Hysterectomy is a procedure involving surgical removal of the uterus or womb. It could also
involve the removal of the cervix, fallopian tubes, and one or both ovaries, depending on the individual’s medical condition. Pregnancy after hysterectomy is not possible. Hysterectomy is a major surgery that could be recommended due to various health reasons. Studies suggest that above one-third of women in the US have undergone this surgery by the age of 60 years
(1). Explore more on the key aspects of this hysterectomy and its long-term outlook. Hysterectomy is a medically necessary procedure to treat health problems affecting the
female reproductive system. You might need one if you have any of the following conditions: Having a hysterectomy will end your ability to get pregnant. If you plan to become pregnant and cannot go for this procedure, you
should consult your doctor for alternatives. For some conditions such as endometriosis, uterine prolapse, and fibroids, there may be less invasive options. You may require a specific type of hysterectomy depending on why you need it, and how well your reproductive system can sustain it (8). A hysterectomy is performed in several ways—through the vagina, abdomen, or by using laparoscopy. The method depends on your health history and the reason for the
surgery (9). 1. Vaginal hysterectomy: A small incision is made near the vagina, and the uterus (or other parts) is removed through it. It is preferred in pelvic relaxation. It takes less time and results in faster recovery. Most women are likely to resume their work or activities sooner than if they had abdominal surgery. 2.
Abdominal hysterectomy: It is performed through a regular incision in your lower abdomen, similar to C-section incision. The opening gives a clear view of the pelvic organs. It takes a long time to recover and could lead to complications such as bleeding, wound infection, nerve and tissue damage, and blood clots. 3. Laparoscopic hysterectomy: It is performed by making some tiny incisions in your abdomen. A laparoscope is inserted to view the pelvic organs. Both the procedure and recovery take less time. 4. Robot-assisted laparoscopic hysterectomy: In this procedure, the surgeon controls a robotic machine to perform the surgery through a small incision in the lower abdomen. Risks And Complications Of HysterectomyAs with any surgery, hysterectomy may also lead to some risks and long-term complications (10). Some of the possible risks with the procedure could be:
Following hysterectomy, you are likely to have some long-term complications too, including:
You can no longer have menstrual periods and cannot become pregnant after a hysterectomy because the womb (or the uterus) where the baby grows is removed. In this procedure, the whole uterus, including the ovaries and fallopian tubes, are removed (9). Do You Still Ovulate After A Partial Hysterectomy?A partial hysterectomy that retains the ovaries and fallopian tubes could help you ovulate. You may also get pregnant, but the chances that the embryo could survive are rare as it will not have a uterus to implant itself, and this may increase the risk of ectopic pregnancy (11) and an emerge situation for woman’s life. Ectopic Pregnancy After HysterectomyEctopic pregnancy, also known as tubal pregnancy, develops when a fertilized egg implants and grows outside the main uterine cavity, especially in the fallopian tubes. Ovulation and fertilization occur, but there is no chance for the embryo to develop further. This situation is rare and may be happen when the hysterectomy is performed in luteal phase of cycle without a measurement of bHCG in the blood before surgery. It is not possible to carry it to term without a uterus to support its growth. Ectopic pregnancy could be life-threatening and is associated with the following symptoms that may help your doctor diagnose the condition.
Your doctor may usually prescribe methotrexate to remove the fetal tissue. If that does not work, it is surgically removed through laparoscopy or open is it is immerge (12). Is It Possible To Have A Child After Hysterectomy?There is a way to have a child through surrogacy wherein someone else carries the baby for you. In this option, your eggs could be harvested for fertilization and implanted into a surrogate who can carry the baby. Another option is to adopt a child if you do not want to consider surrogacy (13). 1. Can a uterus grow back after a hysterectomy? Once the uterus is removed through a hysterectomy, it does not grow back. 2. Where do your eggs go after a hysterectomy? When the ovaries release eggs, they are likely to float in the pelvic or abdominal cavities where they dissolve and get reabsorbed by the body. It is also possible to harvest them in a lab if you want to consider surrogacy. A fertility specialist can help you in making this decision. 3. Does a hysterectomy shorten your life? Hysterectomy is likely to enhance the quality of your life as it relieves you from symptoms of serious medical problems. You may enjoy an improved sense of well-being. Hysterectomy is a major surgery that results in life-changing circumstances. Counseling is necessary before surgery and in follow ups. Patient is necessary to know the cause of hysterotomy and the quality of life after hysterectomy. Hysterectomy is a medical procedure performed when a woman has serious health issues affecting the female reproductive organs. While it could be relieving for some women, some might eventually experience depression due to losing fertility since it is impossible to conceive after a hysterectomy. Moreover, pregnancy after hysterectomy may include ectopic or abdominal pregnancies, leading to life-threatening situations. Therefore, it is vital to speak to your doctor about possible alternatives such as surrogacy or adoption. Nevertheless, ensure routine health check-ups to maintain your healthy self. References:MomJunction's articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy. Was this article helpful? The following two tabs change content below.
Rebecca is a pregnancy writer and editor with a passion for delivering research-based and engaging content in areas of fertility, pregnancy, birth, and post-pregnancy. She did her graduation in Biotechnology and Genetics from Loyola Academy, Osmania University and obtained a certification in ‘Nutrition and Lifestyle in Pregnancy’ from Ludwig Maximilian University of Munich (LMU). She has been into health and... more Dr. Irene (Eirini) Orfanoudaki is a gynecologist-obstetrician, having a private practice in Heraklion, Crete, and collaborating with private health clinic 'MITERA' - Euromeda in Heraklion. With more than two decades of experience as a gynecologist-obstetrician, she specializes in ultrasound, colposcopy, minimal and advance gynecologic surgery, aesthetic gynecology, fertility consulting, menopause consulting, operative obstetrics, high-risk pregnancy, normal deliveries, antenatal, intra-parum, postnatal... more Has anyone ever got pregnant after a hysterectomy?Pregnancy after hysterectomy is extremely rare, with the first case of ectopic pregnancy after hysterectomy reported by Wendler in 1895 [2,3,4]. To the best of our knowledge, there are only 72 cases of post-hysterectomy ectopic pregnancy reported in the world literature [3].
Where does sperm go after a hysterectomy?Following hysterectomy, the remaining areas of your reproductive tract are separated from your abdominal cavity. Because of this, sperm has nowhere to go. It's eventually expelled from your body along with your normal vaginal secretions. You may still have some more questions about sex after a hysterectomy.
Can you carry a baby without a uterus?It is not possible to carry a pregnancy after a hysterectomy, which is the surgical removal of a female's uterus. The uterus, also described as the womb, is where a baby grows during pregnancy.
Can a woman who has had a hysterectomy still produce eggs?Do Your Ovaries Release Eggs After a Hysterectomy? Your ovaries will continue to release eggs as long as they are left intact and remains functional. Depending on your individual risk, your ovaries may be removed through a hysterectomy procedure called oophorectomy to reduce the risk of ovarian cancer.
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