From the Research
A woman with a partial hysterectomy cannot get pregnant if the uterus was removed, as it is essential for implantation and fetal development. The ability to get pregnant after a partial hysterectomy depends on which reproductive organs were removed [ 1 ]. A partial hysterectomy typically involves removing the uterus, while leaving the ovaries and sometimes the cervix intact [ 1 ]. However, if only the cervix was removed (trachelectomy) and the uterus remains intact, pregnancy might still be possible.
Key Considerations
- The uterus is essential for pregnancy, and its removal makes pregnancy impossible [ 1 ].
- Women who have had a partial hysterectomy but wish to have children might consider options like surrogacy or adoption.
- Even if the ovaries remain after a partial hysterectomy, making natural hormone production and egg release possible, pregnancy cannot occur without a uterus [ 1 ].
- Any woman who has had a hysterectomy and is interested in future fertility should discuss her specific situation with a reproductive specialist to understand her options [ 2 ].
Relevant Studies
- A study published in 2016 found that cervical insufficiency is a significant risk factor for second-trimester miscarriage and extreme preterm delivery [ 3 ].
- Another study published in 2013 compared the outcomes of pregnancy in women with a history of preterm birth and a sonographic short cervix who were managed with cerclage, vaginal progesterone, or cervical pessary [ 4 ].
- A comprehensive review of major guidelines on cervical cerclage was published in 2023, highlighting the importance of cerclage in preventing preterm delivery caused by cervical insufficiency [ 2 ].
Clinical Implications
- Women with a history of cervical insufficiency or preterm birth should discuss their options with a reproductive specialist to determine the best course of treatment [ 2 ].
- Cervical cerclage may be recommended for women with a history of preterm birth or cervical insufficiency to prevent preterm delivery [ 2 ].
- Surrogacy or adoption may be viable options for women who have had a partial hysterectomy and wish to have children [ 1 ].