Cervical score
The cervix score is a classification system for assessing the functional status of the cervix ( cervix uteri , cervix). It was proposed by Vaclav Insler and, based on the amount, consistency, spinnability, the bracken phenomenon of the cervical mucus and the width of the external cervix, allows an estimation of the hormonal status, which can be supplemented with vaginal cytology . The maximum value is 12 points. This occurs in the middle of the menstrual cycle at the time of the follicle rupture . Sperm can penetrate the mucus with a score of 8 or more.
| Points | 0 | 1 | 2 | 3 |
|---|---|---|---|---|
| Amount of cervical mucus | no | little | increased, shiny drop | copious, spontaneously draining |
| Spinnability | no | 1/4 the length of the sheath | well, 1/2 the length of the sheath | very good, thread can be pulled up to the vulva |
| Fern phenomenon | no | fine lines in some places | good, with lateral branches | well defined throughout the preparation |
| external cervix | closed | closed | slightly open, passable for probe | wide open |
literature
- Christoph Keck, Dominik Denschlag, Clemens Tempfer: Specialist examination in gynecology and obstetrics . 2nd edition, Georg Thieme, Stuttgart 2011, ISBN 9783131569424 , p. 24.
- Vaclav Insler et al .: The cervical score . In: Int J Gynecol Obstet 10 (1972), p. 223.