infection. Therefore, as a rule, more frequent monitoring of the cervix follows. The tendency to trauma, bleeding, the presence of signs of tissue necrosis and decay, as well as questionable secretions require special attention and control. Treatment of cervical polyps is only surgical and during pregnancy, in most cases, treatment is postponed until the postpartum period, since even large polyps do not interfere with childbirth.

The most common pathology of the cervix in women is erosion . Erosion is a defect in the mucous membrane. True erosion is not very common. The most common pseudo-erosion (ectopia) is a pathological lesion of the cervical mucosa, in which the usual flat stratified epithelium of the outer part of the cervix is ​​replaced by cylindrical cells from the cervical canal. Often this happens as a result of mechanical action: with frequent and rough sexual intercourse, desquamation of the stratified squamous epithelium occurs. Erosion is a multifactorial disease. The reasons may be:

  • genital infections, vaginal dysbacteriosis and inflammatory diseases of the female genital area;
  • is an early onset of sexual activity and a frequent change of sexual partners. The mucous membrane of the female genital organs finally matures by the age of 20-23. If an infection interferes with this delicate process, erosion is practically unavoidable;
  • is an injury to the cervix. The main cause of such injuries is, of course, childbirth and abortion;
  • hormonal disorders;
  • , cervical pathology may also occur with a decrease in the protective functions of immunity.

The presence of erosion does not affect pregnancy in any way, as well as pregnancy on erosion. Treatment during pregnancy consists in the use of general and local anti-inflammatory drugs for inflammatory diseases of the vagina and cervix. And in most cases, just dynamic observation is enough. Surgical treatment is not carried out throughout pregnancy, since the excess of risks and benefits is significant, and after treatment during childbirth, there may be problems with opening the cervix.

Almost all women with various diseases of the cervix safely bear and happily give birth to beautiful babies!

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causes, symptoms, treatment of long cervix


  • 1 Long cervix: causes of elongation and possible consequences
    • 1.1 Eliminate the problem: cervical elongation
      • 1.1.1 What is it cervical elongation?
      • 1.1.2 Causes of cervical elongation
      • 1.1.3 Symptoms of cervical elongation
      • 1.1.4 Treatment of a long cervix
    • 1. 2 Cervical elongation: what is it?
    • 1.3 Causes of cervical elongation
    • 1.4 How does cervical elongation manifest itself?
    • 1.5 Diagnosis of cervical elongation
    • 1.6 Complications of cervical elongation
      • 1.6.1 Premature rupture of membranes
      • 1.6.2 Infections
      • 1.6.3 Preterm delivery and risk of prematurity
      • 1.6.4 Possibility of cervical scarring
      • 1.6.5 Risk of placental abruption
    • 1.7 Treatment of cervical elongation
    • 1.8 Medical treatment of cervical elongation
    • 1.9 Surgical treatment of cervical elongation
    • 1.10 Prevention of cervical elongation
        900 31 1.10.1 Adherence during pregnancy
      • 1.10.2 Postpartum care
    • 1.11 When do I need to consult a specialist for cervical elongation?
    • 1.12 Related videos:
    • 1.13 Q&A:
        • What is cervical elongation?
        • What symptoms can cervical elongation cause?
        • 1. 13.0.3 How is cervical elongation determined?
        • How to treat cervical elongation?
        • What measures can be taken to prevent cervical elongation?
        • What are the complications associated with cervical elongation?

An article about a long cervix and its elongation – causes, symptoms, diagnosis and treatment. Learn all about the possible problems and risks for pregnancy and a woman’s health.

The cervix is ​​a narrow tube that connects the uterus and vagina. The normal length of the cervix is ​​2 to 4 cm, but in some women it can be longer. This condition is called cervical elongation, and it can lead to various problems during pregnancy and childbirth.

Cervical elongation can occur for various reasons. One of the most common causes is a previous abortion or other procedure in which the cervix was torn. This can cause the cervix to become less firm and longer over time.

Other causes of cervical elongation include chronic infections, inflammation, and other disorders of the reproductive system. Most women with cervical elongation do not experience any symptoms, but in some cases it can lead to problems during pregnancy and childbirth.

Eliminate the problem: cervical elongation

What is cervical elongation?

Cervical elongation is when the cervix becomes too long. Normally, the length of the cervix in a woman is about 3-4 centimeters, but in some cases this length can increase to 5 centimeters or more.

