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Pregnancy after Hysterectomy

From the Hysterectomy Recovery Articles List

Pregnancy after hysterectomyI had a hysterectomy but kept my ovaries. Since I am still ovulating, is there any way I could become pregnant? Could I still have a baby?

Pregnancy begins with conception which occurs when a sperm penetrates an egg. In order to penetrate an egg, the sperm must first reach it.

For those who have had a total hysterectomy where the cervix is removed, the vagina is closed at the top with what is called a vaginal cuff. Once the vaginal cuff has healed, the vagina is sealed from the pelvic and abdominal region so there is no way for the sperm to reach any eggs the ovaries may be releasing. There is no longer an “entrance” for sperm to swim through in their quest to reach an egg.

For those who have kept their cervix, ask your surgeon how your cervix was sealed. When the cervix is closed with sutures, there should be no more risk of pregnancy than for those with a vaginal cuff.

Following any type of hysterectomy, if an egg was ever fertilized there would be no suitable tissue into which it could implant. Thus, a viable pregnancy would not be possible. It takes a uterus to produce a viable pregnancy, so a woman without a uterus cannot provide a place for a baby to grow and develop.

There have been a few rare cases of ectopic pregnancies following a hysterectomy for women who had kept their tubes and ovaries. In most cases, it is presumed the ectopic pregnancy existed at the time of surgery though it was not detected then. In a few cases, there was an assumed opening from the vagina that allowed for a later ectopic pregnancy. These cases are very rare, life threatening, and do not allow for a viable pregnancy.

While each woman should discuss this concern with her own surgeon, the bottom line is that it is very rare for sperm to reach an egg following any hysterectomy. Furthermore, a viable pregnancy is not possible after any hysterectomy.

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

08-21-2007 - 02:24 PM


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