This topic is about concerns regarding female fertility after the removal of a rectal stump, which was left in place following an ileostomy. Here's a bit of background and some helpful insights:

- Ten years ago, the person had an ileostomy, and the rectal stump was left with hopes of a future reversal.
- Recently, a flexible sigmoidoscopy revealed a severe flare-up in the rectal stump.
- The person and their spouse are currently trying to conceive, and tests from their OBGYN have shown normal results so far.
- They have read that removing the rectal stump can lead to significant pelvic scar tissue, potentially affecting fertility.
- Their gastrointestinal doctor did not have information on this and suggested consulting a surgeon.
- The current treatment for the flare-up is Uceris (budesonide) rectal foam.
- They are seeking experiences or data on female fertility after rectal-stump removal.

Here are some insights and advice shared by others:

1. Successful pregnancies are possible. One person shared that a relative had a permanent ileostomy with the rectal stump removed as a teenager and later had two healthy boys.

2. Surgical considerations: Another woman who had her stump removed from the start was informed by her surgeon that pregnancy might be "difficult" due to:
- Weakened abdominal muscles post-surgery.
- Increased risk of parastomal or incisional hernias during pregnancy.
Fertility itself was not highlighted as a major concern, but it was strongly recommended to have coordination between the patient’s OBGYN and colorectal surgeon.

3. Post-removal pelvic effects from a male perspective: One man mentioned experiencing phantom rectal pain years after stump removal and postoperative impotence. However, this side effect is specific to males and does not directly relate to female fertility.