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Saturday, August 9, 2014

Pregnancy After Uterine Ablation

Endometrial ablation treatments to control heavy menstrual bleeding render the uterus infertile, or we should say they typically render the uterus inhospitable for pregnancy. Women who have an endometrial ablation should not try to get pregnant and should be using effective contraception. The endometrial ablation technique often fails to render the uterus infertile, gynos always insist on having their patients use contraception after the procedure.The  endometrial ablation techniques are designed to eliminate the endometrial tissue (the lining tissue) of the uterus, either residual tissue or regeneration of the tissue is relatively common. The use of hormones can make this regneration of tissue more likely. When endometrial lining regeneration occurs women have been both at risk and voluntarily undergoing pregnancy after endometrial ablation in greater and greater numbers. In a recent Clinical Opinion by the Society of Maternal-Fetal Medicine they point out that one of the risk factors for having serious bleeding from the placenta in pregnancy. This bleeding after ablation in pregnancy due to a rare placental abnormality acreta (the placenta growing abnormally deep or through the wall of the uterus is pregnancy after an endometrial ablation. The actual statistical risk of this occurring is not known. It is more likely if other factors have occurred: prior C-sections prior uterine surgeries including curettage or uterine fibroids. There are known ultrasound appearances that can be a partial tip off, but the signs can be hard to see. The condition usually is not a problem until the pregnancy is being ended: such as during the delivery. Personal consultation with your gyno before a pregnancy is always best.

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