Uterine ablation can you still get pregnant
Pregnancy after EA is not a rare occurrence, regardless of which technique is used. Whether women choose to go on or terminate their pregnancy, this clinical situation can be associated with serious complications and even maternal death. Counselling about contraceptive options at the time of EA is paramount. Abstract Endometrial ablation EA has been performed for the past two decades as an alternative to hysterectomy in women with dysfunctional-uterine bleeding unresponsive to medical treatment.
Publication types Case Reports Review. The following is a pregnancy testimonial sent to him by one of his patients who became pregnant after reversing her tubal ligation after she had an endometrial ablation procedure.
I had my tubes tied in after the birth of my youngest daughter, then an endometrial ablation in My three are from my first marriage. After three years of saving, research planning, and preparing we had our tubal reversal 8 months ago, on February 11th. I am currently 30 weeks pregnant we successfully got pregnant in March. Our son is due December 12th, and this is my healthiest pregnancy yet.
We are so thankful to Dr. There were so many risk factors because of my medical history, and so many negative conversations, but Dr. Monteith gave us the opportunity to make our own educated decision about getting the reversal and we could not be happier. Patient age: 29 Tubal ligation type: Ligation resection tied and cut Patient hometown: Greencastle, Pennsylvania. If you regret your endometrial ablation procedure after you have had your tubes tied then you have four choices:. Most experts recommend you not become pregnant after an endometrial ablation procedure because each pregnancy will be at much higher risk of a serious complication.
Adoption is straightforward and easy to understand. Although many people express interest in adoption, most couples wont actually pursue adoption as a means to have another child. Most couples want a child genetically similar to themselves.
Adoption is not always easy, may take several months to years, and can be just as expensive and sometimes even more expensive than infertility treatments. Not even adoption is guaranteed…sometimes the process breaks down near the end and the adoption may never occur. Adoption is always a noble idea and should be strongly considered by women who want another child after having an endometrial ablation.
Here is where the problems begin. Most IVF doctors will not want to work with you if you have had an ablation procedure. People pick IVF doctors based on their success. IVF doctors only want to work with patients who can give them the best chance of success.
IVF is less likely to work when you have had an endometrial ablation because the uterine lining is damaged and the eggs are less likely to implant. Many IVF doctors will strongly recommend you have a gestational surrogate.
IVF gestational surrogate. Many experts recommend you have IVF with a gestational surrogate. Although IVF with a gestational surrogate is recommended, many women with endometrial ablation will find this an expensive way to go.
Tubal reversal. Some women will consider tubal reversal surgery. In the appropriately selected candidate tubal reversal can be an option to become pregnant naturally. Tubal reversal allows you the chance to become pregnant every month…and you can become pregnant more than once.
Each month you have a chance to become pregnant and each month the chances add up. More information: Cost of tubal reversal. Tubal reversal can be a more affordable alternative to IVF. Each month you have a chance to get pregnant and you dont need the assistance or treatment of a medical professional.
Many mistakenly think IVF is a better treatment than tubal reversal when it comes to getting pregnant after tubal ligation and endometrial ablation. You will be greatly mistaken if you believe IVF is better. IVF is only better than tubal reversal when you use a gestational surrogate. When you see the cost of IVF or when an IVF doctor they refuses to see you because of your ablation…only then will you understand how tubal reversal can be a good alternative to IVF. In general pregnancy is not recommended after endometrial ablation because of the higher risk of pregnancy miscarriage, stillbirth, fetal growth problems, and higher risk deliveries.
Monteith does offer specially selected candidates with endometrial ablation tubal ligation reversal surgery because pregnancy is possible. In most cases, women with heavy bleeding are treated first with medication. If heavy bleeding cannot be controlled with medication, endometrial ablation may be used.
Endometrial ablation should not be done in women past menopause. It is not recommended for women with certain medical conditions, including the following:. Endometrial hyperplasia. Pregnancy is not likely after ablation, but it can happen. If it does, the risks of miscarriage and other problems are greatly increased. If a woman still wants to become pregnant, she should not have this procedure. Women who have endometrial ablation should use birth control until after menopause.
Sterilization may be a good option to prevent pregnancy after ablation. A woman who has had ablation still has all her reproductive organs. Routine cervical cancer screening and pelvic exams are still needed.
Radiofrequency—A probe is inserted into the uterus through the cervix. The tip of the probe expands into a mesh-like device that sends radiofrequency energy into the lining. The energy and heat destroy the endometrial tissue, while suction is applied to remove it. Freezing—A thin probe is inserted into the uterus.
The tip of the probe freezes the uterine lining. Ultrasound is used to help guide the procedure. Heated fluid—Fluid is inserted into the uterus through a hysteroscope, a slender, light-transmitting device. The fluid is heated and stays in the uterus for about 10 minutes.
The heat destroys the lining. Heated balloon—A balloon is placed in the uterus with a hysteroscope. Heated fluid is put into the balloon. The balloon expands until its edges touch the uterine lining.
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