Mon. Jan 24th, 2022

You may wonder if you should go ahead and start with pregnancy plans while having a stoma. But a lot of ostomates do well with pregnancy and don’t always have complications involving the birth.

But of course, if you plan to start pregnancy and wish to do so, you should talk to the surgeon before the planned surgery whenever possible. If you’re taking medication that does affect the ability to conceive, talk to the doctor or surgeon who helps you, since they may know the pregnancy plans, and this type of guide will help you make the decision on how to benefit the most from this. 

But there are some factors to consider after you get total colectomy surgery. 

After surgery, you do have the recovery period, which is of course how long your body will need to adjust to this. Usually, total colectomy is a big surgery, so the rest and recovery for the first 8-ish weeks are integral. 

You should talk to your surgeon about this, to see when you should start trying to work on conceiving. 

Reconstructive surgery is a big part of making sure that you have a good pregnancy, and you may want to delay this until after you’ve finished having your child. 

What is a total colectomy 

This is a surgery that affects the bowels, and it treats IBU, Crohn’s disease, UC, polyposis, which is an inherited condition, and also polyps that are in the whole bowel. This also may be used for colon cancer, intestinal trauma, and constipation. 

This is usually the resectioning of the entire bowel, which consists of the removal of the colon in segmental types of ectomies, and usually, in extreme instances, the whole intestine may be removed, including the anus and rectum. 

Once removed, there’s an ileostomy that goes through your small intestine, which causes feces to move out through the stoma in the abdomen. 

Usually, this also may involve ileal pouch anal anastomosis, which is a surgery that’s done after a total colectomy. 

This is usually when there is a pull through of the ileal-anal area, and then it bypasses this, allowing for a j pouch to be made, and the colon to be removed. The goal here is to improve anus function, allowing for an alternative to an ileostomy. 

The pouch component is constructed via an internal reservoir that’s attached to your anus that is usually done for those with Crohn’s disease. 

What to do After Surgery 

After you have this surgery, you’ll feel exhausted, so rest as much as you can. It usually takes 6-12 weeks before you fully recover. This does involve many changes, but this is normal. 

After about 12 weeks, you can return to the activities that you love, and you may want to talk to the surgeon about whether or not you can conceive. You may want to make sure you’re strong enough emotionally, since it can be quite a challenge. 

What About fertility 

Those with IBD do have the same fertility as the rest of the populace, but a reduction in women with this may be because of inflammation from the bowel, surgery to your pelvis and scarring, adhesions, and damage to the reproductive organs. 

You may want to consider some medications too, since there are some medications which do affect the fertility. 

However, if you’re worried about this, you may want to make sure that you know the plans, and you discuss this with the surgeon before you consider it. 

You can of course, still have a family after this type of surgery too.