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Is it possible to get pregnant after a hysterectomy?

By MomMed | 27 September 2022 | 0 Comments

 

A hysterectomy is basically s surgical process in which the doctors perform the removal of the uterus. It is performed to treat specific gynecological issues. Using this procedure, the womb that a fetus grows in is effectively removed. However, in some cases, the ovaries and fallopian tubes may remain intact. At the same time, since there is no uterus, so that means the organs responsible for generating the egg are left behind.
 
As a result, many women question if they can still become pregnant after a hysterectomy. Although the apparent response to the question is no, a fertilized egg can develop into an embryo.
 
Let's find out if it is possible to get pregnant after a hysterectomy.
 

What do you mean by hysterectomy?

The removal of the uterus via surgery is known as a hysterectomy. Hysterectomy is performed to treat a variety of illnesses, including cancers and pelvic pain, among others. Hysterectomies come in various forms, require several surgical techniques, and can even be carried out using minimally invasive methods. However, because of the irreversibility of this process, the doctor must first consider all other available treatments, the patient's age, and other factors before proceeding.
 
The likelihood of the woman becoming pregnant after this treatment is typically zero. As a result, doctors often go for this method for women in their reproductive or fertile years only if there is no option available. It's crucial to note that this surgery has no impact on the woman's sexual life or general health; in fact, the surgery relieves her of the discomfort and pain she has been feeling.

 

Is it possible to get pregnant after a hysterectomy?

After a hysterectomy, you are not able to become pregnant. It can be a possibility if you still have a cervix, but it is very uncommon. Also, there is no possibility of carrying your baby because there is no uterus to hold the baby.  
 
If you become pregnant, the fertilized egg would be placed in some other places, and mostly it will be in the fallopian tube. Despite being very uncommon, ectopic pregnancy after hysterectomy is a medical emergency since it runs the risk of rupture, which can cause hemorrhage. Another name for it is a tubal pregnancy. Only when at least one ovary and one fallopian tube are still present, a woman can become pregnant following a hysterectomy.
 

How to diagnose ectopic pregnancy?

Because post-hysterectomy pregnancy is so uncommon, diagnosing it can be difficult. Most people think that women who get the operation have no possibility of getting pregnant. As a result, it is typical for the woman to overlook the warning indications of an ectopic pregnancy.
 
After a hysterectomy, it's critical to watch out for any potential symptoms. If you are pregnant, you will experience stomach pain post-surgery. Usually overlooked, this is misdiagnosed as post-operative soreness. There may be some bleeding as well. These symptoms must be taken carefully, and you should tell the doctor about them.
 
To diagnose the issue, the doctors usually go for an ultrasound scan, pelvic examinations of the lower abdomen, or even other likely sites of embryo implantation. Since this pregnancy has a high-risk factor, emergency surgery is typically performed to remove the embryo. Treatment options can range from removing the embryo with the help of medication to surgical organ removal, depending on the severity of the damage. Early ectopic pregnancy identification significantly lessens the damage.
 

Symptoms of ectopic pregnancy

Some of the early indicators are pelvic pain and light vaginal bleeding.

You can experience shoulder aches or the urge to urinate.

The fallopian tube may burst if the fertilized egg is allowed to develop further within. There may be significant internal bleeding.

 If the situation has become extreme and life-threatening, then you might face severe dizziness, fainting, and shock.

 

Treatment Of Ectopic Pregnancy

Depending on the gestational age, gestational sac age, and location, there are different ways to treat ectopic pregnancy. Advanced ectopic pregnancies frequently appear with rupture, discomfort, or significant bleeding, and in these circumstances, surgical interventions are frequently recommended to remove the pregnancy to safeguard the mother surgically. If the pregnancy is detected early, it is possible to prevent the development of the pregnancy with the help of medicine without the need to remove the fallopian tubes.
 
Laparoscopic surgery is a surgical procedure used to remove the ectopic tissue and restore the fallopian tube in cases of tubal pregnancy. It can be necessary to remove the fallopian tube if it is severely damaged. The recommended course of action is typically determined by the state of the fallopian tube and the extent of the ectopic pregnancy's damage.
 

The Risk Factors

Considering that around 50% of ectopic pregnancies happen in people with no identified risk factors. When the fertilized egg's free transit into the uterine cavity is hindered, the chance of ectopic pregnancy rises. This might comprise:
 

Fallopian tube scarring or obstruction brought on by previous surgery or illness, most frequently chlamydia

Treatment-related pregnancies for infertility

history of an ectopic pregnancy

 

How do you have a child after a hysterectomy?

Having a hysterectomy doesn't mean you can't start your family. It is still possible to have a child but needs a hysterectomy for health reasons. Although you can use your eggs, carrying them will be impossible. You can have a kid through surrogacy, in which someone else bears the child for you. This method involves implanting your eggs into a surrogate who will carry the child after being fertilized with your eggs. If during hysterectomy, your ovaries are going to be removed, then you can fertilize your eggs beforehand. However, if your ovaries will not be removed, fertilization can be done after the surgery.  
 

Final words

A hysterectomy is an essential procedure that significantly impacts women's lives. It is crucial to be aware of the risk and keep an eye out for the signs of an ectopic pregnancy. This knowledge can help you stay in good health after the operation. Even though it happens very infrequently, ectopic pregnancy is regarded as a medical emergency when it does.
 
 

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