A 45-year-old lady with previous history of laporoscopic sterilization developed bilateral haematosalpinges 3 months post-microwave endometrial ablation (MEA). She subsequently underwent bilateral salpingectomy. This presentation, described as post-ablative tubal sterilization syndrome, has been reported in the literature with different endometrial ablation methods. However, according to our literature search, no case has been reported to date with MEA.

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