Comments on: Tubal Reversal After Ablation: Pregnancy Advice

By: Dr. Monteith

Dr. Monteith — Mon, 13 Feb 2012 01:57:22 +0000

There are no medical or herbal treatments which can replace a uterine lining which has been extensively ablated.

By: Dr. Berger

Dr. Berger — Mon, 13 Feb 2012 01:57:15 +0000

Hopeful – It is unlikely that the endometrium can regrow if it has been severely damaged by endometrial ablation.

By: Hopeful

Hopeful — Mon, 13 Feb 2012 01:49:57 +0000

Im 36 years old and have had spotting once a month with cramps .i had an endometrial ablation done in 09 and a tubal in 02 . Can taking herbal vitamins help like vitex and don quai help thicken the lining.

By: Dr. Berger

Dr. Berger — Wed, 21 Dec 2011 22:08:36 +0000

Heather – With such light periods, it is not possible for you to get pregnant at this time, but if the lining does regrow and your periods return to normal, then you could have an Essure reversal with the expectation of being able to conceive again.

By: Heather

Heather — Wed, 21 Dec 2011 21:25:31 +0000

I had a Novasure ablation and Essure…my periods are Very light but come like clockwork every 28 days. The flow is not enough to even wear a panty liner. I am 32 years old. Is it possible for me to get pregnant? Will the lining possibly grow back over the years? Thank you

By: Dr. Berger

Dr. Berger — Sun, 17 Jul 2011 05:18:58 +0000

Sarah – It is possible if you are having normal menstrual periods.

By: sarah

sarah — Sat, 16 Jul 2011 02:45:47 +0000

Is it possiable to get pregnant after having novasure if you’ve had a tubal

By: Dr. Berger

Dr. Berger — Sat, 12 Feb 2011 22:14:15 +0000

Rose – We have helped many women age 40 or older get pregnant after tubal reversal surgery. Since you have had an endometrial ablation, however, this would only work if you are still having normal menstrual periods.

By: rose

rose — Sat, 12 Feb 2011 20:59:58 +0000

i had a novasure and clamps on my tubes at the same time in march 2010 my only son got killed in april i am 46 years old and love to have another baby just to have some of my son back. can you help me or is it to late

By: Charles Monteith MD

Charles Monteith MD — Fri, 04 Feb 2011 20:32:32 +0000

Kimberly
There is hope for you. You should call our office to speak with a tubal reversal nurse for more information. Your history is extensive and deserves a phone consult. Feel free to call us at (919)968-4656.

By: Kimberly

Kimberly — Fri, 04 Feb 2011 04:45:32 +0000

I live in Washington State. Do you have many patients that come from out of state or are there any doctors who could help me closer to home? Also, I am curious to know if insurance ever covers any expenses with tubal reversal. I doubt it would cover the actual procedure, but what about ultrasounds and tests done before? I had an ablation about 4 years ago. I also have had three c-sections, having 5 abdominal surgeries (including a gallbladder surgery) altogether. I used to have a very heavy and long period, lasting a week or more. Now I have a lighter period than before, it is medium to heavy for two days and very regular. Do I have any hope?

By: Dr. Berger

Dr. Berger — Thu, 16 Dec 2010 22:31:22 +0000

April - You can read the pregnancy statistics that we have and compare them with IVF statistics.

By: April

April — Thu, 16 Dec 2010 14:30:17 +0000

Thank you. Also I wanted to know if IVF would be a better route to go as far pregnancy rates. My Ob tells me that he typically cuts extra out when doing a tubal. I don’t want to waste money if it ends up being impossible. Thank you so much for your help and hope to see you soon.

By: Dr. Berger

Dr. Berger — Thu, 16 Dec 2010 06:23:52 +0000

April – Your heavy periods indicate that the endometrial ablation did not remove the uterine lining, so tubal reversal would be an option for you. Here are other blog articles you may find informative about tubal reversal after endometrial ablation.

