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Cervical Incompetence (Insufficientia cervicis), is an obstetric pathology characterized by painless dilation and effacement of the cervix without uterine contractions during the second trimester or early third trimester of pregnancy. This clinical condition leads to prolapse and rupture of the fetal membranes into the vagina, resulting in expulsion of a fetus that has not yet reached viability. Cervical incompetence is responsible for approximately 16–20% of second-trimester pregnancy losses.【1

Endometriosis is a chronic, estrogen-dependent, inflammatory condition characterized by the presence of tissue similar to the endometrium outside the uterus. These ectopically located tissues bleed in response to the menstrual cycle but cannot be expelled from the body, leading to inflammation, fibrosis, and adhesions in surrounding tissues. It most commonly affects pelvic organs but can also occur in extrapelvic locations.EpidemiologyEndometriosis affects approximately 6% to 10% of women of rep