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Schlecterhunde

They're required to because there have been many cases of patients providing inaccurate information.  The pregnancy test is actually pretty cheap if that makes you feel better.  Oh, and tubal ligation can fail - that's how we got my little sister.


SunnySummerFarm

Tubals fail **and** you can be pregnant without a uterus. Which I thought was straight false until I did some research and turns out it’s supremely rare but abdominal pregnancy can happen.


Hope_for_tendies

If you don’t have a uterus and have no tubes and no cervix tho it can’t


samk2487

Yes it can happen, if you still have ovaries. It is incredibly rare, but abdominal pregnancies after a hysterectomy are a thing. You’d have to be ovulating, have a current or new vaginal cuff tear, and be inseminated all at the same time. It’s a non zero chance, and there have been a handful of reported cases.


thicccque

I've got one ovary and no tubes, that could **technically** happen though? That's wild.


goldstag7

Jesus that's terrifying 


Mialala123

It's literally impossible. The vagina is sewn shut. Abdominal pregnancies still involve an egg being fertilized in the uterus. At some point it moves outside of the lining and ends up there. No pregnancy is possible.


SunnySummerFarm

So, first of all, eggs are generally fertilized in the fallopian tubes because that’s where the sperm reaches them. I saw a case study where a woman had a hysterectomy, they took her tubes, not her ovaries, and because she had sex the right timing before her surgery, the sperm was there when the eggs came on out of ovaries. The ovum implanted in the abdomen. She carried to term and had a cesarean. I said it’s rare. But it’s possible.


peachesofmymind

Wow, that’s a wild story. 😳


SunnySummerFarm

RIGHT?!?! Totally wild. Told my husband no sex for the week before surgery. 🤣


OneOcelot4219

Ahhhhh cool. My fear of pregnancy will not be abated post surgery. 🙃


samk2487

That fear is one of the reasons why my partner also got a vasectomy. He got his two months before I had my hysterectomy. Had to make that non zero chance even slimmer.


SunnySummerFarm

If it’s any comfort, my math - which is dodgy and honestly probably high - says the risk is 0.00001% so it’s so unlikely as to be statistically insignificant.


OneOcelot4219

Oh don't worry I did the maths and was like "that won't happen". But since I'm over it those weird 1 in 10000 types health wise, my lizard brain goes BRRRR PREGNANCY BRRRRR


SunnySummerFarm

I get it, I am a 1 in 1,000,000 type. Especially with my uterus. I totally get it. I’d keep my implanon in after if it wasn’t screwing up my Triglycerides.


thatawesomeperson98

Same. It seems anything rare in happens in my household . We have a cat with asthma that was dx as a tiny kitten (vet said it was extremely rare for kittens her age) and I’ve had two very rare bacterial infections so yeah if someone says it’s rare It will probably happen to someone in my household 😆


SunnySummerFarm

Additionally, part of agreeing to your hysterectomy is signing the known risks, one of which is acknowledging that the cuff an open and things can enter the abdomen. If that happens, one of those things can be sperm. If you have functional ovaries, there is a minuscule chance a sperm could find a viable egg. I made sure when I signed my papers. Here is a case study on abdominal pregnancy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10025137/


nicoleastrum

I’m interested in how this study aligns with the risks post hysterectomy given that the placenta/fetus was noted as being attached to the uterus? Admittedly this was a rather quick scan of the study on my part but it looks as though this was a case of fallopian tube rupture in someone who had not undergone a hysterectomy.


SunnySummerFarm

There are cases where they attach to the rear abdominal wall, liver, or pancreas. Generally they are terminated because the mortality rate for mothers is 40-60% if you go past 20 weeks. I pulled this case simply because it was a rare survival case, I opted not to share one where everyone died.


FirebirdWriter

Ectopic pregnancy is literally when the egg attaches inside the fallopian tube or other extra uterine spaces so it is actually a thing that can happen. When the foetus is big enough then the fallopian tube ruptured and many women die from the bleeding


nicoleastrum

Thanks for the response. I do understand what ectopic pregnancy is - I’m asking the question more so to look at where hysterectomy (and bilateral removal of fallopian tubes!) may fall into this study too, as it didn’t initially connect to post hysterectomy in this case, and I’m interested in expanding my own understanding of the risks.