By: April

April — Thu, 16 Dec 2010 04:32:50 +0000

I’m am looking into having a tubal reversal but I have also had an ablation. my tubal ligation was resectioning and in 2005 and the ablation was in 2006. I have very heavy periods each month sometimes two a month. Does this suggest that I still have a sufficient amount of lining to carry a fetus? I have read where many only have a small part of their lining left and only spotting. I’m praying my lining is still intact. Thank you

By: Dr. Berger

Dr. Berger — Thu, 30 Sep 2010 19:54:35 +0000

Unless you are having normal periods after endometrial ablation, implantation of a pregnancy and normal development is not likely.

By: jean

jean — Thu, 30 Sep 2010 17:26:56 +0000

hello its me again im aggravated 2 months no period after my endometrial ablation i had it for 2 months then nothing for the next two months can ivf be possible with assisted hatching

By: Linda F.

Linda F. — Sat, 11 Sep 2010 19:30:13 +0000

Thank you Dr. Berger. I will search through the site.

By: Dr. Berger

Dr. Berger — Wed, 08 Sep 2010 11:37:50 +0000

Linda F. – What information are you seeking? You can find virtually anything at all about tubal reversal on the Chapel Hill Tubal Reversal Center website by using the search box at the top right of each page, or call (919) 968-4656 to speak with Fran, RN or Jennifer, RN who can best assist you.

By: Linda F.

Linda F. — Wed, 08 Sep 2010 02:35:10 +0000

I called weeks ago to get more information about tubal reversal. I also had ablation done (Novasure) in 2006. Seven months after the ablation I began with a normal medium to heavy flow of my menses. Today four years after continue with normal menstruation every 21-28 days. I had tubal ligation in 1996. Unfortunately the physicians notes are not available due to medical records are not kept after 7-10 years. I am 40 now. I had two healthy boys. My youngest rose to heaven last year Andrew he was 15. My other son is 21. I know no one can every replace Andrew. Lately I have been dreaming of a little girl. I would like more information about the possibilities of tubal reversal. Thanks

By: jean

jean — Sat, 28 Aug 2010 13:28:27 +0000

im disappointed i didnt get my period this month i dont get it first month after my ablation i spotted 2nd month i got my period for 4 days medium flow now nothing whats wrong with this picture

By: Anonymous

Anonymous — Sun, 01 Aug 2010 04:57:02 +0000

Thank you so much I will send them first thing Monday morning because my doctor wanted to see me anyway thanks.

By: Charles Monteith MD

Charles Monteith MD — Sat, 31 Jul 2010 15:35:17 +0000

Jean
I do think you would be a candidate for tubal reversal and we would love to help you. Please be aware since you have had an endometrial ablation any pregnancy after tubal reversal would be higher risk for miscarriage, preterm birth, placental problems, and difficult delivery. Please read our complete blog series on endometrial ablation and the risk of pregnancy after endometrial ablation. Please mail or fax your operative records from your tubal ligation and your endometrial ablation to my attention.

Dr. Charles W. Monteith
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, N.C., 27514
Phone (919) 968-4656
Fax (919) 967-8637

By: jean

jean — Sat, 31 Jul 2010 14:00:05 +0000

It has been a month since I wrote last and I got my period medium flow for 3 days- so far could I almost be a possible candidate for a tubal reversal?

By: Charles Monteith MD

Charles Monteith MD — Fri, 16 Jul 2010 20:45:54 +0000

You would need to be having regular periods…spotting alone would not suffice.

By: Anonymous

Anonymous — Fri, 16 Jul 2010 19:35:01 +0000

hello its me again i just randomly started spotting and i was wondering could my period be coming back is there hope for my tubal reversal now please tell me there is

By: Anonymous

Anonymous — Thu, 15 Jul 2010 02:29:52 +0000

Thank you again for answering my questions if i ever get my periods back again i will definately come to your office for my ligation ill keep saving ill never lose hope

By: Charles Monteith MD

Charles Monteith MD — Wed, 14 Jul 2010 11:45:14 +0000

Jean
Any medications to repair the uterine lining is experimental. If the lining has been destroyed by the ablation then it can not be replaced.

