Many women choose to get both a tubal ligation and an endometrial ablation to treat heavy periods and avoid pregnancy. However, some of them will regret their decision and want to become pregnant later. We frequently get asked about the possibility of pregnancy after an endometrial ablation in Scottsdale.

The answer is yes, a successful pregnancy is possible after an endometrial ablation, but there are unique risks of pregnancy such as infertility and miscarriage.

What is Endometrial Ablation?

Endometrial ablation is a procedure used to treat heavy menstrual periods. It is a surgical procedure performed by a gynecologist either in the office or the operating room and involves removing the endometrial lining of the uterus. The treatment also helps treat anemia by reducing or eliminating blood loss during menstrual periods.

Pregnancy and Endometrial Ablation in Scottsdale

The goal of the endometrial ablation is to permanently remove the endometrial cells that make up the lining of the uterus. Although there are many different techniques, these procedures are all intended to have the same end result, which is a reduction in the amount of bleeding during a menstrual period.

Menstrual Period and Endometrial Ablation

Most endometrial ablations will not remove 100% of the uterine lining. A significant number of women will continue to have menstrual periods immediately following or within five years of the procedure. These are the women who are most likely to be able to become pregnant.

After Endometrial Ablation in Scottsdale

As we stated, pregnancy is possible after an endometrial ablation procedure, and because of this, most doctors recommend a permanent form of birth control for women who undergo the procedure.

The most common procedures performed during or after an endometrial ablation are vasectomy or tubal ligation. Some women will use a hormonal form of contraception or rely on the protection sometimes afforded by older age.

Menstrual Periods After Endometrial Ablation

Some women become pregnant by accident after an endometrial ablation. The majority of these pregnancies have been among women who were not using any birth control or not using a reliable form of it or among those who have had a failed tubal ligation or vasectomy.

Pregnancy is most likely to occur in women who have experienced continuation in their normal menstrual cycles because these are the women who still have enough lining to create a menstrual period and support a pregnancy. Some pregnancies have also occurred in women who have intentionally had either IVF or tubal ligation reversal.

Endometrial Ablation And Tubal Reversal: Is Pregnancy Possible?

Many women will regret their decision to have a tubal ligation and endometrial ablation and will inquire about a reversal. Most manufacturers of endometrial ablation devices and most physicians who perform endometrial ablations do not recommend becoming pregnant after an ablation procedure.

Pregnancy after endometrial ablation and tubal reversal is possible, but there are unique considerations regarding pregnancy. For example, when the endometrial lining is removed, it increases the risk of causing female infertility and recurrent pregnancy miscarriage.
Endometrial ablation can also cause infertility through the tubal blockage. During the healing response after an endometrial ablation procedure, scar tissue can form within the uterus.

If you have any questions regarding endometrial ablation in Scottsdale or want to determine if you are a viable candidate for the procedure, call our office today to schedule a consultation.