I was diagnosed with 1B1 cervical cancer during a routine checkup after the birth of my baby. I had a radical trachelectomy to remove the cervix in September 2008, and my post-op check in December 2008 was clear. During that checkup it was necessary to puncture a membrane that had grown over the opening, as it was causing menstrual blood to pool in the uterus. This was a simple and painless procedure that took about 20 seconds.
My baby was born with a heart defect and died. I desperately want to get pregnant again as soon as possible (I'm 35 years old now). I've been to a fertility specialist (FS) for advice, and have been advised that I may have difficulty getting pregnant without a cervix because without the protective benefit of cervical mucous sperm don't survive for very long.
I'm having some tests done this week to check that I am in fact ovulating properly and to check whether there is any cervical mucous whatsoever. If not, then the FS has recommended intra-uterine insemination (IUI).
I've also been told that any pregnancy will be a high-risk pregnancy, and that the chances of delivering full-term are about 60%. Although the surgeon who performed my trachelectomy is happy with the placement of the cerclage, he has warned me of the risk of second trimester miscarriage and of stillbirth and premature delivery. The FS explained that this is in some cases just a result of the weight of the pregnancy on the cerclage, and in some cases a result of infection, as the cervical mucous also contains antibodies which help to protect the uterine environment during pregnancy. Apparently these risks are very similar to those of a woman with a normal cervix who is pregnant with triplets.
I've been referred to an obstetrician who specialises in high risk pregnancies, should I actually manage to get pregnant.
Has anybody else had a trachelectomy and subsequently become pregnant or tried to become pregnant?