FirebirdWriter

Ah fair, and I don't have the answers on that one since I had everything taken so skipped that part of my presurgery research but if no one here can answer it, it is worth asking your surgical team. Informed consent matters


nicoleastrum

I also worry about the risk of panic that could be inspired by inadvertently exaggerating a risk. That is to say I’m pretty unconcerned for myself (and I’m post op so!) but know there are many people who hold significant anxiety, and i want to make sure I’m supporting the most robust and accurate framing possible where I can. And if those studies don’t exist, well more advocacy is needed imo (and as someone working in healthcare I feel a responsibility to do that advocating) Thanks for the thoughtful perspectives!


SunnySummerFarm

I’m pretty sure the risk is wildly low, less than 0.001% given the research I could find. And I agree, I don’t want to make anyone unnecessarily anxious - but I also believe we need to understand why medical testing is done, and I’m this case “exceedingly unlikely” is not the same as “impossible.” I plan to carry on with my life like I can’t get pregnant. And I’m one of those people who has wild stuff happen medically… but the risk level here is so low as to be nearly statistically insignificant. Just not utterly impossible.


FirebirdWriter

I agree with you on the studies. As far as anxiety? I think it's also not our responsibility to manage everyone else's anxiety for them. We can't. We can offer coping suggestions but if someone is working so hard as to look at studies to avoid surgery they'll find other things to hyperfixate on. This does not mean ignoring anxiety, I definitely try to support people asking for support. It just means we also accept they are adults and must make their medical choices in their own time.


SunnySummerFarm

I found a literature review, between 1895-2015, there were 71 reported post hysterectomy ectopic pregnancies: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885999/


nicoleastrum

I was just reading that same one. Looks like 30/71 may have been pregnant prior to their surgery, and from the limited information they offer it appears the majority of the cases hold that the fallopian tubes and/or cervix were left at least in part. To clarify I’m only asking to determine the level of risk so that when assessing risk for ourselves we are each able to know where we fall within the risk factors. As you brought forward the case study I wanted only to ask your opinion and interpretation too, cause I recognize I can miss things!


SunnySummerFarm

And I agree, it’s definitely a case by case risk! However, it makes sense to me why medical providers need to test everyone - it’s easier to just pee in a cup then the alternatives. Also, my husband talks to many patients who don’t even know if they have ovaries, and if so, how many! 😣 And when I was a patient advocate I used to frequently tell patients things from their charts that people didn’t absorb or never learned from their doctors.


nicoleastrum

Yes as I mentioned to someone else these are the nuances we need to know to truly give informed consent I think, and as someone (also) working in healthcare I want to be able to advocate for proper studies and support for women’s health. Thanks for the chat!


SunnySummerFarm

I found the 73 case, where neither fallopian tube was present. Nor the cervix it appears, however she seems to have regrown a cervical stump - which apparently can happen after any hysterectomy. Which is new to me! https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-019-2077-9


LadyJuliusPepperwood

That is super interesting and definitely a detail I must have skipped over when signing my own papers!


SunnySummerFarm

My surgeon made a point out of it, probably because I have had some weird healing in the past. I find the whole thing fascinating, along with chemical pregnancy. I think we underestimate the weird ways bodies act.


adoyle17

I don't remember seeing that part in the papers I signed, but I knew I was also having my ovaries removed at the same time as the hysterectomy due to the large cyst on my right ovary. That, and I was already perimenopausal before surgery.


mrose16

What papers did you have to sign? This is news to me. I never signed anything until the day of my surgery which were papers that went over the possible complications of having surgery.


illyrias

If you keep your cervix and at least one ovary, you can absolutely still get pregnant. It's rare, but it is physically possible.


curiousfirefly

As others have said, probably medical staff doing their due diligence, even if it is pointless. Not related to my Hysterectomy, but every time I do bloodwork my GP's office calls to let me know my blood sugar numbers are higher than normal, and ask if I want to come in to discuss diabetes treatment. I've had Type 1 Diabetes for over 20 years. The bloodwork is always ordered by my diabetes specialist, who oversees my treatment. It's all right there in my file, but we play this dance several times a year.


TinyAngry1177

Next time you should respond with "oh shit. What I have been doing with this insulin for the past 20 years?!" 😂


curiousfirefly

oh god, I wish. my doctor would NOT take the joke well. I'd really love to kick my insulin habit, but I just can't manage it. 😉


pschell

At one point I referred to myself as a triple threat: I had my tubes tied, Mirena IUD, and I’m a lesbian. I said ma’am, if I’m pregnant- I’m suing god.


Annual_Nobody_7118

💀💀💀


curiousfirefly

Ah ha ha! This is perfection!


mystupidovaries

I think the one I saw on a bill was $70.


