Pregnancy following ablation therapy: a literature review

•Endometrial ablation (EA) therapy is an effective alternative to hysterectomy in women with heavy menstrual bleeding•The estimated pregnancy rate after ablation has been reported to be 0.24–5.2% and is associated with significant maternal and neonatal morbidity and even mortality.•Morbidly adherent placenta (MAP), which can lead to life-threatening hemorrhage associated with an increased risk of hysterectomy, remains a major concern when conceiving after EA with a reported 20-fold increased risk•The risk of becoming pregnant is allegedly significantly lower after performing a second-generation technique.•In this paper, we emphasize the importance of effective contraceptive counselling after endometrial ablation.