Uterine Ablation

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Uterine Ablation

Question:

Is there any way to reverse a uterine ablation? I had an ablation done several years ago when I had my tubes tied, and I am regretting this. My life has changed and I now want another child. Is there any way to reverse the procedure?

Answer

No. The procedure should only be done when a patient has no plans for future pregnancy. It cannot be reversed.

Uterine ablation is surgery to treat abnormal bleeding when the bleeding is due to noncancerous causes. It is a less invasive alternative to a hysterectomy, in which the lining of the uterus (endometrium) is destroyed or removed while leaving the rest of the uterus in place.

Although uterine ablation decreases the chances of becoming pregnant, it is not a reliable method of birth control. Sexually active women must continue to use contraception.

Pregnancy after ablation is potentially dangerous because the uterus has been damaged. Pregnancy complications include miscarriage, excessive bleeding, ectopic pregnancy, premature delivery, and abnormal placental development.

Joan Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.

Last updated:	July 20, 2009