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Ask the Medical Expert Archives 2000-2004

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Pregnancy After Hysterectomy
September 2000

Q. At the age of 25 I had a partial hystectomy. I had contracted endometriosis, went through the guinea pig stages of trying this pill and that pill, laproscopy, and finally surgery. I heard that a few women in my same situation have become pregnant. I was informed by the women who did become pregnant that the egg attached itself to the lining of their stomach. I do have my ovaries and I can still feel when I ovulate. Is there any possible way I can be implanted with a fertilized egg? What is the possibility for me to carry a child one last time and what procedures would make it possible?

A.It is unfortunate that your case of endometriosis was so severe that you required a partial Hysterectomy (removal of the uterus (womb)). Although you still have your ovaries, which are likely functioning, and will help to decrease your risk of premature osteoporosis, you do not have a womb, where a fetus develops. I am not aware of any approved procedure to attempt the extremely unlikely success, and very high risk of complications to you of an abdominal pregnancy (associated with the stomach or any other abdominal or Pelvic organ).

The most realistic option for you, which is not easy, and would be quite expensive, would be to try to find a surrogate carrier. i.e. a woman with a uterus that you hire to be implanted with your fertilized egg (via your husband's/or partner's sperm).This can be quite complicated both legally and emotionally, but it may be an option for you.

Sorry I don't have a better suggestion, but I wish you well.

References:(Journal articles) Minerva Ginecol 1999 Jun;51(6):251-3 CITATION IDS: PMID: 10479877 UI: 99409148
P N G Med J 1997 Mar;40(1):44-7 CITATION IDS: PMID: 10365569 UI: 99293903

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