11:24 am - 12/12/2009

Low cervix - thoughts?

Thanks in advance for everyone's thoughts on this. I would also like to apologize in advance if I violate any norms/conventions for VP/LJ in general; I'm not a heavy user of this site and thus not terribly familiar with this kind of thing...

A little bit of history: I'm 21 years old, have been sexually active for about three years, but did not have sex regularly until about eight months ago, when I met my current boyfriend. I have been on oral contraceptives since I was about 14 (Yaz for the last three years or so). It started off as an acne treatment (I had terrible hormonal acne that cleared up completely with the pill), but eventually I also began using it as a birth control.

So here's my problem: I have an extremely low cervix. It began about 3 years ago when I thought I could feel a lump in my vagina after the first time I had sex, so I asked my obgyn, fearing something terrible, and she said it was my cervix. No big deal. But over the years, it's gotten lower and lower. The last time I saw my boyfriend was about a month ago (we're long distance) and for the first time, I experienced some pain during and spotting after deeply penetrative sex (missionary was okay); I assume the lowness of my cervix led to it being jostled around a bit. And the boyfriend is on the larger side. Nonetheless, I was concerned, so immediately after this, I saw an obgyn (a different one) and asked her about the spotting and apparent lowness. She did a pelvic exam, but said that she couldn't feel anything unusual, so I kind of put it out of my mind.

However, today I decided to check out the situation and discovered my cervix is a mere inch, maybe 1.5 inches above my vaginal opening. Just to give you an idea, it was difficult to insert a regular-sized tampon without some discomfort. I'm due for my "period" in about a week. It's my understanding that the height of the cervix varies depending on where in your cycle you are, but does this also apply if you're on BC? Also, I understand cervical lowness maybe related to and/or a side effect of prolonged birth control use. Might this have any relation to the situation? Also, would it be worth seeking another obgyn's opinion? The last one I saw seemed to think it was a non-issue, but now I'm not so sure.

As I haven't felt my cervix in about a month, it could be unusually low now given the time of my cycle, but I do feel like it wouldn't be this low without some kind of further dropping. I feel quite confident this isn't uterine prolapse, as I've never been pregnant. I have not tested to confirm this, but I'm also pretty certain I'm not pregnant, as I have had a period since my last bout of sexual activity (and I'm also confident that I no longer even ovulate, given the length of time in which I've been on the pill).

Thank you so much for any insight that anyone might be able to provide.
acerzen 12th-Dec-2009 04:25 pm (UTC)
It sounds like you have a shallow vagina. I do too. Sometimes I can feel my cervix very close to my opening, sometimes it is deeper. This depends on where I am at during my cycle, on birth control or not. what this means is that you can't always have full penetration, doggie style sex or let the guy, if he is long, go full blast. I've also bled from too much "ramming" and sometimes putting in a tampon hits up against my cervix immediately. This isn't abnormal, and as your doc said, nothing is wrong.

Some women have DEEP vaginas. We have shallow ones. I tend to buy shorter dildos and enjoy a shorter cock. Sex is still wonderful and normal for me.
massakyr 12th-Dec-2009 07:54 pm (UTC)
Thanks so much for your post! This makes me feel much better - glad to know I'm not alone! :)
atalanta0jess 12th-Dec-2009 05:29 pm (UTC)
1 to 1.5 inches within the vagina is within the normal range of cervix height for those of us with short vageens. I don't think you have anything in particular to be concerned about, except perhaps if you truly feel that it has moved over time - however, I think it would be very very hard to know that unless you've been making a concerted effort to observe how your cervix moves throughout your cycle. It may be that you've just never felt it at that point in your cycle before, or at that stage of arousal (or non-arousal).

Its almost certain that you don't ovulate - Yaz stops you from ovulating after only 7 days, so the length of time you've been on the pill is not all that significant. Additionally, I believe uterine prolapse generally occurs not at the beginning of pregnancy, but either towards the end or afterwards.

As far as having sex goes, one thing to do is to make sure you are aroused before penetration, or to use less deep positions when you are less aroused - since your cervix moves when you are aroused, this will help get it out of the way. :)
massakyr 12th-Dec-2009 07:58 pm (UTC)
Thanks for your post! Those are both very good points. You're right, it's probably the combination of arousal state/cycle point that makes me feel as though it's become lower. And perhaps I phrased the bit about Yaz awkwardly - I meant my body probably doesn't even try to ovulate anymore, haha. I went off the pill for about six months two years ago when I couldn't afford a script, and never had a single period. That might be a problem down the road, but for now it's not something I'm worried about.

The deep positions feel oh-so-good, but perhaps I'll have to start taking it easy. Thanks again for your comments! :)
loonylupinlover 12th-Dec-2009 07:03 pm (UTC)
Your cervix can still move around on hormonal birth control. I'm on the NuvaRing and while most of the time I can touch it by inserting just the first knuckle or so of my finger, I checked it just now because of your post and I can't reach it at all! I also notice there are some weeks where my Ring tries to poke out all the time, and other weeks where it's high up in my vagina and snug as a bug.

I would try letting your boyfriend know that occasionally deeper sex can be painful, so when you guys want things to be deep go slowly at first to see if it's what your vagina can accommodate at the time. Sometimes deep sex doesn't bother me at all, other times it feels like a punch to my vagus nerve. It's no big deal.

I really wouldn't worry about it unless it makes all sex painful, or seems like it's actually *protruding* from the vaginal entrance. Just a low cervix on its is perfectly normal :)
massakyr 12th-Dec-2009 07:59 pm (UTC)
Thanks for your post! He's aware that it's sometimes painful, but I thought it was odd that when I saw him last month it hurt, but when we had done it previously in August there was no pain at all. What a difference your cycle can make! :)
pygmybugs 12th-Dec-2009 08:13 pm (UTC)
I'll just jump on the "tiny 'gina" bandwagon. I can easily reach *behind* my cervix (that little pockety area? I am seriously retroflexed, so I dunno if everyone has a "behind" their cervix) with my index finger without even trying that hard. And I have wee stubby hands.

But yeah -- that's normal, you can have totally awesome sex. My boyfriend is on the low side of average for size, and we fit like a glove. And it's amusing how it has nothing to do with body type or anything. My best friend is tiny (~90lbs or so, 5 feet because she rounds up), and I'm convinced she has no internal organs. She can accomodate monster wangs that would seriously tear me in half.

I find that getting creative with positioning helps, as well as being vocal about what hurts or doesn't feel as good. I've had good luck (with partners who were a bit too big for me) with positions where my legs are closed. That way the base still gets friction from your thighs, but it prevents your cervix from getting a hammering.
maradydd 13th-Dec-2009 04:40 am (UTC)
My uterus is slightly anteverted (so-called "normal" position, I prefer to think of it as "average"), and I can reach behind it (and often do, e.g., when I'm trying to figure out where my IUD strings went this week). I have huge hands and long piano-player fingers, though.
loonylupinlover 13th-Dec-2009 04:56 am (UTC)
I believe you're thinking of the fornix with the "little pockety area" -- Fornix. It's normal and while I don't have a retrograde uterus as far as I'm aware I've got a fornix too :)
jujustars 13th-Dec-2009 07:09 am (UTC)
I think I'm one of the "small vag" owners, I can always reach my cervix and behind it, haha. I also use the NuvaRing and like someone else posted, sometimes it wants to poke out a bit, other times it's all the way in no problem.

I haven't had any pain during sex though.
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