Comments on: Endometrial Ablation and Tubal Ligation Reversal: Advice

By: Dr. Berger

Dr. Berger — Mon, 06 Feb 2012 18:41:08 +0000

Christine – Your ovaries are producing female hormones, but the uterine lining has been damaged and or scarred. A vaginal ultrasound scan can tell how thick the uterine lining is. That can be ordered by your local doctor.

By: Christine

Christine — Mon, 06 Feb 2012 14:53:33 +0000

I had a tubal ligation six years ago. I was told that my doctor used the method of using clamps for this. Almost two years ago, I had an my uterine lining burned as I had such heavy periods. At that time, I had been bleeding for almost 7 months straight. I would stop for a day or two, then start again. It was wearing on me and I was exhausted. My doctor kept telling me to just have a hysterectomy. I refused as I thought what if I change my mind down the road and want my tubal ligation reversed. I had always wanted more children but my husband did not. So, I agreed to do this. When I agreed to have my uterine lining burned, my doctor did not tell me how it may affect me being able to have children. He started to make a comment about children and then stopped himself and said “oh well, you have had your tubes tied so we don’t need to worry about that.” I had no idea that he was saying it would affect me not being able to have children. My husband and I later divorced and now, I am dating and realizing that I would love to have another child someday. I am dating a man now that has never had his own child and would love to have children. This is a concern in our relationship. I have not had periods since the last period. However, the last 3-4 months, I have started having the cramping. I had cysts on my right ovary before and it would cramp horribly at that time of the month. The last 3-4 months, I have been having the cramping there as well, my breasts are tender during that time, and I have the moods that go along with the periods. What are the chances that a reversal would be successful? Also, what could I do to help make it successful? I hear of people taking things over the counter that help with levels but I have no idea what I can do? Also, where would I even go to start looking in to finding out how thick my uterine lining is and so forth? Thank you for your help!!!

By: Dr. Monteith

Dr. Monteith — Sat, 17 Dec 2011 13:02:34 +0000

Trish
If you are not having periods and your stripe was only 1.3mm then pregnancy would be very unlikely with either IVF or tubal reversal.

By: Trish..L

Trish..L — Sat, 17 Dec 2011 05:05:42 +0000

I had my tubes tied 10 years ago and EA just over 2 years ago..as life has it things have changed and I would love to be able to give my new husband a child. I did have normal/lighter periods for 4-5 months after the EA but they have since stopped I do get the cramping and fluid retention so I can tell when I should have my period. Occasionally I will have a day or two of spotting. I talked to my GYN and she sent me to a fertility clinic however they do not have any cases of pregnancy after EA so they are reluctant to help me. They did agree to 14 days of estrace and an ultra sound which showed two large folicles on each ovary however my endometrial stipe was only 1.3mm ….This completely crushed me I was hoping for at least 4-6mm I’m wondering if there is any hope that I may still be able to carry a child?

By: Donna L

Donna L — Tue, 15 Nov 2011 01:11:07 +0000

Thank you so much for all this information. I will most definitely speak to my doctor. You guys are wonderful & provide a great service! God bless!

By: Dr. Berger

Dr. Berger — Sun, 13 Nov 2011 19:20:02 +0000

Donna L – An issue to ask you doctor aside from the thickness of the endometrial lining is whether you have scarring inside the uterine cavity and whether there are areas inside the uterus where the lining is missing. This can only be determined by hysteroscopy. If either of these conditions exist, the risk of miscarriage, ectopic pregnancy, premature delivery, and placenta accreta (placenta growing into the uterine muscle) are all increased.

By: Donna L

Donna L — Sun, 13 Nov 2011 04:45:15 +0000

Thanks for your response… but my question is am I taking a big risk if I carry my child? I read alot of the information on this site and it seems that when a woman has had an ablation procedure, the pregnancy could be at high risk…and maybe miscarry…. Also, are there any other questions that I should be asking my doctor aside from the thickness of the lining? Thanks again for your guidance!!!

By: Charles Monteith MD

Charles Monteith MD — Sun, 13 Nov 2011 03:20:05 +0000

Pregnancy is possible if you have a uterine lining.

