Trying to conceive after a trachelectomy | CION Cancer Clinics

There is no single rule. Most teams ask you to wait until the area has healed, the final pathology report is clear and the first follow-up checks are done. The length of that wait differs between centres and between women. Ask your own surgeon for a firm answer, and do not start trying before you have one.

Usually, yes. Egg collection is done through the vagina and does not depend on the cervix. The harder part is the embryo transfer, because the tube has to pass through the new, sometimes narrow, opening. Choose a clinic that will speak to your cancer surgeon before starting.

No. The stitch closes the lower womb tightly but leaves a small opening. Sperm and period blood can pass through it. What can block the way is scar tissue narrowing that opening, which is a separate problem. If your periods become very painful or stop, tell your team, because narrowing can often be treated.

For some women, yes. Losing the mucus made by the cervix and scarring around the new opening can both slow things down. Many women still conceive naturally. Because age affects fertility too, most specialists suggest asking for a fertility review sooner than a couple without this history would.

There is no clear evidence that they do for the common types of cervical cancer, which are linked to HPV rather than hormones. The studies are small, though. For adenocarcinoma and rarer types, your cancer team may want to be more involved in the plan. Never start fertility medicines without telling your cancer surgeon.

Yes. A semen test is simple and is usually one of the first things a fertility clinic asks for. A problem on his side is as common as a problem on yours, and finding it early saves months of trying.

Yes, it is treated as high risk from the start. The chance of miscarriage in the middle months and of early birth is higher than usual. You will need more scans and visits, and delivery is by planned caesarean. Booking early with an obstetrician used to these pregnancies, at a hospital with a newborn intensive care unit, helps.

IVF and IUI are often not covered by government schemes or standard health insurance, so check your own policy in writing. Your cancer surgery and follow-up are different. Aarogyasri, CGHS, ECHS, EHS and most cashless insurers are accepted for those. Call the helpline and we will check your cover before your visit.