Pregnancy After Endometrial Ablation And Tubal Reversal
Posted On: Tuesday, December 1st, 2009
Many women will have both a tubal ligation and an endometrial ablation procedure. Some of these women will regret their decision and wish to become pregnant. We have frequent inquires about the possibility of pregnancy after an endometrial ablation procedure.
A successful pregnancy is possible after an endometrial ablation; however, there are unique risks of pregnancy in women who become pregnant after ablation. Women who are considering pregnancy after an endometrial ablation need to be carefully informed about these risks. The tubal reversal experts of Chapel Hill Tubal Reversal Center would like to provide readers with more information about endometrial ablation, tubal reversal, and the risks of pregnancy after endometrial ablation. This is the first article in our series about endometrial ablation, tubal reversal, and pregnancy.
Endometrial And Uterine Ablation: Treat Menstrual Periods
Uterine ablation is an incorrect term. Often this term is used when people refer to an endometrial ablation. Occasionally, people will also confuse uterine ablation with an entirely different surgical procedure called a uterine artery embolization (UAE). Uterine ablation is inaccurate terminology and many women will have either a uterine artery embolization (uterine artery blockage) or an endometrial ablation (uterine lining removal) for treatment of heavy menstrual periods.
Both uterine artery embolization and endometrial ablation are procedures to treat heavy menstrual periods. Although they both decrease bleeding, each procedure is uniquely different.
The uterine artery embolization is done by a radiologist in a radiology procedure room and involves blocking the uterine arteries to decrease blood flow to the uterus and decrease blood loss during the menstrual period.
An endometrial ablation is a surgical procedure done by a gynecologist either in the office or the operating room and involves removing the endometrial lining of the uterus. This also helps to treat anemia by reducing or eliminating blood loss during menstrual periods.
Both of the above procedures are designed to treat anemia and heavy menstrual bleeding. They each do this through a different process and pregnancy is possible after either endometrial ablation or uterine artery embolization. The purpose of this series of articles is to explain the risks of pregnancy after endometrial ablation.
Pregnancy And Endometrial Ablation Procedure
The goal of the endometrial ablation is to permanently remove the endometrial cells that make up the lining of the uterus. There are many different types of ablation procedures:
Laser ablation
Roller ball electrocoagulation
Transcervical resection (actual removal of the lining)
Cryoablation – Freezing. (Her Option)
Thermal ablation -hot water balloon (Thermachoice)
Thermal ablation -hot water (HTA)
Microwave endometrial ablation (FemWave)
Electrocoagulation (Novasure)
Although there are many different endometrial ablation techniques, these procedures are all intended to have the same end result: removal of the endometrial lining and a reduction in the amount of bleeding during a menstrual period.
Menstrual Period And Endometrial Ablation
Most endometrial ablations are not very effective and will not remove 100% of the uterine lining. A significant number of women will continue to have menstrual periods immediately after or within five years of an endometrial ablation procedure. These are the women who are most likely to be able to become pregnant.
Endometrial Ablation: Tubal Ligation or Vasectomy?
Pregnancy is possible after an endometrial ablation procedure, and, because of the possibility of pregnancy, most doctors recommend a permanent form of birth control in women who undergo ablation procedures. The most common procedures during or after an endometrial ablation are vasectomy or tubal ligation. Some women who undergo endometrial ablations will use a hormonal form of contraception or rely on the protection sometimes afforded by older age.
Menstrual Period After Endometrial Ablation
Women who have a menstrual period after an endometrial ablation can become pregnant and pregnancies after ablation have been reported in the medical literature.
Some women will accidentally become pregnant after an endometrial ablation. The majority of these pregnancies have been among women who were not using birth control or not using a reliable form of birth control or among those who have had a failed tubal ligation or vasectomy. Some pregnancies have been among women who have intentionally had either IVF or tubal ligation reversal.
Pregnancy is most likely to occur in women who have resumption in their normal menstrual cycles because these are the women who still have enough lining to create a menstrual period and support a pregnancy.
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 reversal. Most manufacturers of endometrial ablation devices and most physicians who perform endometrial ablations do not recommend becoming pregnant after an ablation procedure. Pregnancy is not recommended because of the higher risk of miscarriage and pregnancy loss.
Pregnancy after endometrial ablation and tubal reversal is possible but there are unique considerations regarding pregnancy after an endometrial ablation.
Readers are welcome to visit our Tubal Reversal Blog and read personal stories about tubal reversal and pregnancy success. We also invite readers to visit our Tubal Reversal Message Board and participate in ongoing discussions about pregnancy after endometrial ablation and tubal reversal.
The second article, Effects of Endometrial Ablation on Pregnancy, will explain how endometrial ablation decreases menstrual periods and the third article will present information about the risks of pregnancy after endometrial ablation.
December 2nd, 2009 at 7:36 am
This is a very interesting article on the considerations regarding pregnancy after endometrial ablation and tubal reversal. I look forward to the next informative articles.
December 2nd, 2009 at 8:07 am
I didn’t realize that there were so many different ways that an endometrial ablation could be performed.
Great information!
December 2nd, 2009 at 10:10 am
I never miss any of Dr. Monteith’s educational articles on the blog site. They are so well written and of interest to professional as well as lay persons.
December 2nd, 2009 at 10:32 am
Very informative article. It is good to hear that there is hope of pregnancy after endometrial ablation.
December 2nd, 2009 at 9:25 pm
I am looking forward to the upcoming articles about pregnancies after tubal reversal and endometrial ablation. This is excellent information.
