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Reversing Endometrial Ablation And Tubal Ligation

pregnancy may be possible for some after endometrial ablationWe receive frequent requests from patients about the possibility of reversing tubal ligation and endometrial ablation.

The effects of endometrial ablation cannot be undone and cannot be reversed; however, pregnancy is possible after a reversal of tubal ligation in a woman with a previous endometrial ablation.

This article provides information about the possibility of pregnancy after reversing a tubal ligation when a woman has also had an endometrial ablation procedure.

Reversing An Endometrial Ablation: Is It Possible?

Endometrial ablation cannot be reversed.

Endometrial ablation involves applying energy to the lining of the uterus to cause enough damage to the cells lining the uterus to eliminate menstrual bleeding. Once this procedure has been done, the damage to the lining of the uterus is permanent and cannot be reversed. Often an endometrial ablation does not completely remove the uterine lining. In fact, a significant proportion of women who have ablations will resume their menstrual bleeding within five years of the procedure.

Pregnancy After Endometrial Ablation

Pregnancies after endometrial ablation have been reported in the medical literature. One of the largest reports on pregnancy after ablation identified 70 pregnancies after various techniques of endometrial ablation techniques were used. Approximately 50% of all the pregnancies were born at term without major complications while 42% were born prematurely. Four of the seventy pregnancies were stillborn. Eight of the 70 patients had difficult delivery or removal of the placenta.1

Any pregnancy after an endometrial ablation should be considered at increased risk for miscarriage, preterm birth, small for gestational age baby, stillbirth and a more difficult delivery that can increase the risk to maternal health.

Sterilization Reversal And Endometrial Ablation

Successful pregnancies have been described after in-vitro fertilization (IVF) and after  sterilization reversal (tubal reversal).2,3

These pregnancies are not without risk but they are possible.

Tubal Reversal And Endometrial Ablation

Tubal reversal can be done after an endometrial ablation and pregnancy is also possible. The tubal reversal specialists of A Personal Choice have established a specialized approach to sterilization reversal after endometrial ablation.

To determine if you are a candidate it is essential to know if you are having regular periods after your endometrial ablation.

If you are having regular periods after endometrial ablation, you may have uterine lining present which could be suitable for pregnancy implantation.

If you are not having regular periods, you are not a suitable candidate for tubal ligation reversal surgery.

If you are having regular menstrual cycles after your endometrial ablation, tubal reversal and pregnancy may be possible. Readers who have additional questions should call A Personal Choice at (919)968-4656 and one of the Tubal Reversal Nurses can provide you with a
free tubal reversal consultation.


1. Pregnancy following endometrial ablation: a review article. Hare AA, Olah KS., J Obstet Gynaecol. 2005 Feb;25(2):108-14.

2. Successful pregnancy after thermal balloon endometrial ablation followed by in vitro fertilization and embryo transfer. Kuzel D, Mara M, et al., Fertil Steril. 2010 Feb;93(3):1006.e11-3. Epub 2009 Nov 25.

3. Pregnancy following endometrial ablation: case history and literature review. Cook JR, Seman EI., Obstet Gynecol Surv. 2003 Aug;58(8):551-6.

Need More Information About Tubal Reversal?

A Personal Choice Tubal Reversal Center is in Raleigh, North Carolina and specializes in tubal ligation, Essure, and vasectomy reversal surgery.

Dr. Monteith specializes in helping couples have more beautiful children with reversal surgery and helping women treat abnormal symptoms after their tubes have been tied!

If you would like more information about reversal, including the cost and success rates, then enter your email address below and you will be emailed more information about reversal.

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Join Our Facebook Group?

Women who need more advice about reversal are encouraged to join A Personal Choice’s public Facebook group:

Facebook Tubal Reversal Group of A Personal Choice

By joining the group you can communicate with other women who have had successfully reversed their tubal ligation and restored their natural fertility.

Have Questions? We’re Happy To Help!

We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.

Have a Question? Drop Us A Line!

If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

Please view our most frequently asked questions before sending your questions.

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