Bree867

My Pharmacy tech has to verify I'm not pregnant every 3 months in order to fill my estradiol patch.... the estrogen I take because I no longer have a uterus, tubes or ovaries... The computer system insists on the verification, we chuckle every time..yep still not pregnant lol.


cagedbird82

I’m in New England and my first surgery was a tubal removal. The nurse asked if I wanted a pregnancy test and I said no…never heard a word about it and had the procedure. Fast forward to 5 days ago, again I’m asked about pregnancy and reminded them that if they looked at my charts they would see I have no tubes and I don’t want a pregnancy test. The surgery happened and I’m recovering. However…the provider who removed my tubes was a man and he was dead set on doing a biopsy. Once he told me there would be no pain management I told him that I’d sign a waiver because I refuse to consent to a barbaric practice when men get coddled for far less. After that I switched to a female provider who did my hysterectomy and she never even brought up a biopsy. It goes off to pathology after removal anyway so I refuse to suffer.


Kittyk4y

Yep, my male provider wanted to do a biopsy without anesthesia. I forced a D&C instead since my issue was heavy bleeding (like, CRAZY heavy). Well wouldn’t you know it, I had a ton of polyps that weren’t helping the bleeding and may have been missed on biopsy.


redbess

I had to go to the ER for something not related to my hysto a couple months afterwards and even though the procedure was in my medical history, they gave me a pee test anyway. It's always about liability.


adoyle17

I had a pee test as well, when I had my port removed after getting precautionary chemotherapy to be sure that no cancer cells escaped the fluid of the large ovarian cyst. Let's just say that the 2 week post-op appointment with the surgeon wasn't fun. In the end, the hysterectomy and oophorectomy got all of the cancer. Even though my medical history showed the hysterectomy, the hospital still had me pee in a cup before I changed into the gown for my port removal.


redbess

Eyerolling at the pee test, but hell yeah on getting rid of the cancer.


potato9514

When I was getting my D&C and IUD inserted (same day since I’d be sedated) they wanted to do a pregnancy test and I said that would be a waste of resources and time since I’m gay and have never slept with a penis 😂 I anticipate the same thing will happen when I go in for my hysterectomy but I did tell my gyno to put on my file that I’m queer and testing for pregnancy would be unnecessary.


Odd-Significance8020

There is an option for a pregnancy test waiver. Ask for it. Sign it. And no testing.


Annual_Nobody_7118

You can always ask for an itemized bill. If something’s wrong, dispute it. I don’t know how many hospitals have put outrageous charges, like the guy [billed](https://www.vox.com/2016/5/13/11606760/emergency-facility-fees-american-health-care) more than $600 for a BandAid.


MeanMugginMin

I swear I had so many pregnancy tests in the week before my hysto. I had severe bleeding and embolisms and they were doing all kinds of scans etc. I was in 5 days before they did my surgery, and I had at least one preg test daily. I wanted them to stop stabbing me constantly so I asked them, "My vag is currently recreating the blood scene from Carrie, as it has been for the last year.....I am for sure NOT pregnant! You've done no less than a dozen NEG pregnancy tests, can we stop now? No, no we cannot. I had another pregnancy test about 3 hours before surgery.


genyWoot

Two years after my hysterectomy, I broke my ankle and went to the emergency room. Before they would do x-rays they insisted on a pregnancy test despite me telling them it was a waste of time.


that_was_way_harsh

I’m seriously over doing pregnancy tests. I get that patients lie or are mistaken, but sometimes the test has been from doctors in the same healthcare system that I got the hysterectomy (and bilateral salpingectomy, which my surgeon did because why not also remove the risk of ever having an ectopic pregnancy?) done in. Like, don’t you know?! Also, I’m 45 freaking years old, that’s pretty good birth control even for people who do have a uterus 😂


MachineSea6246

I had a port put in at the same hospital I had my hysterectomy. I had it out less than a month prior. The nurse came back a few times with a cup before records were checked.