December 3rd, 2009 at 1:47 am
I always enjoy the information on Dr. Monteith’s blogs and share it with my friend who is also considering reversal surgery.
December 3rd, 2009 at 4:52 pm
Thank you for providing this information on pregnancy after endometrial ablation and tubal reversal!
December 5th, 2009 at 2:07 am
As my wife and I have read the comments posted and the facts provided by this site, it is obvious to us that my wife and I will come there for the professional consultation of The Chapel Hill Center. My wife has previously had cervical cancer, currently has endometriosis and had the ablation procedure 2.5 years ago. It has been a living hell for her….this gives up hope.
Thanks,
December 7th, 2009 at 2:50 pm
Thanks for the article about pregnancy after endometrial ablation and tubal reversal. This is a wonderful service for women seeking information regarding pregnancy following these procedures.
December 8th, 2009 at 12:44 pm
[...] This article is the second in our series on endometrial ablation and pregnancy.The first article, Pregnancy After Endometrial Ablation And Tubal Reversal, provided an introduction to endometrial ablation and introduced the possibility of pregnancy after [...]
December 11th, 2009 at 2:21 pm
[...] more about endometrial ablation and how you can get pregnant after tubal ligation reversal in the blog series on the Chapel Hill Tubal Reversal Center website [...]
December 15th, 2009 at 4:11 pm
[...] why Dr. Charles Monteith is writing a blog series about endometrial ablation and tubal ligation reversal. Maybe you are wondering why it is a big deal. If you are one of the women who has had an [...]
December 15th, 2009 at 7:53 pm
[...] after endometrial ablation. Readers are advised to read the preceding articles in this series:Pregnancy After Endometrial Ablation And Tubal Reversal -Effects of Endometrial Ablation on Pregnancy [...]
December 16th, 2009 at 10:33 pm
[...] and pregnancy.We have authored two previous articles about pregnancy and endometrial ablation: Pregnancy After Endometrial Ablation And Tubal Reversal Effects of Endometrial Ablation on Pregnancy. This article will explain the concerns and risks of [...]
December 18th, 2009 at 5:01 pm
I am looking for any statistics regarding pregnancy success following endometrial ablation and tubal reversal. I’ve been told there are too few studies to view an accurate picture of my chances of carrying a full term pregnancy after the ablation. All i know for sure is that my uterus looks to be perfectly healthy when viewed during a saline infused ultrasound. I bled for almost a month following the procedure and resumed normal periods immediately. So I’m hoping it was a failed procedure. I am 38 and therefore my chances at success are already declining so I’m in a bit of a hurry. Please give me some insight if anyone has been pregnant following ablation AND tubal reversal…thank you. soccer_mom_515@yahoo.com
December 21st, 2009 at 10:16 am
[...] uterine ablation procedures.Readers should familiarize themselves with our previous publications:Pregnancy After Endometrial Ablation And Tubal ReversalEffects on Endometrial Ablation on PregnancyTubal Reversal, Endometrial Ablation, Pregnancy: [...]
December 21st, 2009 at 12:57 pm
I had a tubal ligation done in 2003 when I was 21. At that time I had 2 daughters, I had an ablation done in 2005 (balloon) for heavy periods and severe migraines. In 2007 I lost my 10 year old daughter to a 7 month battle of Leukemia. It has been devastating. I’m also married to a man who has no children of his own. Should I start by talking to a high risk doctor that lives in my area(outside of Chicago), or call and talk to one of your nurses there? We are trying so hard to have just a little bit of hope.
December 21st, 2009 at 1:43 pm
Tanya
Unfortunately, we have a large number of patients who experience loss of a child- we call them our Tubal Reversal Angels.
Pregnancy after ablation is possible if you are having regular menstrual periods after your ablation procedure. It is always a good idea to consider additional medical opinions before undertaking such an important decision.
You are welcome to call the office (919) 968-4656 to speak with one of our tubal reversal nurses about the possibility of tubal reversal.
December 23rd, 2009 at 9:01 am
I’m 45 years old and currently engaged. After my 2nd child in 1985 I had a my tubes tied. Three years ago I had the endometrial ablation done. I want to have another baby. Is it possible?
December 23rd, 2009 at 9:14 am
Felicia
If you are having regular periods then pregnancy is always a possibility.
Although we would perform a tubal reversal for you if you wanted this possibility, I would advise you not have a tubal reversal surgery because of your age and the history of endometrial ablation. The two factors together make pregnancy very, very unlikely.
December 23rd, 2009 at 11:49 am
[...] about the possibility of pregnancy after ablation should read our previous blog articles about pregnancy after ablation.This article shares the personal story of Shaunda and her husband Darren. Shaunda had her tubes [...]
December 23rd, 2009 at 5:45 pm
[...] A successful pregnancy is possible after an endometrial ablation; however, there are unique risks of pregnancy in women who become pregnant after ablation. Women who are considering pregnancy after an endometrial ablation need to be carefully informed about these risks. The tubal reversal experts of Chapel Hill Tubal Reversal Center would like to provide readers with more information about endometrial ablation, tubal reversal, and the risks of pregnancy after endometrial ablation. This is the first article in our series about endometrial ablation, tubal reversal, and pregnancy. Read the rest of this article and comment on it. » [...]
December 23rd, 2009 at 10:25 pm
[...] their ablation procedures. Readers should familiarize themselves with the five previous articles:Pregnancy After Endometrial Ablation And Tubal ReversalEffects on Endometrial Ablation on PregnancyTubal Reversal, Endometrial Ablation, Pregnancy: [...]