By: Donna L

Donna L — Sat, 12 Nov 2011 22:50:10 +0000

I had a tubal ligation over 10 yrs ago AND an ablation about 8yrs ago. I am now 41yrs old and seeing a fertility doctor because I remarried and would like to have a child with my husband. We are in the process of doing the IVF, since I just had an egg retrieval procedure done today. I am to return in 2 weeks so that we can look at my lining. I have a period monthly, but it is light. In your expert opinion, do my chances for a normal pregnancy seem possible? Aside from the thickness of the lining (6mm+), are there any other questions I should ask my doctor? If my lining is not viable, we do have someone willing to be a surrogate, but I honestly would much prefer to hold the baby myself. Please advise………

By: Dr. Berger

Dr. Berger — Tue, 08 Nov 2011 12:01:08 +0000

Mickey – It is likely that you have scarring in the uterine cavity. Removing the scarring my improve the chance that the endometrial lining can regrow.

By: Mickey

Mickey — Tue, 08 Nov 2011 03:05:00 +0000

I decided to have an EA Sept 2010 because of heavy cycles. I have not had a cycle since the procedure but I do experience pain & pressure monthly. I do not feel normal. I was not properly informed & now regret having the EA because I wish to have anoher child. Is there anything that I can do to regrow my lining to resume my cycle?

By: Dr. Berger

Dr. Berger — Mon, 24 Oct 2011 22:21:20 +0000

Yvette – If you are having regular menstrual cycles then it is possible to have a successful pregnancy after endometrial ablation and tubal reversal. Because endometrial ablation is associated with increased risks of miscarriage, premature delivery, and other complications of pregnancy, before having your tubes repaired you should check the internal lining of the uterus through hysteroscopy to see if there is scar tissue in the uterus and/or missing areas of the endometrial lining. In addition, an ultrasound exam should be performed after ovulation but before your next menstrual period to measure the thickness of the endometrial lining. If both of these tests are normal, then you should not be at high risk during a pregnancy.

By: Yvette

Yvette — Mon, 24 Oct 2011 22:11:24 +0000

I had a tubal ligation twelve years ago and an ablation last year and im considering a reversal at your office. I still have regular menstrual cycles and im 33 years old. Would you consider me being very high risk and how likely is the possibility of a successful pregnancy.

By: Dr. Berger

Dr. Berger — Fri, 07 Oct 2011 21:06:48 +0000

Kay – Endometrial thickness of 12 mm in normal. Hysteroscopy can tell if an endometrial ablation has resulted in permanent damage to the endometrial lining.

By: kay

kay — Fri, 07 Oct 2011 17:21:38 +0000

Is an endometrial thickness of 12mm something to be concerned over? I am 23. Is there any way to tell if an endometrial ablation has been performed from an ultrasound or hysterocopy?

By: Charles Monteith MD

Charles Monteith MD — Tue, 19 Jul 2011 00:15:12 +0000

Kristin
There are no clinical trials looking at pregnancy after endometrial ablation. There are only case reports of pregnancies. If you do not miscarry then most pregnancies do well but are considered high risk.

By: Kristin

Kristin — Mon, 18 Jul 2011 22:26:58 +0000

Are there any clinical trials for women wanting to become pregnant after a tubal and ablation? Having an ablation was the worst decision I’ve ever made. I let my doctor talk me into it out of fear, b/c I had aready had 4 miscarriages. I was afraid to have another pregnancy end in heartache. I have two healthy children and am very grateful to have them. However, I do want another child.

By: Dr. Berger

Dr. Berger — Mon, 13 Jun 2011 10:51:22 +0000

Cyndi – Any pregnancy after endometrial ablation should be considered high risk. You might discuss with your ob/gyn whether to have a consultation or be followed by an ob/gyn who specializes in high risk obstetrics, sometimes called a Maternal and Fetal Medicine specialist.

By: Cyndi

Cyndi — Mon, 13 Jun 2011 06:17:51 +0000

After reading the articles of EA and pregnancy, I am terrified of continuing my pregnancy. I am now 7 weeks pregnant and had minor spotting and cramping. My OB placed me on bed rest and prenatal vitamins and a hormone. Other than the spotting, I feel completely normal. I am 40 years old, have had 2 prior, normal pregnancies, my children are 15 and 12. The initial ultrasound showed a thickening of the endometrial lining and the small sack….at the time i was only 5 weeks so they could not see a heartbeat. I am due for another ultrasound on Wednesday this week. From what I am reading, however, the complications come along much further into the pregnancy. I am truly unsure of what to do or think. Am I considered “high risk” immediately due to the EA? In all other respects I am healthy according to a complete check up less than a year ago. Please advise as to what questions to ask my current OB and do I need to find a specialized doctor for my pregnancy?

