Around 600,000 women in the United States alone undergo a hysterectomy every year. The reasons may include cancers of the parts of reproductive system, tumors and long-term vaginal bleeding. A partial hysterectomy is the process of removing the upper part of the uterus, and in many cases, including the fallopian tubes. Those who have undergone a partial hysterectomy, but are still in childbearing years, still have a chance of conceiving. Since the uterus is incomplete, conception might be problematic, and a tubal pregnancy with consequent bleeding might result. Hence, you may have to consider some alternatives for getting pregnant and delivering a healthy child.
Consider using in-vitro fertilization (IVF). The doctor will do basic screening tests on the ovaries first to determine whether the woman will respond well to the injections to stimulate egg production. After which, the doctor will inject the medications. After eight to 10 days when enough eggs have matured, the doctor will perform an egg retrieval procedure for about 10 minutes. He then will fertilize the eggs together with the partner's sperm. The resulting embryo is cultured inside the laboratory for two to six days and implanted into the remaining part of the woman's uterus.
Ask your doctor about the possibility of using an intracervical insemination (ICI) or intrauterine insemination (IUI). In this procedure, the doctor will give medications to the woman to stimulate egg development. Meanwhile a semen sample is obtained from the male partner and processed for 30 to 60 minutes by separating the sperm from the other seminal components. The doctor will place a speculum inside the vagina to dilate it and clean the cervix. Then the processed sperm is placed in the cervix (ICI) or in the upper part of the uterus (IUI) using a flexible catheter.
Ask help from your doctor about the possibility of using a surrogate mother. Surrogacy is one way to have children wherein a woman agrees to have her eggs and partner's sperm implanted into another woman's uterus.
Consult with your doctor about the possibility of opting for egg freezing. This is usually the best option when you are not yet ready for a baby, as your eggs will be frozen and used when you are ready. This is usually performed at a fertility clinic. Blood tests are done first. For the next few weeks, depending on what your doctor has advised, you may take birth control pills to stop menstruation, then fertility medication and an hCG injection to stimulate egg production. Upon the maturity of the eggs, the doctor will remove them through the vagina while you are under anesthesia. He will then freeze the eggs. You should arrange for a surrogate mother to have the eggs implanted into her uterus. Prior to that, the eggs should be thawed out and fertilized through intracytoplasmic sperm injection (ICSI).