February 1st, 2010 at 8:02 pm
About 2 years ago I had an endometrial ablation and regret my decision. Does anyone know if there is anything i can do to reverse this?
February 25th, 2010 at 7:24 pm
I had an endometrial ablation and tubaligation 2 years ago due to heavy and painful periods. I started resuming regular periods again about 1 year afterward. The last 3 months my periods are so light that don’t even have to wear a tampon or pad. This month I’m currently 6 days late. Is it possible that I could be pregnant even with the tubaligation done? I want to take a pregnancy test but am thinking thinking that I’m just being paranoid. Could I be pregnant?
February 25th, 2010 at 8:26 pm
Kristen – With your history, pregnancy is not likely. But whenever in doubt, running a home pregnancy test is always the best thing to do.
March 20th, 2010 at 12:51 am
I had my tubes tied 16.5 years ago and an endometrial ablation 5 years ago but I am having periods again , never did completely stop. But are getting heavier now.Can a ultrasound show if I could support a pregnancy? And how can I get my self to lactate if I do not have the baby and get a surrogate?
March 20th, 2010 at 8:42 am
An ultrasound can not predict if you can support a pregnancy. If you have a gestational surrogate then you can not breast feed.
May 20th, 2010 at 4:11 pm
I have had an endometrial ablation and a tubal ligation. I am in a new relationship and soon to get re-married. I am having break through bleeding and cramping. The bleeding seems to be more frequent and the procedure was just done about five months ago. I would like to have a tubal reversal and see if pregnancy possible.
June 6th, 2010 at 9:40 am
I am 47 years old, in good health, I had a tubal ligation in 1986 and an endometrial ablation in 2006 due to heavy bleeding, I continue to have spotting. My fiance and I want to have a child together as he has no children of his own. Naturally, if there was any way possible I would like to give birth to our child. I have read the articles and done a little research, and realize it would take a miracle to conceive….Miracles do happen.
June 22nd, 2010 at 12:04 pm
I am 36 years old, soon to be 37. I had my tubal and ablation done 5 years ago. I do not have a menstrual cycle but I still have the monthly cramping. Would I be considered high risk, or not a candidate for the reversal procedure? I also read that a woman could take birth control pills to try and restart her cycle. Is that a possibility with the tubal reversal??
June 22nd, 2010 at 5:42 pm
Tina, RN – If you are not have menstrual periods after endometrial ablation, then the endometrial lining has been destroyed and it would not be possible for successful implantation and carrying a pregnancy.
June 23rd, 2010 at 12:46 pm
[...] more about endometrial ablation and how you can get pregnant again following a tubal ligation reversal in the blog series on the [...]
July 5th, 2010 at 3:02 pm
i had a tubal ligation a year ago and had a novasure ablation a month ago and dont have a period yet i want to become pregnant again if i had my tubes reversed could it be possible
July 5th, 2010 at 5:11 pm
Your period would have to return for you to become pregnant after endometrial ablation.
July 14th, 2010 at 3:28 pm
I just wanted to thank you for the information. I had an endometrial ablation on July 3, 2004. Horrifyingly painful. Never stopped my menstrual bleeding, although I went from having 16 day periods to 8 day periods. (guess I got the 50% off special? hahahaha!) I am 35 now, and really would like to have another baby. I’ve read other blogs online and saw nothing but horror stories, but this gives me hope! I already have three children, 14, 13 and 12. I’m pretty ready to start over!
July 23rd, 2010 at 1:18 am
I had a tubal during an emergency c-section 4 years ago and was estranged from my husband at the time. Then 9 months later I had an endometrial ablation. He missed the entire pregnancy and the first ten months of my sons life before we got back together. I don’t have a regular period just some spotting and the hormone surges. Is it possible for me to get pregnant. I’m still in my 20′s.
July 23rd, 2010 at 6:42 am
If you are not having regular periods after your endometrial ablation then chance of natural pregnancy is not very likely.
July 24th, 2010 at 1:52 pm
Hello. This is in regard to Cindy’s comment on June 6th, 2010 at 9:40 AM
I couldn’t believe what I read. I am in the exact same situation as you. All the details are the same except I am 44 and just got married. My husband says the same thing, miracles do happen. I pray all the time. I don’t want to get my hopes up by even furthering anymore research or inquires. I am so heartbroken that I cannot have a baby with my new husband after every thing I have been through the past 25+ years.
I wish there was hope for me.
August 20th, 2010 at 11:29 am
I am 42 yrs old with 3 kids 10,12 and 14. Post divorce I had a tubal ligation (2000) and an ablation (2003).
I have regular periods and always have since the ablation, just not as heavy thank God! What do you think my chances are in getting pregnant if I have a tubal reversal? I am healthier now than I was when I had my children!
August 20th, 2010 at 3:19 pm
Cheryl
It is hard to give you a number and sometimes numbers can be misleading. In general about 30% of our patients become pregnant after tubal reversal. Pregnancy does become harder with increasing age and the best success is seen with IVF but only if you use donor eggs.
