Pregnancy following endometrial resectoscopic ablation: A case report

Abstract

To present a case with pregnancy following endometrial resectoscopic ablation and discuss its incidence and complications. We presented a 43 year old premenopausal woman who had had endometrial resectoscopic ablation because of severe menometrorrhagia unresponsive to medical therapy. Eleven months after the operation she had a pregnancy which resulted in spontaneous abortion. The literature in English relevant to endometrial ablation and pregnancy were reviewed. The incidence of pregnancy following endometrial ablation is 0.7%. Most of these pregnancies will end in abortion. Only about 1 in 4 of these pregnancies will reach term. The most serious risk will be plasental penetration to myometrium and risk of death from severe hemorrhage. Successfull planned pregnancies following endometrial ablation have been reported. The premenopausal women must be informed about the risk of pregnancy and prevention methods after ablation. Concomittant tubal ligation can be an option.