Pregnancy After Thermal Ablation and Tube Reversal

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I had my tubes tied at the same time as having my ablation done. You really need to speak with your OB because as I understood it from my Perinatologists once you have the ablation done you will not be able to safely carry a child. In our case I am not allowed any types of hormones (no birth control for me) so we opted to tie my tubes at the same time.

If I remember correctly, the ablation procedure removes the lining in the uterus where an egg would normally attach itself. Pregnancy is still possible however because there is no lining to provide the nutrients the baby needs to grow normally most will end in early miscarriage. There is also the risk of the egg implanting in the uterine muscle because there is no lining. I know there is a medical term for this but for the life of me can't remember it. At any rate if the egg does implant in the muscle the baby could also have restricted growth due to lack of blood supply and may result in late term miscarriage. There was also the risk of the placenta not separating from the muscle after birth which could have caused me (on blood thinners for my disease) to bleed to death at worst or in need of emergency hysterectomy at best. Neither of those risks appealed to me...and to be quite honest my medical team had told us that it would be way to risky for me to try for a third child so we had already made up our minds we were done prior to me inquiring about the ablation procedure.

I know I am very blessed to have our two healthy girls. Many women with my condition are unable to successfully carry to term. We too have suffered several miscarriages. I wouldn't wish that pain on my worst enemy.

Please use caution when considering pregnancy. Do your research on the exact procedure you had done. I can tell you that my team from Hopkins told us that they had not seen a successful pregnancy post ablation therefore they wanted us to really be sure we were done prior to considering having the procedure.

Peace and Blessings,
T. B

Welllllll...it's my understanding that you are basically NOT going to be able to conceive...My oldest daughter has had both (I had a tubal) she had Ablation X2, I got the info for her for her 1st & what I read & what her Gyn explained to her was that the conception was not the problem as much as the ability to carry a child. Tubal ligation reversal depends on the type that you had, mine would have been an easy reversal (which I considered when I met & married my DH @ 36) I simply had the rings put on the tubes. My DD had hers cut & ringed. My sister had hers cut, cauterized, ringed just to make SURE.

If I were you I would 1st go online & check out the info on the ablation & see if I am correct as medically speaking things change quickly.

I would call UofA there in Birmingham, they are the cutting edge on all new techniques, fertility, etc..

Just FYI...I got my 3 Grans permanently @ age 48 to raise (2mts, 13mts & 4yrs) and though the early years were difficult with two in diapers, etc. I now find myself shorter of temper for those things that we go through in normal teen yrs. (they are now 12, 13, 17)...I AM tired in a different way, though I wouldn't trade them for the world it will be a few more yrs. before we can actually, 'retire' in the true sense of the word, I will be 66 when my youngest graduates HS & my DH will be 70...just some things to think about...It's HARD to be the Granparents we need to be to the other Grans when our (gran) kidz here are the same age (basically other than the oldest who is 25 with our 1 yr old GREAT GRAN Daughter)...

I wish you the best in your new marriage & your quest!

My answer is going to be harsh but honest: at 45, after a tubal and endometrial ablation your chances for becoming pregnant naturally are basically nil.
Do not waste your time and money on a tubal reversal. It takes a few months to heal until you can even try to get pregnant, at your age most fertility specialist will advise you to mabe try for three cycles and then you are back at IVF. At 45 time is not on your side.

What you can do is see a fertility specialist and get your uterine lining assessed. Depending on the damage/scarring to your endometrium you may not be able to carry a pregnancy to term if if you would manage to get pregnant. If that is the case you will need a surrogate.

Then there is the issue of egg quality. Most fertility doctors will advise women at your age to consider donor eggs - though they may offer you to try at least one retrieval to see if you are able to produce eggs and what the quality may be.

Depending on the outcome of those tests your only realistic option of conceiving would be through IVF, either with your own or donor eggs.

Good luck.

When I had my ablation in 2008 I was told that pregnancy would be too dangerous for me and the baby so birth control is needed until menopause. I had the NovaSure one done. Here is a link from Webmd that I found. http://women.webmd.com/endometrial-ablation-16200