August 29th, 2010 at 1:24 pm
Please help! I am 47, had an endometrial ablation 4 years ago at 43. I had ONE instance of unusual heavy bleeding during a period that lasted 7 days. I always had 3 day periods like clockwork, so this was unusual. I saw my gyn immediately, who said i had fibroids. Said they needed to be scraped and only then would she know if they were cancerous, but that it was unlikely. I asked about alternative to EB. She said contraception pills but because of my age and risks, didn’t recommend it. So a few days later I had the procedure done, much to my regret! I am in love and want to have another child. with the EB and my age (am just starting menopause according to my blood worka), I know it will be practically impossible, but I have hope! I read online that treatment for Asherman’s Syndrome can help to restore the uterine lining to restore fertility and that hormones can help with ovulation. I still have light periods, sometimes on consecutive months, sometimes every 3-4 months. Is there any hope or am I totally dreaming? He has never been a father and I have a 19 year old son and always wanted more children after my divorce. Please, any hope?
August 29th, 2010 at 1:30 pm
I forgot to mention, the ablation I had was the hot water type. She said she would fill my uterus with water and burn the lining. Periods did follow about 4-6 months after, but never again like my regular flow, mostly now light to medium, whereas I used to have medium to heavy flows. Last period I had was in late June, didn’t have one in July and haven’t had one in August. But this is usual. Sometimes I’ll have 2 or 3 back to back. Thank you so much for any advice.
August 29th, 2010 at 4:33 pm
Cecilia
Pregnancy is very difficult to naturally obtain after the age of 45. If you add to this a damaged endometrial lining then it will be even harder. You options are IVF with donor eggs or adoption. IVF with donor eggs would give you the best chance but this is only if your endometrial lining is not to severely damaged. You should speak with an IVF provider about this.
September 14th, 2010 at 3:17 pm
I had uterine artery embolization surgery when I was 40 and 3 years later had to have an ablation to stop bleeding so severe that I required a blood transfusion (which is funny considering the embolization should have reduced blood flow significantly). The doctor told me that he ablated only 25% of my endometrial lining. I have very light but regular periods (the most regular of my life). Do you think there is a chance I could get pregnant? I have had a “day 3″ test that shows good levels.
September 14th, 2010 at 4:40 pm
There is always a chance you could become pregnant; however, the probability of pregnancy is very low and the risk is high. The probability is low because of your age and the fact you have had your lining damaged by the ablation. I can not tell for sure but you are at least 43 years of age. The pregnancy would be high risk because of all those factors.
October 5th, 2010 at 4:42 pm
I am 33 years old. I had a tubal at 21 years old after my third child. I had an ablation two years ago to control heavy bleeding. I still have a regular period, and haven’t noticed much difference from before the ablation. What is my possibility of becoming pregnant again after tubal reversal in the next few years.
October 5th, 2010 at 4:54 pm
Carrie C – At age 33 your chances of getting pregnant after tubal reversal performed at Chapel Hill Tubal Reversal Center is about 70% as you can see from our patient’s pregnancy statistics study.
October 9th, 2010 at 12:21 am
I am 27 years old and had an endometrial ablation a little over 5 years ago. I regret my decision because 2 years following my ablation I divorced. I am now with an amazing man and we would like to have at least one more child. I have had cramping and a tiny bit of spotting within the last year. Is there any hope for pregnancy? I am also currently taking herbal and vitamin supplements that support reproduction efforts. Any other advice? Please I’m making myself sick over my ablation decision..
October 9th, 2010 at 6:35 am
Briana28 – Unless your menstrual periods become fully restored, pregnancy is not possible after an endometrial ablation.
November 12th, 2010 at 4:27 pm
[...] for getting pregnant. This can be done with a tubal reversal but depends upon the results of your endometrial ablation. Learn more at the website [...]
November 13th, 2010 at 5:23 am
[...] if you do begin having menstrual bleeding after an endometrial ablation, there is a chance of having another child should you desire to do so. If you had a tubal ligation [...]
November 26th, 2010 at 10:22 am
I am 29 years old and 10 weeks pregnant after endometrial ablation in 2004… I’m doing well and the pregnancy looks to be normal so far… this will be my 3rd child, lord willing!!!! Ive read so many negative articles that it scares me.. Is there anything positive you can tell me….
November 26th, 2010 at 10:48 am
Tabitha Grace – Although there are increased risks of pregnancy loss associated with endometrial ablation, these are not absolute and your pregnancy may be perfectly normal giving you your third child as hoped for.
February 7th, 2011 at 2:05 pm
I’m not sure if it is possible and i don’t really know what to think so if you could help answer my questions it would mean the world to me….
I’m 24 I just had an ablation almost a year ago and i have had my tube ligation done 2 years ago. because of having high risk pregnancy and heart issues… I still had very light periods. But i haven’t had one in 2 months and I just took a pregnancy test and it came back positive? Is that even possible? could it be an error? I never had my tubes reversed or anything…. could something had went wrong with my surgery? Or could have it been my age?
February 7th, 2011 at 2:21 pm
Holly
Pregnancy is always possible after an endometrial ablation. You should repeat the pregnancy test and if it is positive then you should see your doctor as soon as possible because there is a risk the pregnancy could be in your tube.
February 17th, 2011 at 6:19 pm
[...] more about endometrial ablation and how you can get pregnant again following a tubal ligation reversal in the blog series on the [...]
February 21st, 2011 at 9:59 pm
I had my ablation a year ago. I am 42 and I have not had any bleeding. My husband and I have not been using any contraceptives. My husband believes that there is no chance of me getting pregnant. I am a little worried. I do have some symptoms of pregnancy; abdominal bloating, breast tenderness,fatigue,nausea. It sounds like the chances are very slim. Which I hope are true. Is there a chance? Can we continue to not use anything without worry?
