Do you have a friable cervix?


During pregnancy there is more blood flow to the uterus and cervix. This extra blood flow may cause spotting in early or throughout the entire pregnancy. Since there is so much volume of flow to the blood vessels in the cervix, you are more susceptible to bleeding. Bleeding may occur after a pelvic exam, after sexual intercourse or even during normal day to day activities. This does not necessarily mean there is something wrong with you or the baby. It simply means that your cervix is easily irritated and prone to bleeding.

There are multiple reasons why a woman has a friable cervix. Previous bacterial infections, cervical cancer, Chlamydia and other sexually transmitted infections are the usual culprits as to why the cervix is prone to bleeding. In order to determine a possible cause for a friable cervix, your doctor will take vaginal swabs during a pelvic exam and treat it accordingly. However, a colposcopy will give your doctor a chance to better examine the cervix. The doctor will then take some tissue and send it for a couple of tests to confirm the diagnosis. Since bleeding is the only symptom of a friable cervix, a colposcopy is the best way to determine the problem since cervical dysplasia can also cause bleeding.  This is a condition that signals abnormal cells in the cervix. A pap smear usually reveals the presence of this condition even in its initial stages. It is important to get a pap smear done periodically since the abnormal growth may be potentially cancerous. A cervical biopsy may be conducted, and samples of the abnormal cells in the cervix may be taken for examination to rule out cancer. A cervical biopsy may be conducted after a colposcopy or after a pap smear.

A friable cervix during pregnancy can be a cause a woman to be concerned about a possible miscarriage. Often times, bleeding is not indicative of any major threat to the pregnancy. Bleeding due to hemorrhoids or urinary and vaginal infections can also be confused with vaginal bleeding. Sensitive cervix bleeding could be due to the presence of polyps that are enlarged by the action of hormones related to the pregnancy.  As a result of this infection, the cervix turns extremely friable, which in simple terms means that it can easily bleed as a result of the increased flow of blood. 

Any kind of bleeding, a wet spot on your bed after intercourse, toilet paper spotting after you wipe, or spotting on panty-liners, can be scary. This bleeding can be caused due to two possible reasons, the first being problems related to the cervix and the second problems that cause the lining of your uterus to bleed. Regardless, while there are many causes of a friable cervix, and many other unrelated reasons for bleeding and spotting. Try not to sit at home and worry yourself to death about it. Call your doctor and make sure you give them a complete medical history and get it checked out.


Pregnancy Baby Care. Friable Cervix and Pregnancy. (2010). Retrieved from:

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