Causes of cervical elongation

There are many causes of cervical elongation. One of the most common causes is previous cervical surgery, such as conization. Also, diseases of the cervix, such as inflammation, can lead to elongation. In rare cases, this may be due to genetic factors.

Cervical elongation symptoms

  • Lower abdominal pain
  • Vaginal bleeding
  • Problems with pregnancy or caesarean section

Some women do not experience symptoms of cervical elongation, and the problem can only be detected during a visit to the gynecologist.

Treatment of long cervix

Treatment of cervical elongation depends on the degree of lengthening. If the cervix has lengthened to 3-5 centimeters, then treatment is not required. If the length exceeds 5 centimeters, then the doctor may prescribe a cervical sterilization procedure or cerclage, which helps to maintain the pregnancy.

In addition, it is important to pay attention to the prevention of cervical diseases and to monitor the state of health in general in order to avoid cervical elongation.

Cervical elongation: what is it?

Cervical elongation is a condition in which the cervix becomes longer than normal. The cervix is ​​a narrow canal between the vagina and the uterus. It is important during pregnancy, as it provides reliable fixation of the fetus and protection against infections.

The cervix is ​​usually 3 to 4 centimeters long. However, during elongation, the cervix can reach a length of 4 to 5 centimeters or more. This condition can occur during pregnancy, which can lead to pregnancy incontinence and premature delivery. However, cervical elongation can also occur in non-pregnant women.

Causes of cervical elongation

Cervical elongation is a rather serious disease that can lead to disturbances in the development and birth of a child. There are several reasons for the development of this disease:

  1. Violation of the hormonal background of a woman;
  2. Lack of collagen, which is responsible for certain tissues in the body;
  3. Pathologies of fetal development;
  4. Early sexual initiation;
  5. Injuries of the cervix;
  6. Polyps or infections causing inflammation.

However, the causes of cervical elongation can be complex and depend on many factors, so it is important not to self-diagnose and be sure to consult a doctor if any symptoms appear.

How is cervical elongation manifested?

Cervical elongation is a condition that occurs when the cervix becomes longer than normal. Some women may have a long cervix, but if it is too long, it can lead to problems during pregnancy.

If a woman is suspected of having cervical elongation, her doctor may recommend additional tests. This usually includes an ultrasound of the cervix to measure its length and determine if it is too long. It may also be necessary to measure the level of vaginal genus-derivative hormone (Ffdh), which may also indicate the risk of insufficient length of the cervix.

  • Reduction of abdominal pressure and pain;
  • Leakage of fluid from the fetal sac;
  • Ultrasonography recommended;
  • Ffdh level measurement.

Diagnosis of cervical elongation

Diagnosis of cervical elongation begins with an examination by a gynecologist. The doctor usually uses a special speculum to examine the cervix for changes in its shape and size. An ultrasound examination may also be performed to examine the cervix in detail.

To more accurately determine the degree of cervical elongation, a hysteroscopy may be performed, which allows the doctor to view the inside of the cervix using a special camera. To more accurately determine the degree of elongation, a combined ultrasound and hysteroscopic examination can be performed.

It is important to note that the diagnosis of cervical elongation is an important step in determining the causes of infertility, since a long cervix can contribute to difficulties in conceiving and maintaining a pregnancy.

  • Basic methods for diagnosing cervical elongation:
  • Gynecological examination
  • Ultrasound examination
  • Hysteroscopy
  • Combined ultrasound and hysteroscopic examination

In case of cervical elongation, it is important to consult a gynecologist to determine further treatment and prevention of problems with pregnancy.

Complications of cervical elongation

Premature rupture of membranes

Premature rupture of membranes is one of the most common complications of cervical elongation. If a rupture occurs, then the process of childbirth begins, which can lead to premature birth.


Elongation of the cervix increases the chance of infection of the uterus and fetus. This is because an enlarged cervix is ​​more prone to infections.

Preterm delivery and risk of prematurity

Elongation of the cervix can lead to the impossibility of natural childbirth and the need for a caesarean section. In addition, this complication can lead to prematurity and other problems with the development of the fetus.

Possibility of cervical scarring

Damaged cervical tissue may heal with scarring. This can lead to cervical hypertrophy, which will complicate subsequent pregnancies and childbirth.

Risk of placental abruption

Cervical elongation may lead to an increased risk of placental abruption. This is a dangerous complication that can cause various problems for both the mother and the fetus.

Treatment of cervical elongation

Treatment of cervical elongation depends on its degree and the symptoms that the patient has. In some cases where a long cervix is ​​not a concern, no treatment is needed. However, in most cases, treatment is necessary to prevent complications.