February 21st, 2011 at 10:06 pm
KJ – Have you run a pregnancy test?
February 21st, 2011 at 10:31 pm
No. Should I?
February 22nd, 2011 at 5:34 am
KJ – It would be a good idea. If your pregnancy test is negative and you have not had a period since your ablation, it is unlikely that you could be pregnant.
March 9th, 2011 at 6:46 pm
I had a endometrial ablation over 5 years ago and have not had any spotting or bleeding for about 5 months now. I am 48 and have had definite PMS symptoms in the last 2 months. Could there be a possibility of a pregnancy? I also have had hot flashes – but the severe PMS has been in the last 2 months.
March 9th, 2011 at 8:24 pm
Sally
Pregnancy is always possible so take a pregnancy test. More likely you are having perimenopausal symptoms.
March 28th, 2011 at 1:57 pm
I had an Endometrial ablation performed during the summer of 2010. My periods became very light.. every month there after they became lighter and lighter. The last few periods I had at the beginning of this year were just spotting that lasted about a day. The doctor who performed my ablation said this was normal and expected. Well, 3 weeks ago, I was tested positive for pregnancy after going into my doctor with all the pregnancy symptoms. He gave me an ultrasound, and I have a healthy little baby growing in there. My doctor is shocked,as during his overall 25 years of practice, he has not seen anything like this, only heard of it happening. I think this baby is a miracle. And against whatever odds, I’m determined to proceed through this pregnancy!
April 25th, 2011 at 12:58 pm
Denise, I’m interested in what kind of endometrial ablation you had. Do you know if it was NovaSure? I have also had a tubal ligation and endometrial ablation with NovaSure and now I find myself wanting another baby, but not sure this is possible, as I have not had a period since the ablation procedure about 8 years ago. Congratulations on your pregnancy!! What a blessing!
June 1st, 2011 at 9:52 am
I have a question i am age 31 now.
i have 2 kids and in 2005 had tube’s tie and in 2007 had ablation i do still have a reg period and now wanting another baby. Can i have a pregnancy if i have my tube’s undone ?
THANKS SO MUCH
dessiewhitley@vzw.blackberry.net
June 1st, 2011 at 10:59 am
If you are having regular periods then pregnancy is possible after tubal reversal and endometrial ablation.
June 1st, 2011 at 3:45 pm
Then Charles i need to come see you .
I’m so excited
Dessie L Koehler
June 21st, 2011 at 5:21 pm
I am 27 and recently married again I have had a her option ablation in 2007 and would really love to have a baby with my husband. I have had periods every month and was recently put on the pill in hopes of the estrogen helping the lining? I recently went off the pill and want to conceive and just need some hope and maybe advice? I have periods every month but they’re not that heavy. I would say a lite flow but still need tampons and sometimes during they day it will be a heavy flow for a bit and then not really anything later? Any information would be super helpful. Ljmurphy83@Gmail.com thanks:-)
June 24th, 2011 at 2:37 pm
I had a my tubes tied in 2002 and and nova sure ablation in august of 2010. I would like to know if its possible for me to have another child if I have a tubal reversal. Im getting married and my husband to be wants more kids. I really want some more also. Very concerned.
June 24th, 2011 at 10:55 pm
If you are having regular periods then pregnancy is possible after tubal reversal; however, pregnancies after ablation are considered high risk pregnancies.
July 16th, 2011 at 11:54 pm
I am 30 years old and have 2 amazing kids 4 and 7. I had the the essure and novasure in May of 2007. I am engaged to a wonderful guy that has no kids. I still have monthly periods.They are light but i still have to wear a tampon or pad. I was wondering my odds of having another child. I want to start the process soon. I would like to come see CHTRC.
July 17th, 2011 at 12:23 am
Andrea – Light periods indicate damage to the endometrial lining as a result of the Novasure endometrial ablation, so the odds of having another child would be substantially reduced. In your case, it would be best to have a diagnostic hysteroscopy to evaluate the endometrial lining before considering reversal of the Essure procedure.
July 17th, 2011 at 1:01 pm
Dr. Berger what would I have to do to get that done.
July 17th, 2011 at 1:10 pm
You would have to ask your local ob/gyn doctor about scheduling hysteroscopy.
July 18th, 2011 at 9:53 am
I had a novasure ablation done in 2006. A few months later i started having periods. Lasting 3-4 days. What is considered to be a normal or regular period? I would like to have a tubal reversal done next year for my 31st birthday.
July 18th, 2011 at 12:08 pm
Lina
Normal periods would mean bleeding every month for the same number of days each month. This means you do have uterine lining to support a pregnancy; however, the risks of pregnancy after an endometrial ablation are always possible even with normal periods.
July 19th, 2011 at 3:30 pm
Should I still have a hysteroscopy done? Or can I just go ahead and plan for the reversal?
July 19th, 2011 at 4:14 pm
Lina – Hysteroscopy is recommended for women who have had an endometrial ablation, but not required, before you plan for tubal reversal. If the hysteroscopy shows scarring in the uterine cavity, that should be corrected first. If the endometrial lining is not regenerated normally, it is not recommended to become pregnant again due to the increased risks of pregnancy. But if the endometrial lining looks normal and there is no scarring present, then it is safe to proceed with tubal reversal.
August 8th, 2011 at 3:44 am
I have been sterilized and not quite sure what procedure I had only that it was by key hole surgery , I have also had an Endometrial ablation procedure , would it be possible to have these reversed . i have been with my partner coming up nearly 5 years . We would love to have our own child together … is it even at all possible , am I too old and let it too late .
