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The cervix is part of the inverted pear-shaped uterus that corresponds to the narrow stalk end of the pear. This muscular structure is about 3-5 cm in length and is located partly in the upper vagina, extending into the space behind the bladder and in front of the rectum.
It acts as a canal between the vagina and the body of the uterus.
Many women have cervical stenosis and never even know it. This is due to the fact that even the most common cervical stenosis symptoms are not overly common for most women and it can easily be mistaken for something else.
Cervical stenosis is a narrowing of the lower region of the cervix, which is the opening of the womb or uterus.
This condition may be complete or partial and it may result in a hematometra (accumulation of blood in the uterus) or retrograde flow of menstrual blood into the pelvis in premenopausal women, possibly causing endometriosis. A pyometra (accumulation of pus in the uterus) may also develop, especially in women with cervical or uterine cancer.
Common symptoms in premenopausal women include:
Postmenopausal women may be asymptomatic for long periods. Hematometra or pyometra may cause uterine distention or sometimes a palpable mass.
Only women with symptoms of a hematometra, or a pyometra will be treated. The cervix may be widened by inserting small, lubricated metal rods through its opening then larger dilators are progressively inserted. Doctors may place a tube (cervical stent) in the cervix for 4 to 6 weeks to try to keep the cervix open
Laser treatment can be used to vaporize the scarring if the cervical stenosis caused by scar tissue
Surgical enlargement of the cervical canal can be done by hysteroscopic shaving of the cervical tissue.