In more serious cases, surgery may be required to shorten the long cervix. This procedure, called cervicoplasty, reduces the length of the cervix and strengthens it, which prevents it from stretching further.

In addition, treatment usually includes taking anti-inflammatory drugs, making regular visits to the gynecologist, and having regular ultrasound examinations of the cervix to determine its condition.

Drug treatment of cervical elongation

Various drugs can be used to treat cervical elongation. One of these drugs are progesterone drugs. They are able to reduce the tone of the uterus and improve the blood supply to the fetus, which can prevent premature birth.

Another drug that can be used for this condition is magnesium. It helps to reduce uterine contractions and improve blood supply to the fetus.

In some cases, the vasodilator nifedipine may also be used. It reduces the tone of the uterus and improves the blood supply to the fetus, which can prevent preterm labor.

  • Progesterone preparations – drugs that can reduce the tone of the uterus and improve the blood supply to the fetus.
  • Magnesium is a drug that helps reduce uterine contractions and improve blood supply to the fetus.
  • Nifedipine is a vasodilator that reduces uterine tone and improves blood flow to the fetus.


Progesterone preparations Decreased uterine tone and improved fetal blood supply.
Magnesium Reducing uterine contractions and improving fetal blood supply.
Nifedipine Decreased uterine tone and improved fetal blood supply.

Surgical treatment of cervical elongation

Surgical treatment of cervical elongation is a rather serious procedure, which is resorted to in cases where other methods do not lead to the desired result. This may be necessary when cervical elongation causes concern to the patient or causes unwanted complications.

Another option is a wide excision of the cervix, which removes a significant portion of the affected tissue. This method is suitable for patients with extensive changes that cannot be effectively treated by other methods.

In any case, the decision to have surgery should be individualized and the risks and benefits should be carefully weighed by the physician and patient together.

Prevention of cervical elongation

Compliance during pregnancy

Proper nutrition. To avoid the lack of important vitamins and minerals, it is necessary to eat a balanced and regular diet. It is recommended to include more fresh fruits and vegetables, dairy products, meat and fish in the diet. Highly fatty and spicy foods, alcohol and smoking should also be avoided.

Physical exercise. Muscle development and body tone will help prevent ligament weakness and reduce the risk of cervical elongation. It is necessary to engage in physical exercises that can be performed during pregnancy. But first of all, you need to get permission from a doctor.

Follow medical advice. It is important to visit doctors regularly, complete all mandatory and recommended tests, and follow all doctors’ recommendations during pregnancy. This will help to timely identify any changes in the body and prevent them.

Preventive measures after childbirth

Maintaining a healthy lifestyle. It is important to continue a healthy lifestyle after giving birth to get back in shape and avoid unhealthy activities such as smoking. If a woman is breastfeeding her child, she needs to take all the necessary vitamins and minerals.

Infection protection. Protect yourself and your loved ones from infections, especially in the early days after childbirth. Try to avoid large crowds of people, do not delay going to the doctor if you are showing signs of illness, follow the rules of hygiene.

Enhanced rehabilitation program. Some women may receive a doctor’s recommendation for an additional rehabilitation program after childbirth. These can be exercises to strengthen the muscles of the pelvis and abdominal muscles, physical therapy methods, acupuncture and much more.

When do I need to see a specialist for cervical elongation?

Seek medical attention whenever symptoms associated with changes in the cervix appear. It can be pain in the lower abdomen, periodic bleeding, unexplained discharge.

If a woman is already pregnant and a lengthening of the cervix is ​​found, she should be seen by a doctor. The doctor may prescribe medications to strengthen the ligaments and improve blood circulation, as well as additional research and monitoring of the child’s growth.

It is important to remember that delaying medical attention can lead to placental insufficiency, a short baby, and even premature birth.

Remember that full information about your condition and regular visits to the doctor are the key to a healthy mother and child.

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What is cervical elongation?

Cervical elongation is a lengthening of the cervix, which can occur for various reasons, such as previous operations on the uterus or due to the onset of an infectious process in the cervix.

What symptoms can cervical elongation cause?

Cervical elongation may be asymptomatic or cause pain in the lower abdomen, discomfort during intercourse, spotting.

How is cervical elongation determined?

Elongation of the cervix can be detected during a gynecological examination, as well as by ultrasound examination of the cervix.

How to treat cervical elongation?

Treatment of cervical elongation depends on its cause. Antibiotics and anti-inflammatory drugs can be used to eliminate the infectious process.