Is the cervical internal os in a "V" shape open?
A V-shaped internal cervical os is generally considered a normal morphology, rather than an indication that the internal cervical os is already open.
The internal cervical os is the narrow passage through which the cervix leads into the uterine cavity, also known as the cervical canal opening. In the female reproductive system, the internal cervical os is one of the important structures, facilitating embryo entry into the uterine cavity through its ability to contract and dilate, and serving as the essential passageway for the fetus during vaginal delivery. The shape and size of the internal cervical os vary among individuals and cannot be accurately assessed without a gynecological examination. Generally, when the internal cervical os begins to dilate, it forms a round or oval opening, indicating an open state. In contrast, a V-shaped description typically refers to the appearance of the internal cervical os in its closed, unopened state.
The internal cervical os is normally closed when a woman is not pregnant and gradually dilates as pregnancy progresses, allowing the fetus to pass through smoothly. A procedure known as cervical cerclage is often performed at the internal cervical os to help prevent complications such as preterm birth.