What Are the Risks of Pregnancy after Endometrial Ablation?

Author: Sandra Wilson

Author: Sandra Wilson

If a woman has heavy menstrual bleeding, she may be offered a procedure called endometrial ablation at some point. This is where the inside of the uterine lining is removed using either electric current, microwave, freezing or laser. In rare cases it might even be surgically removed. This is typically a last resort for women who have experienced long-term problems with heavy bleeding.

If a woman bleeds too much each month, she can develop conditions such as anemia that can cause further harm to her health. Therefore, for some women endometrial ablation becomes the only option. Typically, these women have also tried things such as birth control pills to lessen the amount of bleeding they experience each month. Unfortunately, some women do not tolerate birth control pills very well due to their side effects.

One of the main considerations that a woman should take into account before deciding to have this procedure is whether or not she plans to have any more children. Often, women are so concerned about stopping the bleeding but they may not think ahead to their desires for a larger family later or to possible changed relationships.

The concern here is that endometrial ablation removes most, if not all, of the uterine lining. For a healthy pregnancy to happen, a woman needs a nice, thick uterine lining for the fetus to attach. This is why even if an egg is fertilized (and as this happens in the fallopian tubes there is nothing to stop it), a pregnancy can not really proceed.

Without this lining, pregnancy would be a very rare occurence and usually happens only due to the fact that not all cells or lining are actually removed during the procedure. However, it can happen and there can be some pretty serious consequences if it does.

These pregnancies are considered to be very high risk due to the fact that they can cause the placenta to not adhere normally to the side of the uterine wall. This can later cause hemorrhage before or even during delivery. These pregnancies are also at risk for pre-term delivery as well.

Because of the enormous risks a woman would face if she becomes pregnant after endometrial ablation, she needs to have a thorough conversation with her doctor before making any decisions. Aside from these risk factors in case of a pregnancy, there are also risks to having the procedure itself so it is important to know all the facts. A tubal ligation may be the suggested course of action.About the Author:

However, 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 and wish a tubal reversal, you should discuss this matter with the doctors at the Chapel Hill Tubal Reversal Center. It would still be a high risk pregnancy. Check out the website http://www.tubal-reversal.net/ or call the staff at (919) 968-4656 for a FREE phone consultation.

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