By: Nicole w

Nicole w — Sun, 17 Apr 2011 06:54:02 +0000

But I have faith that I’ll find the help I need !! I’m just so tired of being told theres no chance ! I’ve not had any test done . When I tell a dr what I’ve had done they say theres no chance !!! I’ve read on the Internet where women have had it done ! So I know there’s a chance I just haven’t found the one person willing to help … I pray every night that a miracle will happen …

By: Nicole w

Nicole w — Sun, 17 Apr 2011 06:45:21 +0000

I’m 26 … And I’ve had my tubes tied and novasure done over 5 years ago ! The tubal they done was where they cut and removed a small piece my dr told me it was able to be rev. But the problem is the novasure I was 20 years old when I done this I now feel like I’ve made the biggest mistake ever I have baby blues so bad !! There’s not a doctor in Alabama that will touch me ! Oh and I only spot during my periods I had wondered if ivf is possible ? But I just want my tubal rev. I think it should be my choose ! And the cost is a big factor ! So depressed I can’t believe I’ve done this to myself what was I thinking

By: Ariana

Ariana — Wed, 02 Feb 2011 21:30:55 +0000

Thank you…I do not see the point either. He wants to detour any endometeriosis from growing. I have been great,so I have informed him once again that I will not be taking it. I never understood why he kept pushing the contraceptive?

By: Dr. Berger

Dr. Berger — Wed, 02 Feb 2011 02:44:47 +0000

Ariana – I don’t see what the point is in taking birth control pills. Why do you need to regulate your hormones??

By: Ariana

Ariana — Wed, 02 Feb 2011 02:12:44 +0000

One more thing-my doctor would like me to begin birth control…is this something that I should do? He prescribes it to me every time I visit;but I have yet in two years to get it filled. I just had a visit yesterday and he feels that since all is going well, I should take it to regulate hormones and then I am able to skips periods by not taking the blanks. If pregnancy is my goal in the next years…do I take them?

By: Ariana

Ariana — Wed, 02 Feb 2011 01:00:05 +0000

Thank you for your prompt reply. I will be obtaining more information regarding your facility..as my fiance and I are eager to learn more.

By: Dr. Berger

Dr. Berger — Tue, 01 Feb 2011 01:24:27 +0000

Ariana – With normal periods and an endometrial lining of 6 mm, you should be able to carry a pregnancy even after the endometrial ablation. At age 30, the pregnancy rate after reversal of cauterized tubes is approximately 75%.

By: Ariana

Ariana — Tue, 01 Feb 2011 00:07:08 +0000

I too, share with the ablation crew (September,2007), I am now wishing that I had opted out of the ablation decision. My last ultrasound showed a 6mm lining thickness and I have regular periods every month. My tubes are tied and cauterized. I am 30 and wonder what chances I take….

By: Beth G

Beth G — Thu, 06 Jan 2011 14:26:26 +0000

Thank you for your reply, Dr. Monteith!

By: Charles Monteith MD

Charles Monteith MD — Wed, 29 Dec 2010 15:27:04 +0000

It should not hurt, may help, but it is experimental and the answer to your question is unknown at this time.

By: Beth G

Beth G — Tue, 28 Dec 2010 23:45:54 +0000

If I have some endometrium after ablation, can I use estrogen to make it proliferate more and give me a better chance of getting/staying pregnant? I am 45, and will need IVF with donor eggs.

By: Dr. Berger

Dr. Berger — Tue, 21 Dec 2010 02:18:38 +0000

Heather – You certainly can ask your ob/gyn to perform an ultrasound examination to measure the thickness of your endometrial lining. The exam should be performed from the time of ovulation until 1 week after in order to get the most accurate measurement. Ideally, the endometrium will measure 6 mm or more. It is likely that the risks associated with pregnancy after endometrial ablation are inversely associated with the endometrial thickness.

By: Heather

Heather — Tue, 21 Dec 2010 01:32:02 +0000

Each month I have a cycle (endometrial ablation in 2009). Menses is lighter than before my procedure however (extreme heaviness pre procedure), but I still do have a cycle like clockwork each month with more than spotting.

