Hysterectomy: consequences and alternatives for becoming a mother
A hysterectomy is a surgical procedure in which the uterus is removed. It can be total (including the cervix) or subtotal (leaving the cervix intact). The surgery may be performed through the abdomen or vaginally, and it may or may not involve the removal of the ovaries, depending on the patient’s diagnosis and health outlook.
In this article, we’ll explore when a hysterectomy is indicated, its impact on fertility, and the possible alternatives for becoming a mother after undergoing this procedure.
When Is a Hysterectomy Necessary?
Although a hysterectomy is most commonly performed after a woman’s reproductive years, some medical conditions may require it earlier in life.
The most frequent reasons include:
Uterine fibroids
Severe endometriosis
Malignant conditions of the uterus, cervix, or ovaries
What Are the Fertility Implications of a Hysterectomy?
Removing the uterus means the end of menstruation and the inability to carry a pregnancy. This makes it impossible to become pregnant naturally after a hysterectomy.
However, that does not mean motherhood is no longer an option.
Fertility Alternatives After a Hysterectomy
If the ovaries are preserved, a woman can still use her own eggs through in vitro fertilisation (IVF). The embryos created from her eggs and partner’s (or donor’s) sperm would need to be transferred to another woman’s uterus—this is known as gestational surrogacy.
In cases where the ovaries have also been removed, pregnancy can still be possible through egg donation combined with surrogacy. However, surrogacy is currently not legal in Spain, which has made it a subject of ongoing ethical and political debate.
Uterine Transplant and Adoption
Another emerging, although still experimental, option is uterine transplantation. While some live births have occurred via this technique, it involves significant medical complexity and risks.
Lastly, adoption remains a viable and fulfilling path to motherhood for women who have undergone a hysterectomy, even though it lacks a genetic connection.
Have you had or will you need a hysterectomy soon? Speak with us.
At URE Centro Gutenberg, our specialised fertility team will help you explore your options with sensitivity and expertise.