By: jean

jean — Wed, 14 Jul 2010 03:55:44 +0000

Dr. Berger thank you for answering my question. I do have one more: after my ablation is there anything I can do to repair my uterine lining like with medications like premarin or anything i can do?

By: Dr. Berger

Dr. Berger — Mon, 05 Jul 2010 22:13:57 +0000

Pregnancy after tubal reversal is always possible. However, after endometrial ablation, your periods would have to return before you could expect to get pregnant.

By: Anonymous

Anonymous — Mon, 05 Jul 2010 20:17:14 +0000

i had my tubal ligation a year ago And had an novasure ablation a month ago and my periods havent returned if i had a tubal reversal could pregnancy be possible

By: Charles Monteith MD

Charles Monteith MD — Mon, 26 Apr 2010 13:04:54 +0000

Melissa We are sorry you feel like you are in a hopeless situation. Unfortunately, we limit our practice only to tubal ligation reversal and repair of blocked fallopian tubes. I would suggest you talk with another IVF specialist who may be able to help you. There are two main risk of IVF among women with a previous endometrial ablation: 1. It may never work if there is no endometrium to support the implanted embryo. 2. You still have the risks of pregnancy after an endometrial ablation. If you are unable to find someone to do IVF for you then you should consider a gestational surrogate. Your reproductive specialist can talk to you more about this.

By: Melissa

Melissa — Mon, 26 Apr 2010 00:58:20 +0000

I am 30 and had an a Novasure endometrial ablation two years ago. I have three kids from a previous marriage. I am remarried to a wonderful man and we would love to have a child that we share together. Due to my endometrial ablation, I can't get anyone to help me with my situation. I had an appointment with an RE, but he didn't seem interested in my case or hopeful. He hasn't even done any tests, but seems to have absolutely no hope for my chances of conceiving. I am hoping to find a doctor, that will at least be human enough, to have some hope with me. I am healthy, I have no other medical problems, other than my ablation. I still have spotty periods every month and I ovulate. My husband is very healthy and has a ten year old daughter. I just need to know that there is hope. Thanks for your sight, I don't need a tubal reversal, but Dr. Berger has been mentioned several times on other websites, with women who are going through the same thing I am. I wish I could meet with him, about my chances, but upon calling the facility, I was told that if I didn't need a reversal, then I couldn't been seen. Thanks, Melissa

By: Dr. Berger

Dr. Berger — Sat, 03 Apr 2010 22:46:46 +0000

Jean – Uterine rupture is not a complication associated with pregnancy after endometrial ablation. If there are adhesions or scar formation within the uterine cavity, these can result in abnormalities to the development of a baby’s limbs.

By: Jean

Jean — Sat, 03 Apr 2010 03:15:58 +0000

Hi. Thanks for the information on your site. It has been incredibly helpful. I am pregnant, 42 yrs old, mother of 4. I had no previous pregancy issues but had a balloon ablation to address anemia and very heavy periods (about a year ago). I continued to have periods although lighter than what they had been. Aside from the issues associated with my age, I am very concerned about the risks to me and/or the child later in preganancy. Early miscarriage – I understand the risks of insufficient lining and if it happens then the pregnancy wasn’t meant to be. The doctors have explained acreta to me and seem to think that the health risk related to that is only an issue in delivery, and that we can deal with that issue when the time comes. So its what happens in between that has me concerned. What are my risks in the second and third trimester? 1. Assuming I get to 20 weeks or so, what are the risks of premature birth or other abnormalities to the baby? 2. What are the health risks to me before labor(like could my uterus burst/bleed DURING preganancy)? Thanks.

By: Anonymous

Anonymous — Tue, 12 Jan 2010 17:26:57 +0000

Thanks for the article providing advice for women who have had endometrial ablation and want to become pregnant.

By: Misty

Misty — Mon, 28 Dec 2009 06:32:31 +0000

Thank you so much for what you are doing. It has really helped me.

