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Is Pregnancy Possible After Subcervical Hysterectomy?
Question: i had a subcervical hysterectomy in Oct 2012. i kept my cervix, tubes and ovaries. i sometimes have very light XXXXXXX periods. i recently became sexually active with my partner and we are not using condoms. what happens to the sperm - does it enter and can i have a atopic pregnancy?
Brief Answer:
risk of pregnancy is very remote
Detailed Answer:
Dear member,
Thanks for writing.
Your question is valid as your tubes and ovaries are intact.
But pregnancy cannot occur due to the following reasons.
1.the uterus is required for the sperms to travel from the cervical canal to the ovary.
2.the cervix is closed above.
3.The tubal end where the uterus was detached is blocked I.e the cornual end is blocked.
So the risk of pregnancy is absent.
Hope this was helpful
Thanks
Dr Bhagyashree
risk of pregnancy is very remote
Detailed Answer:
Dear member,
Thanks for writing.
Your question is valid as your tubes and ovaries are intact.
But pregnancy cannot occur due to the following reasons.
1.the uterus is required for the sperms to travel from the cervical canal to the ovary.
2.the cervix is closed above.
3.The tubal end where the uterus was detached is blocked I.e the cornual end is blocked.
So the risk of pregnancy is absent.
Hope this was helpful
Thanks
Dr Bhagyashree
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much. I had a supracervical abdominal hyster (not a sub) :) This eases my mind, however, I have read some articles online (as well as some info on blogs) that atopic pregnancy can still occur. I assume this is rare? My partner and I will no longer use condoms as birth control if pregnancy will not occur?
Brief Answer:
answer as detailed below
Detailed Answer:
Dear member,
Thanks for writing back.
The risk of pregnancy is based on the fact that the sperms can travel through the cervix and enter the tubes.
In cases of say permanent tubal sterilization when tubes are cut and placed wide apart still occasionally pregnancy occur due to rejoining of the tubes. But further contraception is not recommend just on the basis of failure rate which is about one in a 1000 cases.
In your case where the uterus is absent and tubes are blocked the chance of sperms swimming into the cervical canal and then entering tubes to cause ectopic pregnancy is rare.
Thus based on some rare cases mentioned in internet I wouldn't recommend contraception as it's not standard protocol.
Using condoms not only protects from pregnancy but also from vaginal infections.
So you can continue with condoms use but for protection against infection.
Thanks
Dr Bhagyashree
answer as detailed below
Detailed Answer:
Dear member,
Thanks for writing back.
The risk of pregnancy is based on the fact that the sperms can travel through the cervix and enter the tubes.
In cases of say permanent tubal sterilization when tubes are cut and placed wide apart still occasionally pregnancy occur due to rejoining of the tubes. But further contraception is not recommend just on the basis of failure rate which is about one in a 1000 cases.
In your case where the uterus is absent and tubes are blocked the chance of sperms swimming into the cervical canal and then entering tubes to cause ectopic pregnancy is rare.
Thus based on some rare cases mentioned in internet I wouldn't recommend contraception as it's not standard protocol.
Using condoms not only protects from pregnancy but also from vaginal infections.
So you can continue with condoms use but for protection against infection.
Thanks
Dr Bhagyashree
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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