Can I carry a baby after uterine ablation?

Answers from doctors (6)


Fertility Center & Applied Genetics of Florida

Published on Jun 01, 2015

Hello,
I do not advice that you carry after a tubal ablation. The resulting pregnancy would have a very high risk of resulting in abnormal placentation and severe complications. Here is an excerpt from a recent article by P Sinha, F Noor. Pregnancy following balloon thermal endometrial ablation. The Internet Journal of Gynecology and Obstetrics. 2008 Volume 10 Number 2.:

"There are approximately 70 cases of post ablation pregnancy in the literature so far. Thirty-one viable pregnancies resulted, with a high proportion of complications. These included a perinatal mortality rate of 12.9% (4 cases), and an overall prematurity rate of 42%, which reduced to 31% after excluding iatrogenic deliveries performed for other complications. Eight (26%) cases had a morbidly adherent placenta and a further two cases required a manual removal of placenta. Seven (39%) of the term births were reported as having malpresentations and 71% of the total births were by caesarean section. These complications are likely due to post ablation uterine changes including intrauterine adhesions, contracture of the endometrial cavity, and deficient endometrium (similar to Asherman syndrome)."

At this time my recommendation is to consider IVF with a gestational carrier instead.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1918_1416362396.jpg
Answered by Fertility Center & Applied Genetics of Florida

Hello,
I do not advice that you carry after a tubal ablation. The resulting pregnancy would have a very high risk of resulting in abnormal placentation and severe complications. Here is an excerpt from a recent article by P Sinha, F Noor. Pregnancy following balloon thermal endometrial ablation. The Internet Journal of Gynecology and Obstetrics. 2008 Volume 10 Number 2.:

"There are approximately 70 cases of post ablation pregnancy in the literature so far. Thirty-one viable pregnancies resulted, with a high proportion of complications. These included a perinatal mortality rate of 12.9% (4 cases), and an overall prematurity rate of 42%, which reduced to 31% after excluding iatrogenic deliveries performed for other complications. Eight (26%) cases had a morbidly adherent placenta and a further two cases required a manual removal of placenta. Seven (39%) of the term births were reported as having malpresentations and 71% of the total births were by caesarean section. These complications are likely due to post ablation uterine changes including intrauterine adhesions, contracture of the endometrial cavity, and deficient endometrium (similar to Asherman syndrome)."

At this time my recommendation is to consider IVF with a gestational carrier instead.

Published on Jul 11, 2012


Cleveland Clinic

Published on Jun 01, 2015

It is unlikely that you would be able to carry a pregnancy but for verification please see your OB/GYN

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/2074_1416362400.jpg
Answered by Cleveland Clinic

It is unlikely that you would be able to carry a pregnancy but for verification please see your OB/GYN

Published on Jul 11, 2012


Sanford Health Fertility and Reproductive Medicine

Published on Jun 01, 2015

It would be best for you to call your provider that did the procedure and discuss with him/her. Thanks

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1855_1416362395.jpg
Answered by Sanford Health Fertility and Reproductive Medicine

It would be best for you to call your provider that did the procedure and discuss with him/her. Thanks

Published on Jul 11, 2012


South Florida Institute For Reproductive Medicine - Pembroke Pines

Published on Jun 01, 2015

While there are a few few successful pregnancies that occur after a ablation,you should not get pregnant as the risk of abnormal placentation ( placenta implanting into the uterine muscle layer) is too great.You should consider IVF using a surrogate

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1992_1416362398.jpg
Answered by South Florida Institute For Reproductive Medicine - Pembroke Pines

While there are a few few successful pregnancies that occur after a ablation,you should not get pregnant as the risk of abnormal placentation ( placenta implanting into the uterine muscle layer) is too great.You should consider IVF using a surrogate

Published on Jul 11, 2012


Piedmont Reproductive Endocrinology Group

Published on Jun 01, 2015

In most cases, the uterus is damaged and pregnancy should not be attempted. Pregnancies have occurred after ablations, but they are associated with a much higher rate of pregnancy complications.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1879_1416362395.jpg
Answered by Piedmont Reproductive Endocrinology Group

In most cases, the uterus is damaged and pregnancy should not be attempted. Pregnancies have occurred after ablations, but they are associated with a much higher rate of pregnancy complications.

Published on Jul 11, 2012


Although natural pregnancy is possible after ablation, pregnancy is not recommended because each pregnancy is at much higher risk of complication.

Answered by A Personal Choice Tubal Reversal (View Profile)

Although natural pregnancy is possible after ablation, pregnancy is not recommended because each pregnancy is at much higher risk of complication.

Published on Jul 11, 2012


Related Questions for Tubal Reversal

Tubal Reversal -2 answers
I had my tubes clamped with a little micro machine. I don't remember what it is called though. Nonetheless, I want to get the clamp off so that I can try to become pregnant. I am married and seriously want to have a baby with my husband. How much trouble would it be to get my tubes unclamped? If I do this, what are my chances of getting pregnant?
See More
Tubal Reversal -1 answer
I live in Cleveland, Ohio and I was wondering how much tubal reversal cost?
See More
Tubal Reversal -1 answer
Does insurance help pay for any of the cost for removing clamps? And what is the time limit for being in the hospital after surgery?
See More
Tubal Reversal -1 answer
I had my tubes cut, tied, and burnt! I was just wondering if there was a way to get pregnant without getting my tubes untied.
See More
Tubal Reversal -2 answers
I have my tubes clamped and I was wondering if there was a possibility they can loosen and I could become pregnant? I was very fertile before the tubal ligation.
See More
Tubal Reversal -1 answer
I am 30 years old. Can I get my tubes untied? My doctor that tied my tubes said he could untie them because I was only 25 when I got them tied.
See More
Tubal Reversal -1 answer
I had my tubes tied 10 yrs ago. Is it possible that they could come untied on their own?
See More
Tubal Reversal -1 answer
I had both my tubes removed due to ectopic pregnancies. Is there any chance my tubes will grow back and I will become pregnant naturally? I have heard it is possible....
See More
Get answers from our experienced doctors.
How it works
Tubal Reversal -1 answer
I have metal clamps on my tubes can those be removed?
See More
Tubal Reversal -1 answer
I had the Hulka clips put on during a tubal ligation procedure when I was 24 years old. I am now 30 and my husband and I want another child. We are uncertain if my irregular periods are being caused by some of the Hulka clips coming off, or maybe the tube has grown around them. Is this likely and would either cause irregular periods? Also, would tubal reversal be a good option if we are considering having another child?
See More
Tubal Reversal -1 answer
I also have high blood pressure. I would like to have another baby. I had 3 healthy babies with no complications prior to the procedure.I still have regular periods what are my chances and/or risks with this procedure?
See More
Tubal Reversal -1 answer
I have my medical records on my tubal ligation and it just says "right and left fallopian tubes: complete transections. What does this mean? Can I still have a tubal reversal?
See More
Tubal Reversal -1 answer
Is it normal to have heavy menstruation after Tubal Reversal?
See More
Tubal Reversal -1 answer
My fallopian tubes have been cut and burned. I want to have a tubal reversal, is this possible?
See More
Tubal Reversal -1 answer
I am 30 years old and highly considering tubal reversal surgery. I have two children and never had a problem conceiving or carrying a child. I was 23 when my doctor did my sterilization. The op report said what they took out but not amount of tubes l
See More
Tubal Reversal -2 answers
I only got clamps on my tubes, so does this make tubal reversal easier? Also will this reduce the cost of the surgery?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR