Miscarriage risk with endometrial ablation
February 11, 2020Articles
An Endometrial ablation destroys a thin layer of the lining of the uterus. Endometrial ablation is used to treat many causes of heavy bleeding. In most cases, women with heavy bleeding are treated first with medication. If heavy bleeding cannot be controlled with medication, endometrial ablation may be used.
Unfortunately, in most cases, women who have performed endometrial ablation will not be able to conceive a child. Though there are still some women who may be able to have a baby after this procedure, their number is rather small and the prospects are discouraging. Since part of or all of the endometrial lining is destroyed during the ablation procedure, pregnancy after endometrial ablation can be really risky for both the mother and the child. Again, the chances of pregnancy after endometrial ablation are possible but not without significant health risks.
Even if a woman gets pregnant, the risk of miscarriage as well as abnormalities in birth is greatly increased. Most women who have had this procedure are advised against getting pregnant as the pregnancy may be both difficult and dangerous.
It is, therefore, my recommendation that after IVF to consider a Gestational Carrier.
A longitudinal study on women who conceived after an endometrial ablation shows the risk of abnormal fetal growth, genetic abnormalities such as trisomy, defects in the neural tube, and stunted growth.
Apart from the risks to the fetus, there are several risks to the mother as well. Any diseases that the pregnant woman may have had before the pregnancy may be exacerbated. There is an increased risk of developing preeclampsia as well as gestational diabetes. According to the research, a majority of women with pregnancies after endometrial ablation were admitted several times in the hospital due to pregnancy complications throughout the pregnancy. The morbidity rate was 26%. About 42% cases ended up in premature birth, and about 71% cases had a cesarean birth. The proportion of birth complications was high.