“Endometrial ablation?”
The patient is in her mid-50s and had a successful endometrial ablation more than 7 years ago. Does birth control still need to be used or could pregnancy occur?
Female | 53 years old
Conditions: None
4 Answers
Dr. Kesha Robertson
OB-GYN (Obstetrician-Gynecologist)
No likely that pregnancy would occur...but since her fallopian tubes are still open then she should still be aware that anything is possible.
Labs can be drawn for menopausal status like an LH, FSH and estradiol level. If labs suggest menopause is unlikely.
Also due to both age and the ablation should fertilization actually occur it would be unlikely to culminate in a full term pregnancy and will more than likely end in spontaneous abortion. Unfortunately, Women in their 50s have more genetically abnormal embryos which naturally don't survive.
Also the ablation which has damaged the uterine lining would make implantation unlikely.
Otherwise this would be a very high risk pregnancy.
Hope this helps.
Labs can be drawn for menopausal status like an LH, FSH and estradiol level. If labs suggest menopause is unlikely.
Also due to both age and the ablation should fertilization actually occur it would be unlikely to culminate in a full term pregnancy and will more than likely end in spontaneous abortion. Unfortunately, Women in their 50s have more genetically abnormal embryos which naturally don't survive.
Also the ablation which has damaged the uterine lining would make implantation unlikely.
Otherwise this would be a very high risk pregnancy.
Hope this helps.
Endometrial ablation does not give complete guarantee of infertility
Hence on a premenopausal patient, we do give them cautious advice to use protection
The likelihood of a pregnancy after a successful endometrial ablation is less
But if somebody is in her mid 50s, the likelihood of pregnancy is less anyways
So I do not think she needs birth control now
Hence on a premenopausal patient, we do give them cautious advice to use protection
The likelihood of a pregnancy after a successful endometrial ablation is less
But if somebody is in her mid 50s, the likelihood of pregnancy is less anyways
So I do not think she needs birth control now
It is unlikely but not impossible
She could check her hormones to see if she is in menopause. If not, she should use birth control to be safe
She could check her hormones to see if she is in menopause. If not, she should use birth control to be safe
Your doctor should have went over this information with you prior. I've detailed the information extensively here for you to read. Hope all goes well. https://iowawomenshealth.com/treatments/endometrial-ablation/