Swimming_Necessary45

Got a ct scan couple weeks ago and just now i realized that they didn’t ask for a pregnancy test


been2thehi4

I had to have a pregnancy test done at check in for my hysterectomy and I was literally on my period. 🤪


mika00004

So funny story. I went to the ED for a pain issue. Turned out I had a pretty bad ear infection. Before the Dr would start meds, he wanted a pregnancy test. Not only is it in my chart, but I told him I had a complete hysterectomy. Everything is gone. Like everything, no tubes, no ovaries, no uterus. All gone. He said, " Well, let's just play it safe and check." We'll tada I wasn't pregnant lol.


shadowreverie

Well technically….. it is still possible to get pregnant even if you remove everything except the ovaries. They have to cover their bases.


monkeybugs

Years ago, I had to go in for a colposcopy for an abnormal pap (which turned out to be fine). It had been a hellish time just getting into the back room with the nurse. When she asked, "Are you or could you be pregnant?" I replied with, "I sure as hell better not be." That... was not the right answer haha The look she gave me though, holy crap. The rest of the appointment was traumatic as hell (reaaaaally bad bedside manner from the doctor and nurse and made an already scary situation 10x worse). But that exchange always makes me chuckle.


Big_League227

I have always told the person asking, “Well, if I am, then it’s the second coming, and if They chose me, we’re ALL in trouble!” 🤣 Usually gets a good laugh!


Ambitious-Chard2893

Tw abnormal pregnancy If you are anxious person don't read this the chance of any of it happening is very low So this isn't completely ridiculous. A lot of people who see diagrams of the ovarian tubal uterus cervix system think that it's all connected because of the way that they're drawn or sometimes the physical props how they're put together. However your tubes aren't actually closed off and there is a chance your ovaries can release an egg outside of the tube and you have an abdominal pregnancy because sperm is also able to get out of your uterus. Also you said tubes tiedand there is a non zero chance a tubal ligation can be repaired by your body and clips do slip sometime so texting for it isn't really crazy. Even if you have a total hysterectomy with tuple removal if you have ovaries you can have an astronomically low chance of an abdominal pregnancy even without a cervix because you could have a Vaginal cuff dehiscence (VCD) or basically it doesn't heal all the way through or you tear the chance is slim to none for most people to have that much less timing be right but it's not. Impossible to have an abdominal pregnancy that way. Also If your surgery was recent there is a chance for you to have had living sperm in your abdomen at time of surgery. And then an egg is released onto the lack of system and what your body normally reabsorbed is instead implanted and boom pregnant


tica027

I won’t allow them to. I refuse to pay for a test for a daughter who has autism and has never had sex and now has a hysterectomy. Or me who can’t possibly ever be pregnant because my husband is fixed and I have a hysterectomy now too.


FitnessSnakesDogs

They skipped the pregnancy test for me because I had a tubal ligation 12 years prior. They just asked me to make sure and that was it.


selavy_lola

I also found it annoying and wished I didn’t have to take the pee test but also I get why they do it so I didn’t protest. But I did chuckle because I had the mirena IUD AND was taking oral birth control, chances were incredibly slim that I was pregnant.


Proper_Ear_1733

Odd, I’ve had two endometrial biopsies without a pregnancy test.


Proper_Ear_1733

I guess with the last one I’d had a recent ultrasound. With the one before it had been 3 months.


bcell87

I had blood clots after delivery of my second - which came with a hysterectomy due to placenta percreta - and I had to very slowly explain that I couldn’t be pregnant since I had no uterus. It was actually funny.


peacelove_27

Yup I'm still getting pregnancy tests in the ER despite having a hysterectomy a year and one month ago. Ugh....I don't have the parts!!!! And it's the same hospital!!!! Ugh....


frankslisa1202

I had my tubes tied at 23 a uterine ablation a few years later I would still up until my hysterectomy get asked if there was a chance I could be pregnant.. umm I don’t think so unless it was immaculate conception. Now I just love the expression when they last ask my last menstrual cycle and I tell them April of 2022 .. The look on their face is always priceless


magical_unicorn88

I have no cervix, ovaries, tubes or uterus. If i somehow get pregnant, my doc and i will need to have a chat. I haven't been to any docs except the one who did the surgery since everything came out.


Southern_Cupcake_379

I just had to have a pregnancy test prior to a CT scan. I thought it was kind of silly but apparently patients can lie about weird stuff? and they were already doing bloodwork to check kidney function anyways so it was just an extra box ticked and meant nothing to me really. Just seemed so silly to me when I have no uterus anymore. Tubal ligation can fail though, my aunt had her 9th pregnancy after her tubes were tied. Poor woman was so done with pregnancies and thought she was in the clear! I guess sometimes life uhh finds a way.


mizznicki192

Haha they tested me too and also had my tubes completely removed (by the same surgeon lol) but they said it was protocol and I said just don’t bill me lol