Endometrial Ablation is best used in the setting of heavy menstrual flow without pelvic pain. One author reported a reduction in PMS symptoms after Endometrial Ablation. This procedure is likely to cause a woman to be unable to get pregnant in the future, although it is not a form of birth control. Since pregnancy after an ablation carries extremely high risks, women are encouraged to consider tubal sterilization, or plan to use another method of birth control,if the possibility of future pregnancy exists.