Endometrial ablation is supposed to destroy the uterus lining and make it thinner. Sometimes, the procedure works to the extent that it’s almost as if a hysterectomy has been done, but a very thin lining still remains in other cases. This makes it possible for people to still get pregnant as the egg can implant and become fertilized. But since the lining is so thin, the pregnancy might terminate in between or be very risky for the parent and baby. So, doctors still recommend using birth control even after the procedure.  If you wish to have a baby, discuss your options with your medical advisor before going along with the procedure.