By: Dr. Monteith

Dr. Monteith — Wed, 23 Dec 2009 20:51:10 +0000

Kathie

You are correct – there is not a lot of information for a woman who has had an ablation to determine what her individual chance is of pregnancy after endometrial abalation. I would also presume there will likely never be any seriously helpful information. Who will study this and how would such a study ever be done?

I also think it could be misleading to try and extrapolate what your risks would be based on any individual factors discussed in a case report. Any attempt to do so could be an attempt to rationalize yourself into a false sense of security. Admittedly, a large number of reported pregnancies are after balloon endometrial ablation.

If you would like more information you will probably have to go to a medical library and look up the citations for more information (unless you internet access to medical journals).

Unfortunately, the best conclusions I can come to at this time are:

1. Pregnancy is possible after ablation if you are having regular menstrual periods.
2. This risks of pregnancy after ablation are miscarriage, preterm pregnancy loss, and placental abnormalities.
3. Individuals will have to decide if they are willing to take these risks- but this same point could be made about the decision of any woman to become pregnant even in the absence of any risk factors.

By: Kathie G

Kathie G — Wed, 23 Dec 2009 20:50:36 +0000

After all of my research, it seems that there is not enough data compiled to give me an accurate picture of my chances of success- 0.9% pregnancy rate was listed as accidental. Were most of these women using birth control as directed following the procedure? There are no measurements of the linings due to 112 out of 113 pregnancies being accidental and a percentage of those being purposefully aborted. Do you have any information on the successful planned pregnancy following ablation and tubal reversal? Was a specific report of that woman’s pregnancy, birth, complications, etc…submitted? If so, did she make it available to the public? It seems there is little information for someone in my position with which to make an informed decision. The listed risks make a huge difference in my decision but it seems my situation is very different from everyone else primarily in that my ablation was a failed procedure. I was not able to access full case studies from the links in your article on endometrial ablation, only very brief summaries that did not answer my questions. Can you help me find more detailed information with which to make an educated decision regarding my course of action, if any? Thank you for your time.

By: Dr. Berger

Dr. Berger — Wed, 23 Dec 2009 20:49:15 +0000

Read the blog about studies of pregnancy after endometrial ablation. We will be publishing more blogs about pregnancy after tubal reversal and endometrial ablation.

By: Kathie G.

Kathie G. — Wed, 23 Dec 2009 20:46:44 +0000

I am 38. Had one miscarriage at age 18, 2 children full term healthy vaginal deliveries in 92 and 94. tubal in 94 using rings only. endometrial ablation in 06 using hot water no balloon. My bleeding is only slightly reduced but still heavy and resumed immediately following the procedure. i am overweight, a non-smoker, and have no health problems. i have had a saline infused ultrasound which shows the lining of my uterus to be in a healthy state and actually a little thicker than normal. All this seems like my chances of pregnancy may be pretty good following a reversal. i know the ablation procedure is still very new. Can you tell me if there are any statistics available that can tell me what my chances of a healthy pregnancy might be if i do have a reversal?

By: Erika J.

Erika J. — Wed, 23 Dec 2009 11:56:08 +0000

Good to know that there are also positive aspects to ablation. Thank you for the article.

By: Lyndi

Lyndi — Tue, 22 Dec 2009 23:05:21 +0000

Thank you for more great information regarding pregnancy and endometrial ablation.

By: Sally,RN

Sally,RN — Tue, 22 Dec 2009 22:54:08 +0000

Thank you for offering the positive and negative aspects of endometrial ablation. Women considering tubal reversal should go into this with their eyes wide open.

By: Endometrial Ablation and Tubal Ligation Reversal: Advice

Endometrial Ablation and Tubal Ligation Reversal: Advice — Tue, 22 Dec 2009 19:49:55 +0000

[...] Reversal After Ablation: AdviceWe will continue our advice in the next article. The next article, Tubal Reversal After Ablation: Pregnancy Advice, will focus on patients who have light or normal menstrual periods after endometrial ablation.More [...]