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How to get pregnant from a blowjob - Open Knowledge

Mar. 16th, 2002

11:24 am - How to get pregnant from a blowjob

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British Journal of Obstetrics and Gynecology. September 1988, Vol. 95,
pp. 933-934

Oral conception. Impregnation via the proximal gastrointestinal tract in
a patient with an aplastic distal vagina. Case report.

Douwe A. A. Verkuyl

Case report

The patient was a 15-year-old girl employed in a local bar. She was
admitted to hospital after a knife fight involving her, a former lover and
a new boyfriend. Who exactly stabbed whom was not quite clear but all
three participants in the small war were admitted with knife injuries.,
The girl had some minor lacerations of the left hand and a single
stab-wound in the upper abdomen. Under general anaesthesia, laparotomy
was performed through an upper midline abdominal incision to reveal two
holes in the stomach. These two woulds had resulted from the single
stab-wound through the abdominal wall. The two defects were repaired in
two layers. The stomach was noted empty at the time of surgery and no
gastric contents were seen in the abdomen. Nevertheless, the abdominal
cavity was lavaged with normal saline before closure. The condition of
the patient improved rapidly following routine postoperative care and she
was discharged home after 10 days. Precisely 278 days later the patient
was admitted again to the hospital with acute, intermittent abdominal
pain. Abdominal examination revealed a term pregnancy with a cephalic
fetal presentation. The uterus was contracting regularly and the fetal
heart was heard. Inspection of the vulva showed no vagina, only a shallow
skin dimple was present below the external urethral meatus and between the
labia minora.

An emergency lower segment caesarian section was performed under spinal
anaesthesia and a live male infant weighing 2800 g was born, with Apgar
scores of 7 and 9 at 1 and 5 minutes, respectively. On exploration,
through the nearly completely dilated cervix, it was found that the normal
uterus ended in a 2 cm deep vagina and that the vagina did not exist more

The uterus, adnexa and renal tract appeared normal. Routine closure of
the uterus and abdomen followed; a large tube drain was left in the
uterine cavity.

While closing the abdominal wall, curiosity could not be contained any
longer and the patient was interviewed with the help of a sympathetic
nursing sister. The whole story did not become completely clear during
that day but, with some subsequent inquiries, the whole saga emerged.

The patient was well aware of the fact that she had no vagina and she had
started oral experiments after disappointing attempts at conventional

Just before she was stabbed in the abdomen she had practiced fellatio with
her new boyfriend and was caught in the act by her former lover. The
fight with knives ensued. She had never had a period and there was no
trace of lochia after the caesarian section. She had been worried about
the increase in her abdominal size, but could not believe she was pregnant
although it had crossed her mind more often as her girth increased and as
people around her suggested that she was pregnant. She did recall several
episodes of lower abdominal pain during the previous year. The young
mother, her family, and the likely father adapted themselves rapidly to the
new situation and some cattle changed hands to prove there were no hard

The postoperative course was uneventful and the drain was removed on the
6th day. She started complaining about lower abdominal pain 8 months
postpartum while she was still breastfeeding. An attempt was made to
construct a vagina by tunneling between the urethra and rectum. A
proximal vagina filled with old blood was found after 3-4 cm as described
by Jeffcoate (1975). The tunnel was now dilated with appropriate
instruments. It was found impossible to suture the skin of the introitus
to the wall of the proximal vagina as advocated by Jeffcoate and
criticized by others (Dewhurst 1981). A mould was constructed from a 20
cm^3 plastic syringe cylinder with the distal end removed. The mould was
fixed with nylon sutures to the labia and left in place for 2 weeks. The
patient was discharged with a few oversized cervical dilators and
instructed in their use. Follow-up was difficult, the patient was seen
only some moths later with a stenosed vagina and lower abdominal pain.
Another reconstruction was attempted though scar tissue with much the same
Because she refused to have a hysterectomy and her cryptomenorrhea was
very painful, high doses of depot medroxyprogresterone were used to induce
amenorrhea. This was partly successful, but a hysterectomy become
necessary to afford her relief from crippling pain when were son was 2.5
years old. By that time the son looked very much like the legal father.


A plausible explanation for this pregnancy is that spermatozoa gained
access to the reproductive organs via the injured gastrointestinal tract.
It is known that spermatozoa do not survive long in an environment with a
low pH (Jeffcoate 1975), but it is also known that saliva has a high pH
and that a starved person does not produce acid under normal
circumstances (Bernard & Couman 1976).

It is likely that the patient became pregnant with her first or nearly
first ovulation otherwise one would expect that inspissated blood in the
uterus and salpinges would have made fertilization difficult. The fact
that the son resembled the father excludes an even more miraculous


[User Picture]
Date:March 16th, 2002 09:06 pm (UTC)
How informative!
(Reply) (Thread)
(Deleted comment)
[User Picture]
Date:January 26th, 2010 10:57 pm (UTC)
"No dear, you were a knife fight"
(Reply) (Parent) (Thread)
[User Picture]
Date:May 22nd, 2006 01:50 pm (UTC)
holy WOW!
(Reply) (Thread)
Date:May 22nd, 2006 02:15 pm (UTC)
That is a baby who wanted desperately to be born. I would have named him Houdini. Just Wow.
(Reply) (Thread)
[User Picture]
Date:May 22nd, 2006 02:30 pm (UTC)
The young
mother, her family, and the likely father adapted themselves rapidly to the
new situation and some cattle changed hands to prove there were no hard

I guess medical documentors have to do SOMETHING to keep themselves amused....
(Reply) (Thread)
[User Picture]
Date:January 23rd, 2010 12:10 pm (UTC)
If you go through the link, you'll see where it happened: "Mafeteng Districts Hospital, Lesotho, 1988"

Exchanging cattle when there's a child isn't uncommon in that part of the world. See Lobolo. To me, it puts a note of normality into the proceedings.

Edited at 2010-01-23 12:10 pm (UTC)
(Reply) (Parent) (Thread)
[User Picture]
Date:January 24th, 2010 03:23 pm (UTC)
That also makes the line about a "starved person" and the abnormal acid production of their GI tract make a lot more sense.
(Reply) (Parent) (Thread)
Date:January 23rd, 2010 04:39 pm (UTC)


Inspection of the vulva showed no vagina, only a shallow
skin dimple was present below the external.... wait, WHAT?!?!?!?

No Vagina...

The patient was well aware of the fact that she had no vagina... Well, I think that would be pretty hard to miss. How the hell...?
(Reply) (Thread)
Date:January 26th, 2010 07:44 am (UTC)

Re: ummmmmmmm

A vaginal septum is a thin partition or membrane partitioning the vagina, in part or completely.

What the girl in the article had was a case of complete transverse vaginal septum.

I'll direct you to the Wikipedia article. It's short, and quite informative.
(Reply) (Parent) (Thread)
Date:January 25th, 2010 07:41 am (UTC)


interesting!! i pity them though...
(Reply) (Thread)
Date:January 27th, 2010 05:14 am (UTC)
I remember reading about this case many years ago in a newspaper article pasted into one of my parents scrapbooks. Even back then I wondered if it was a hoax perpetrated upon a gullible South African newspaper.
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