August 8th, 2011 at 7:07 am
Mandy
You would have to send us your records to determine how your tubal ligation was done. If you are not having regular periods after your ablation procedure then a reversal surgery is not advisable because pregnancy would be very improbable.
August 25th, 2011 at 8:14 pm
I had ablation procedure done in Spring of 2010. Had the procedure because of constant bleeding. Doctor warned me not to get pregnant. I have had irregular periods and minor cramping since the procedure was done. I am now afraid I might be pregnant. Going for a test tomorrow. I would not terminate pregnancy if I am. What should I do if I am?
August 25th, 2011 at 8:54 pm
I am 36 yrs old and have 2 boys that are 19 and 12. 4 yrs ago I had a Tubal and the Endometrial Ablation done. Back last yr they told me the clip on my right side came off. I have had menstual cycles regular for 3 yrs now. My last menstrual cycle was July 15 2011. I had very little spotting at the beginning of this mth and am now late for my Aug cycle. Over the last couple weeks I have been urinating more and today I have felt nauseated all day. Plus I have felt extremely tired. Could I be pregnant? If not what could it be?
August 31st, 2011 at 6:04 pm
I had a Novasure ablasion in Jan 2010 and have only had two instances of spotting since. Once about 6 months ago and then spotted brown last month for 1 day, however, had 3 days of cramping. Is there way to rebuild the lining to support pregnancy.
September 1st, 2011 at 4:56 am
There is no effective way to rebuild the lining of your uterus after this endometrial ablation.
October 6th, 2011 at 8:15 pm
Thank you for this very informative article…I also had the novasure procedure done after severe cramping, bleeding and the discovery of two cysts on my left ovary as well as a large fibroid in my uterus. I was 36 years old at the time and had not planned on ever marrying or having any children. I am 38 years old now and have met my soon to be husband and we would both like to attempt to get pregnant. I had no idea the pregnancy desire would ever come to fruition back then. Now, as thrilled as I am with the results of the procedure, (no pain at all and the bleeding just began 6 months ago with 1 day of spotting is all)I will be exploring my options as to fertility and whatever it takes. Thank you again for the information and now I have at least a bit of hope and will continue to pray for positive results.
October 12th, 2011 at 4:42 pm
I am unsure if I have had an endometrial ablation performed. I recall that I did though, but I dont have my records. Are there any signs from an ultrasound that can indicate that an endometrial ablation was performed? I have heard “subendotheial thickening” can be seen.. I dont know what that is. I use 2 pads per day for the first 2 days of my peroid, then one pad per day. My periods are about 5 days.. they used to be 8 days and twice as heavy. I recall having it when I was 20, now I am 23. Can I get pregnant? uterine lining is 12mm
October 12th, 2011 at 5:01 pm
Kim – With periods 5 days in length, you should be able to get pregnant again. The uterine lining thickness of 12 mm is normal.
October 13th, 2011 at 3:28 pm
Is the possibility of visible “subendothial thickening” there on ultrasound after endometrial ablation? Does a lining of 12mm exclude this possibility or is it still possible that this side effect of E.A. may be there on mine and I should have the ultrasound looked at by a fertility specialist? My periods are half, Maybe even 1/3 of what they used to be, the volume of blood is way way less. I used to have really heavy periods, anemia periods, now I have genuinely light periods 1 pad per day for the last 3 days of my 5 day period and 2 pads per day for the first two days. It seems way too light especially for what I am used to. My periods used to be 8 days, 5 heavy days followed by 3 light and always 5-4 fully used pads per day for the 5 heavy days. So this is a big change in volume and I am worried.
Does following endometrial ablation with a D&C a short time later(1 week?) make it more effective? Even though my periods are not normal for me the potential to get pregnant is still there? What are my odds with this big of period change after endometrial ablation? I am having regular periods every 35 days cycle, but I didnt know using only 1-2 pads per day is on the regular spectrum?. Thanks for your help, I’m only 23 and have never had any children.
October 13th, 2011 at 4:04 pm
Kim
You have very detailed and in-depth questions and without your records any attempt for us to answer them over the blog may not be very helpful. I would suggest you make an appointment with your doctor to discuss these details.
October 14th, 2011 at 7:18 pm
I dont have a doctor currently. I am looking for one who can do a hysteroscopy to look at my endometrial lining. I have been trying for 2 1/2 years to get pregnant with no luck. Is it possible to tell the difference between the result of a D&C and the result of an endometrial ablation or are they too similar to tell sometimes? I dont have record of my ablation but I believe one was done and I am trying to verify that but I cannot find a doctor who has enough experience with post endometrial ablation uterine lining. Can I call your office for a recommendation? Thanks for help
October 14th, 2011 at 7:47 pm
Kim – You should be able to find a doctor in your city by doing a search on Google or Bing for “advanced hysteroscopy” plus the name of your city. If this does not give you the names of doctors to contact, you can call our office at (919) 968-4656.
October 19th, 2011 at 4:44 pm
I had my tubes burned in 03 and ablation in 09 was wondering if severe pain every month since ablation is related. I am bed ridden for three days of my period. Also was wondering if it’s still possible to have a reversal even tho my tubes were burned. I do bleed every month for 5-7 days. Any help would be greatly appreciated. Thanks
October 19th, 2011 at 8:04 pm
The pain could be related to the ablation. Your doctor should do a ultrasound to make sure you do not have a hematometria secondary to the ablation and cervical stenosis. They can also evaluate your lining with a hysteroscopic examination. If you have some uterine lining left the tubal reversal would be very possible at our center.
