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Pregnancy Bliss | Reproductive Health Hub

Motherhood after a hysterectomy

Question:  My wife has undergone partial hysterectomy (removal of uterus only, has ovaries and fallopian tubes). I want to know is there any treatment or procedure by using which she can become a mother? F. (Pakistan)

Answer: Following that procedure, the correct name of which is a ‘subtotal hysterectomy; your wife cannot carry a pregnancy herself. The one way she can become a mother of a child that is genetically her own is through IVF and surrogacy. This will involve having eggs collected from her ovaries, fertilised outside using your sperm to produce embryos. The embryos can then be implanted in a womb of a surrogate mother.  The subject of surrogacy is discussed in fuller details here:

Intact hymen?

Question:  I am not sure if my hymen is  intact or not! How could I know? H. (Sudan)

Answer:  That’s tricky. It really all hinges on your sexual history. If you have had penetrative sex in the past, the hymen cannot be intact. If you have never had this, it almost certainly is. There are ofcourse other ways a hymen can break, either accidentally or deliberately but these are quite uncommon. Self-examination using a mirror can help but it is not that easy to evaluate status of a hymen for an untrained eye. An image of the general look of an intact hymen can be found here: If still unsure and if this is particularly important for you, you may have to ask a gynaecologist to examine you.

Trying to conceive

Question:  hi,I am 25 years old and married for one year. I had regular cycles before marriage but since i took modus tablet to postpone my periods for my marriage i started having irregular cycles. 6 months later i had cycles once in 32 days. In November i started having dark brown discharge on 34th day ,urine pregnancy test was mild positive but became negative again.Next cycle was on 32nd day.this month again its minimal dark brown discharge again . 2 months back my reports were normal usg,normal thyroid,no prolactinoma, LH:FSH is 1.3:1. What should i do? Help me . I am trying for a year to conceive. G. (India)

Answer: It does appear that your doctors have already done fairy extensive investigations which appear to have been normal. I am not sure what ‘usg’ is; could it be HSG, an x ray test to check that your tubes are not blocked. If this has not been done, then you need to have this as part of essential fertility tests. You have also not said whether you have had  a blood test to see whether you are ovulating regularly. That too needs to be done. Also crucial is a semen analysis on the part of your partner to make sure there is no problem on his part. It is also important to be aware that a year is, in fact, not overly long and there may be no problem at all. I hope it all works out well and you succeed in the near future.

Fibroid and pregnancy

Question:  I have been married nearly two and a half years. I have a fibroid and had a miscarriage.  So, I just want to know if there is any medical treatment for fibroid during pregnant time. D.P. (United Arab Emirates)

Answer: Fibroids cannot be treated either surgically or medically during pregnancy. However, what is more important to understand is that such treatment is rarely, if ever, required. Whilst you may feel tempted to blame the fibroid for the miscarriage you suffered, it is most likely not to blame. It is unusual for a fibroid to cause a miscarriage. If you conceive when you have a fibroid, the main issue of concern is that the fibroid, if located inside the uterine cavity, can cause the baby to lie in an abnormal position thereby increasing the risk of labour difficulties and making caesarean section more likely.

Light vaginal bleeding after delivery

Question:  I am 45 days since I delivered my daughter. My delivery was very normal delivery but bleeding has not stopped. Bleeding means a very light, not needing to use pads .What is the problem? Also I want to know how to restrict another pregnancy??? I am malayalee so you please answer me in malayalam? P. (India)

Answer:  I am sorry the answer will be in English. We do not have anybody who speaks Malayalam. That you are still getting light vaginal bleeding a month and a half after delivery may not necessarily be a sign of any specific problem. Some women do experience  this kind of light vaginal spotting for a few weeks after delivery. On the other hand, if there is continuing vaginal bleeding it may well mean you have small pieces of the afterbirth (placenta) retained in the womb.

If you are having lower abdominal pain and or an abnormal vaginal discharge, you need to see a doctor for an examination and tests. Regarding the subject of how to prevent an unwanted pregnancy, you need to get a long acting  contraceptive. There are several options. We have discussed this in a dedicated section which you can reach by clicking here:

Postcoital vaginal spotting in pregnancy

Question:  I’m 14 weeks pregnant and haven’t been sexually intercourse until last week but two days later i spotted very light not enough to get on the panty liner. I went back to the rest room and wipe myself and it was gone. What caused that? J.H. (USA)

Answer: I am not even sure whether this very light vaginal bleeding you experienced is associated with the sexual intercourse two days earlier. The interval is rather long and therefore the occurrence may be purely coincidental. Post-coital bleeding tends to be immediate and, in most cases, is due to a condition called cervical ectropion or cervical erosion, a completely harmless cervical lesion. This condition is discussed here: The underlying cause of most cases of self-limited vaginal bleeding in early pregnancy tends to be difficult to establish with certainty.