Reviewed by the Genesis Fertility Center (GFC) medical team — Last updated June 2026
“Can I still have children after a hysterectomy?” is a deeply worrying question for women who need or are considering the procedure.
This article explains the medical reality and the options that remain possible, so you can understand and plan with accurate information.
What Is a Hysterectomy?
A hysterectomy is the surgical removal of the uterus, performed for various medical reasons such as uterine fibroids, severe endometriosis, or cancer.
There are several types:
- Total hysterectomy — removes the uterus and cervix
- Partial hysterectomy — removes only the uterus, preserving the cervix
- Hysterectomy with oophorectomy — removes the uterus along with the ovaries
Can You Get Pregnant Naturally After a Hysterectomy?
Directly put: no. The uterus is essential for pregnancy — an embryo must implant and grow there. Without a uterus, natural pregnancy isn’t possible.
However, something many people don’t realize: if your ovaries remain, you still have viable eggs.
Options That Remain Possible
If Your Ovaries Are Intact
If the hysterectomy didn’t remove your ovaries, they continue producing eggs normally. A possible option is:
Egg retrieval with surrogacy Eggs can be retrieved and fertilized via ICSI with your partner’s sperm, then the embryo carried by a surrogate.
However, surrogacy in Thailand is subject to strict legal requirements. You must consult both a doctor and a legal expert directly to determine eligibility.
If You’re Planning a Hysterectomy (Not Yet Done)
If you know in advance that you’ll need a hysterectomy and still want children in the future, you can discuss with your doctor:
Preserving eggs or embryos in advance Before surgery, you can undergo stimulation and retrieve eggs (or create embryos via ICSI) to freeze for future use.
The Most Important Step
If you’re planning a hysterectomy and want to preserve fertility, consult a reproductive medicine specialist before surgery — because egg or embryo preservation must happen beforehand.
Discussing with both your treating gynaecologist and a fertility specialist ensures the most complete planning.
FAQ
Will I still have periods after a hysterectomy?
No, you won’t have periods after the uterus is removed. But if your ovaries remain, your sex hormones continue functioning normally until menopause.
Do my ovaries still work after a hysterectomy?
If the surgery didn’t remove the ovaries, they continue producing hormones and eggs normally.
Can I freeze eggs before a hysterectomy?
Yes, if known in advance and your condition allows. Consult a fertility specialist before surgery to plan.
Is surrogacy legal in Thailand?
Surrogacy in Thailand is subject to very strict legal requirements with specific eligibility conditions. Consult a doctor and legal expert directly.
I’m having a hysterectomy for cancer — can I still preserve eggs?
It depends on the type and stage of cancer and your treatment plan. Consult a doctor as soon as possible to assess options.
Where can I discuss this at GFC?
Line @gfcclinic or call 097-484-5335.
Summary
A hysterectomy makes natural pregnancy impossible, since there’s no uterus for an embryo to implant. But if your ovaries remain, you still have viable eggs and possible options within the legal framework.
The most important thing is to consult a reproductive medicine specialist early — especially if you know in advance that you’ll need a hysterectomy.
→ Learn about egg freezing → Best Age to Freeze Eggs → See services → ICSI at GFC → Book a Free Consultation or Line @gfcclinic | Tel: 097-484-5335