October 24th, 2011 at 9:18 pm
If I have a hysteroscopy. Done and scarring is present;how is it corrected ? Can fertility drugs be given to help thicken the lining, if it has regenerated?
October 25th, 2011 at 8:19 am
Lina – If scarring is present and seen during hysteroscopy it can often be cut with scissor placed through the hysteroscope. If the lining is gone, there are no medications that can restore it.
October 29th, 2011 at 1:01 pm
If lining is present then there’s a possibility for infertility drugs to help.
November 1st, 2011 at 4:10 pm
I am 37years of age had tubal ligation in 1998 and ablation done in 2006. I had light pink menstrual up until last year, now just have menstrual pain without a flow. Is pregnancy a possibility with reversals?
November 1st, 2011 at 5:01 pm
LG – It is very doubtful that you would become pregnant after a tubal ligation and an endometrial ablation.
November 6th, 2011 at 3:50 pm
[...] pregnancy is definitely possible after an endometrial ablation procedure.More Information on Pregnancy after endometrial ablation This entry was posted on Sunday, November 6th, 2011 and is filed under Dr. Monteith, Maryland, [...]
November 8th, 2011 at 10:41 am
I am 31 yrs old and had the Novasure and essure procedure done 5 yrs ago with no return of menstral periods, do I have any chance of getting pregnant if I was to decide to do reversals, if so what do you think the odds are?
November 8th, 2011 at 1:17 pm
Danielle
If you are not having periods then it will be very difficult to have natural pregnancy after Essure reversal or with IVF. We would not recommend tubal reversal or IVF for you. Adoption or a gestational surrogate would be the better options for you.
November 8th, 2011 at 7:49 pm
I had one 4 years ago. No period but symptoms. I think I may be pregnant But The test are all negative. I have more than usual discharge that is clear. I have no pregnacy insurance. What should I do?
November 8th, 2011 at 8:19 pm
If your test are negative then you don’t have to worry about it.
November 10th, 2011 at 1:42 pm
Hello, my name is Kristy. I had a tubal done 10 years ago. I had an ablation done 3 years ago, and the doctor told me that because of the size of my uterus, I would most likely continue having a period, and I have. I don’t bleed as heavily, (which is why I needed the ablation in the first place), but I have a very regular cycle. I am now 36 and remarried to a wonderful man. I want to have a baby. What are my chances of getting pregnant after a tubal reversal? Especially since I had an ablation? Before hand, I was extremely fertile.
November 10th, 2011 at 8:49 pm
Kristy – Your chances of getting pregnant after a tubal reversal are primarily associated with your age. Since you have had an endometrial ablation, before proceeding with tubal reversal surgery you should have a diagnostic laparoscopy to see if there is scar tissue inside the uterine cavity and also measure the thickness of your endometrial lining in the latter half of your cycle using transvaginal ultrasound. Your local gyn doctor should be able to assist you with these tests.
November 29th, 2011 at 11:46 pm
I am in a relationship with a women that had an endometrial ablation. She did not have regular menstrual cycles with only minor occasional spotting. We have since find out that she is 7 weeks pregnant. I am seeking advice and understanding of the risks to both her and the unborn baby.
November 30th, 2011 at 7:53 am
Lynn – You can read about endometrial ablation and pregnancy risks in another blog article on our website.
December 1st, 2011 at 10:22 pm
I had tubal ligation done in 2005 after the birth of my 3rd child. I had an ablation done one year ago this month.I will be turning 30 next week…My gyn wants me to get the Mirena IUD to help control my heavy periods and I had a pelvic ultrasound today. The ultrasound tech asked me several times if I was sure I’m not pregnant. I told him i’d had my tubes tied, and he gave me a funny look and said “It’s not impossible”. When I asked if he saw something to make him say that he said I’m not allowed to say, your doctor will have your results in 3-5 days.I am freaking out now. My last period was 11-17 but i only spotted for 3 days, and my periods even after my ablation have been pretty heavy. Could I really be pregnant?
December 1st, 2011 at 11:10 pm
It’s not possible to know what the ultrasound technician was seeing. While waiting for your doctor to get the interpretation of your scan, you could run a pregnancy test.
December 15th, 2011 at 10:01 pm
How many successful birth have been recorded for women who have had a tubal and endometrial abulation. Then reverse? Also do or will your office remove scaring from the uterining lining from an endometrial abulation during tubal reversal?
December 16th, 2011 at 11:14 pm
Curious
We have had several successful pregnancies after tubal reversal and endometrial ablation.
December 25th, 2011 at 10:20 pm
I am 42 now, and had a Tubal Ligation (1996)and a Endometrial Ablation for my heavy periods on (2003) However, I still get full heavy periods.
Currently, got engage and he doesnt have any kids and he is 10 years younger than me. We would like to go to have IVF. Do you think it will be a posibility of getting a succesful pregnancy?
December 25th, 2011 at 11:43 pm
IVF may work after ablation and if you are having normal periods; however, many IVF doctors will recommend you use donor eggs at the age of 42.
January 2nd, 2012 at 8:30 pm
I will be 36 next month. I had a tubal in 2004. I had a ablation done in 2007. I also have endometreosis. What are my chances of getting pregnant and carrying a child of my own?
January 2nd, 2012 at 8:32 pm
Oh and I forgot, I have a normal period every month lasting 3-5 days every month like clock work.
