تضيق عنق الرحم لدى مريضات ما بعد انقطاع الطمث عند عدم استعادة سالكية القناة بالتنضيج

References

DOI: 10.1007/s00404-023-07126-1

In postmenopausal women and those treated with gonadotropin-releasing hormone analogs, misoprostol has a decreased effect since prostaglandins require estrogen to generate their cervical ripening effects, and postmenopausal patients are in a hypoestrogenic state.

A mechanical option to dilate the cervix is with using Hegar or Pratt dilators.

Vasopressin has been reported to reduce the force required for entry in cases of cervical stenosis when injected into the cervix before the procedure.

Due to its potential cardiorespiratory side effects, vasopressin should only be used for this purpose under cardiac monitoring.