Can You Get Pregnant After Essure and Ablation?
Essure and ablation are two popular procedures used for women who want to prevent pregnancy. Essure is a permanent form of birth control, while ablation is a treatment for heavy menstrual bleeding. But what happens if you change your mind and want to have a baby after undergoing either or both of these procedures? Can you still get pregnant? In this article, we’ll take a closer look at the effects that essure and ablation have on fertility and explore the possibilities of conceiving after these procedures.
Understanding Essure and Ablation Procedures
Essure is a minimally invasive procedure that involves placing small metal coils into the fallopian tubes to block them. The procedure is done in a doctor’s office and does not require any incisions. Over time, scar tissue forms around the coils, creating a permanent barrier that prevents sperm from reaching the egg.
Ablation, on the other hand, is a surgical procedure done in a hospital or outpatient facility. It uses heat, electricity, or cold to destroy the lining of the uterus, which reduces or stops heavy menstrual bleeding. The procedure can be done using a variety of techniques, including radiofrequency, microwave, or laser.
How Essure and Ablation Affect Fertility
Essure and ablation are both designed to be permanent solutions for birth control and menstrual bleeding. While they do not remove the ovaries or uterus, they can affect fertility by altering the reproductive system. Essure blocks the fallopian tubes, which means that the egg cannot travel from the ovary to the uterus. Ablation, on the other hand, can damage the lining of the uterus, making it difficult for a fertilized egg to attach and grow.
Risks of Pregnancy After Essure and Ablation
If you have had essure or ablation, there is a risk of becoming pregnant. While the chances of pregnancy are low, they are not zero. In some cases, the coils used in essure can migrate or become dislodged, which can lead to pregnancy. Ablation can also fail to completely destroy the lining of the uterus, allowing a fertilized egg to attach and grow.
If you do become pregnant after essure or ablation, there is a higher risk of complications. Ectopic pregnancy, where the fertilized egg implants outside the uterus, is more common after essure. Pregnancy after ablation can also increase the risk of miscarriage, preterm birth, and other complications.
Success Rates of Pregnancy After Essure and Ablation
While pregnancy is possible after essure and ablation, the success rates are low. According to a study published in the Journal of Minimally Invasive Gynecology, the pregnancy rate after essure was 0.5%, and the live birth rate was 0.2%. The success rates for ablation are slightly higher, with one study reporting a pregnancy rate of 15% and a live birth rate of 10%.
Alternatives to Pregnancy After Essure and Ablation
If you have had essure or ablation and are considering pregnancy, there are alternatives to natural conception. In vitro fertilization (IVF) is a popular option for women who have had essure or ablation. IVF involves fertilizing the egg outside the body and then transferring the embryo to the uterus. This bypasses the blocked fallopian tubes and damaged uterus lining, increasing the chances of a successful pregnancy.
Conceiving After Essure and Ablation: What to Expect
If you decide to pursue pregnancy after essure or ablation, it is important to speak with your doctor first. They will likely recommend removing the essure coils or performing a test to ensure that the uterine lining has healed before attempting to conceive. You may also need to undergo fertility treatments such as IVF or intrauterine insemination (IUI) to increase your chances of success.
Consultation with a Fertility Specialist
If you are considering pregnancy after essure or ablation, it is important to consult with a fertility specialist. They can evaluate your specific situation and recommend the best course of action for you. They can also provide information about the risks and benefits of each option and help you make an informed decision.
In conclusion, pregnancy after essure and ablation is possible, but the success rates are low. If you have had either or both of these procedures and are considering pregnancy, it is important to speak with your doctor and a fertility specialist. They can help you understand your options and provide guidance as you embark on your journey towards parenthood.