January 2nd, 2012 at 8:35 pm
Dawn – Having normal periods indicates that the endometrium has not be destroyed by your endometrial ablation so you should be able to get pregnant after tubal ligation reversal. Endometriosis may be a complicating factor (or not) depending upon its severity, location, and whether or not it has caused scar tissue to form inside the abdominal cavity.
January 2nd, 2012 at 8:45 pm
I know that I had scar tissue that wrapped around my bladder during my last pregnancy. I had c-sections with all three of my pregnancies. A few yeats ago I had a knot the size of a golf ball that was in my pelvic area that was thought to be a hernia but when it was removed the test result came back with endometriosis. That is how I know that I have endometreosis. Can’t I take fertility meds to help with conceiving? I know you hear this all the time but we really want another child and if possible I would like to be the one to carry it.
January 2nd, 2012 at 8:47 pm
Is my age going to be an issue or is 36 an o.k. age? Does this mean that the 70 percent success rate doesn’t pertain to me because of the endometreosis?
January 2nd, 2012 at 8:49 pm
Fertility medications can stimulate the growth of endometriosis, so if you are ovulating on your own they are generally not recommended.
January 2nd, 2012 at 8:51 pm
Age 36 is 2 years older than the average age of our patients so the expected success rate will be slightly lower at age 36 than at the average age of 34.
January 2nd, 2012 at 8:55 pm
January 2nd, 2012 at 8:58 pm
I will look forward to it! If you send me copies of your medical records relating to your previous surgeries, that will be helpful information to be able to review.
January 2nd, 2012 at 9:01 pm
Is there anything else I need to do such as ultrasound or anything before making an appointment with you?
January 2nd, 2012 at 9:03 pm
It would be helpful to have a diagnostic hysteroscopy performed to see if there is any scarring inside the uterine cavity. Your local gyn doctor can do this. When I receive your operative reports, I will let you know if there is anything else that would be helpful before scheduling your tubal reversal procedure.
January 2nd, 2012 at 9:13 pm
Thank you, Thank you, Thank you!!!
January 6th, 2012 at 1:29 pm
I am 38 and I had the Novasure procedure done in December 2006. I had two healthy pregnancies and births (two beautiful daughters). I haven’t had a period and have only spotted 3 times since the procedure, i have gotten divorced and remarried and have been showing signs of pregnancy (which I never did with the other two). What else may be wrong with me to give me typical symptoms?
January 6th, 2012 at 3:38 pm
Heather
You will need to see your doctor to be evaluated for your symptoms. Always take a pregnancy test just to make sure you are not pregnant.
January 12th, 2012 at 11:35 pm
I had a Novasure abulation in 2009. I’ve always been a little uncertain about the success of the novasure because i bleed for about 30 days afterwards and have continued a normal 7day cycle following the surgery. I want a child really bad. Is it at all possible after a reversal and having a novasure procedure to concieve???
January 12th, 2012 at 11:55 pm
Anxious – Since you are having normal periods since the Novasure ablation, it will be possible for you to have a tubal reversal and conceive again. Call (919) 968-4656 for further information.
February 4th, 2012 at 12:53 am
I had uterine ablation done in 2009 at age 32 due to heavy periods since 1995. I have carried 2 children to term (now 19 and 14 years old) including 2 terminations (1 in 95 and second in 99), I have miscarried once in 2005. During the summer or 2010 I had breakthrough bleeding for two days. In Sept. of 2011 my breast started swelling and I was lactating, then I started getting nauseous and was vomiting ever so often. In November of 2011 on a Thursday I began cramping terribly and by Saturday morning I was in extreme pain and noticed a light pinkish to red discharge. Is it possible I had a tubal pregnancy then a possible miscarriage? Since the procedure I have started ovulationing at higher rate than normal and my breast swell much more now prior to the ablation. These symptoms are accompanied by cramping as if my menstrual cycle is about to start. This happens every month up to 5 days as if I was having a regular period minus the bleeding. Please help me understand what might be happening. I visited my physician during those months because the pain like cramping became unbearable. She ordered a transvaginal ultrasound but all I was told is she doesn’t see anything alarming. However,she suggested a laporscopic procedure to investigate further. I declined the exploratory procedure due to the fact my doctor never requested a urine or blood test for possible pregnancy. Since my procedure I’m 2009 she has had 2 patients become pregnant after ablation. Shoul I be concerned?
February 4th, 2012 at 11:15 am
Erin – If you are concerned about the possibility of being pregnant after uterine ablation, you can run a home pregnancy test even if your doctor has not tested you for possible pregnancy.
February 7th, 2012 at 8:42 pm
I had the Essure implants & endometrial ablation done at the same time in October 2011. Recently when I went back for the x-ray & die, it showed one of my fallopian tubs still remains open. Is there a chance of conceiving? Somewhat regret my decision being 32. What are my chances & risks if I leave it open? Would appreciate some piece of mind regarding..
Sincerely,
Possibly Resentful
February 7th, 2012 at 8:48 pm
Resentful – If one of your tubes is still open there is certainly a chance of conceiving! If the Essure implant is in the tube that is open, then there is an increased risk of tubal pregnancy.
February 7th, 2012 at 9:08 pm
What about the ablation?
February 7th, 2012 at 9:25 pm
If you have stopped having menstrual periods since the endometrial ablation, then you are probably well protected. But if you are continuing to have menstrual periods, then you the open tube should be blocked in order to avoid pregnancy.