Though pregnancy after endometrial ablation is not common, there is still a possibility of getting pregnant. If a woman becomes pregnant after endometrial ablation, however, there is a higher risk of miscarriage, premature birth, and cesarean delivery. For these reasons, women should not opt for endometrial ablation until family planning is done.
What is the procedure?
Ablation is used as a treatment option for endometriosis. During the procedure, a thin layer of the endometrial lining is destroyed. The goal of the procedure is to reduce heavy bleeding and other symptoms associated with endometriosis. Though menstruation may not stop entirely, bleeding will get lighter.
Is the procedure always necessary?
Women who still want to get pregnant have hope. Endometrial ablation is one of many treatments for endometriosis. Many women have success with hormonal treatment for the condition. Birth control pills, IUDs, or birth control injections can all be effective. Some women may opt for gonadotropin-releasing hormone (GnRH) agonists.
When is hormonal treatment better?
Hormonal treatments can cause some side effects, like weight gain, mood changes, or bloating. However, for women who still want to get pregnant someday, birth control pills, IUDs, and other hormonal contraceptive options are preferable. GnRH agonists stop ovulation and are explained as putting the body into a menopausal state. With all hormonal treatments, symptoms of endometriosis often return when treatment stops.
When to choose surgery
Surgical treatment can be extremely effective in reducing pain. However, women should take care to discuss the pros and cons of surgery with an OB/GYN before treatment. Some procedures cannot be reversed and affect fertility. When a woman is done having children, surgery may be a preferable option with lasting results.
Risks vs benefits
While pregnancy after endometrial ablation is possible, getting pregnant after the procedure is not common or recommended. Women should understand the risks and benefits of endometrial ablation before opting to have the procedure done. For more information regarding endometriosis treatments, women should speak with an OB/GYN.