Endometrial ablation (EA) therapy is an effective alternative to hysterectomy in women with heavy menstrual bleeding. Although pregnancy after EA is uncommon, the obstetrical outcome is poor due to serious complications such as early miscarriage, ectopic pregnancy, invasive placentation, uterine dehiscence, postpartum hemorrhage and a higher rate of caesarean deliveries. Therefore, before performing EA, the patient should be thoroughly counselled about the risk of a subsequent pregnancy and the need for appropriate contraception.