I have an appointment with my obgyn in a couple of weeks. Can I ask for an ultrasound to determine the thickness of the lining? And if I do find that the lining is between 4 and 10 mm’s would that make for a greater change of a viable pregnancy? I assume there would always be risks, but Im wondering if the risks can decrease depending on the thickness of ones lining.
Thank you!

By: Dr. Berger

Dr. Berger — Fri, 17 Sep 2010 11:47:01 +0000

Anonymous – It is very unlikely that you are pregnant. Most likely the progesterone is related to your delayed period. Of course, you can also perform a home pregnancy test to confirm whether or not you are pregnant.

By: Anonymous

Anonymous — Fri, 17 Sep 2010 02:50:24 +0000

I am 46 years old and had an endometrial ablation almost 3 years ago. I have regular periods although they are very light and with horrible cramping. Recently I began taking natural progesterone. For the first time in my life I am 8 days late for my period. I was considered sterile before the ablation because of not having gotten pregnant after 12 years of trying (no infertility testing was done other than my husband IS able to impregnate). Therefore, I still do not use contraceptives to prevent pregnancy. Could I be pregnant?

By: Charles Monteith MD

Charles Monteith MD — Wed, 01 Sep 2010 11:28:25 +0000

Wanda
Pregnancy is always a possibility if you are premenopausal but also very, very unlikely at your age. You should take a pregnancy test and if it positive see your doctor.

By: Wanda

Wanda — Wed, 01 Sep 2010 04:07:36 +0000

I am 48, had an endometrial ablation 7 years ago, still had regular periods after (although lighter), and was thought to be in menopause as I have only had 1 period in the last 3 years. I do, however have regular cramping, migraines, “PMS” symptoms when I should have a period just no bleeding. Recently I underwent treatment for thyroid deficiency and adrenal fatigue. Three weeks ago we had unprotected sex…now I have many pregnancy symptoms. Is it possible at my age after an ablation and what seemed like menopause????

By: Charles Monteith MD

Charles Monteith MD — Fri, 06 Aug 2010 21:04:34 +0000

Alicia
It is very unlikely to get pregnant after an endometrial ablation and tubal ligation unless you have had a tubal ligation reversal.

By: Alicia Page

Alicia Page — Fri, 06 Aug 2010 20:41:00 +0000

I so hope and pray that even though I had my tubal ligation performed back in 1997 and my uterine ablation 4 1/2 yrs ago, I will be able to become pregnant…i am still only 35 yrs old and my husband & I would love to have a baby

By: uberVU - social comments

uberVU - social comments — Mon, 18 Jan 2010 19:23:16 +0000

Social comments and analytics for this post... This post was mentioned on Digg by edjohnson38: Wonderful and informative article Dr. Monteith. Loads of great information....

By: Pregnancy After Endometrial Ablation: Study Review

Pregnancy After Endometrial Ablation: Study Review — Wed, 13 Jan 2010 02:00:38 +0000

[...] After Reversal And Uterine Ablation: Our Advice. The next article in our series is Endometrial Ablation and Tubal Ligation Reversal: Advice. We will offer advice on pregnancy and tubal reversal after uterine ablation. We will provide [...]

By: Tubal Reversal After Ablation: Pregnancy Advice

Tubal Reversal After Ablation: Pregnancy Advice — Tue, 22 Dec 2009 17:20:44 +0000

[...] the advice for women who have had ablation and want to become pregnant.The previous article, Endometrial Ablation and Tubal Ligation Reversal: Advice, offers medical advice for women who are not having menstrual periods after ablation.This article [...]

By: Anonymous

Anonymous — Tue, 22 Dec 2009 01:46:56 +0000

Thank you, Dr. Monteith, for this informative article on uterine and endometrial ablation and the varying affects it can have on whether a pregnancy occurs.

By: Sally, RN

Sally, RN — Mon, 21 Dec 2009 17:31:51 +0000

I don't think that most women are aware of the implications of uterine and endometrial ablation. Thanks for a clear explanation of what to expect after this procedure.

By: Jan Hoyle

Jan Hoyle — Mon, 21 Dec 2009 16:55:27 +0000

The cartoon is excellent. How fortunate we are to have the doctor in and relating this valuable information regarding tubal reversal and uterine ablation.