Can I carry a baby after uterine ablation?

ANSWERS FROM DOCTORS (6)


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 Jun 01, 2015

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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


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 Jun 01, 2015

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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


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 Jun 01, 2015

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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


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 Jun 01, 2015

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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


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 Jun 01, 2015

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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


Answered by A Personal Choice Tubal Reversal

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

Published on Jun 01, 2015

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


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