Have you had an endometrial ablation before? The reason I ask is a friend of mine had an ablation, and was told she would not be able to get pregnant at all. Well, she went to a shotty doctor, who forgot to tell her that she SHOULD not get pregnant, not that she COULD not get pregnant. Well, here we are 4 years later, and she is 8 months pregnant, and has thankfully had no problems. She is now going to my doctor, who informed her that he does not perform and endometrial ablation without performing a tubal ligation. The reason for this, is if you get pregnant after the ablation, it is very high risk of the placenta detaching from the uterine wall and miscarrying, at any point in the pregnancy. I would think long and hard before making any decisions at all. Also, there is a third option to help with the endometriosis which is not permanent. I myself have had 8 abdominal surgerys, so I understand your dilema. I used Lupron twice to buy me time before having to make a permanent decision. Lupron is a shot that puts you into menopause. It lasts for 6 months. It worked wonders for me, plus no cycles during that time! If you would like a second opinion, please consult my OB/GYN. His name is Dr. Darrell Jordan. He is out of Medical City in Dallas. I have been seeing him for 11 years now, so I can tell you he is absolutely wonderful, and he does not believe in performing radical procedures unless it is last resort. Here is his contact info http://cgi.photobooks.com/scripts/troll.cgi?dbase=mcdalla.... Please private message me if y ou have any questions.