Can pregnancy improve adenomyosis?

When adenomyosis occurs, dysmenorrhea is a common symptom. The enlarged uterus makes it difficult for the embryo to implant, so the pregnancy rate is naturally low, and dysmenorrhea and menstruation are severe, and infertility may even occur. Using pregnancy to improve adenomyosis is itself a very contradictory thing. Can pregnancy really improve adenomyosis?

The pathogenic mechanism of adenomyosis is still unclear, but the widely accepted theory is that the endometrium grows directly from the basal layer down to the myometrium. Histopathological examination confirms the direct relationship between the endometrial islands and the endometrium. No matter how deep the ectopic endometrial tissue is, serial sections can confirm its connection to the endometrium.

As for whether it can be improved, scholars have shown that pregnancy does have a certain effect on the improvement of adenomyosis, but it may not be a cure. The most serious symptom of adenomyosis is dysmenorrhea, and pregnancy can suspend menstruation for 10 months. Without menstruation, dysmenorrhea symptoms will naturally not occur, thus achieving the purpose of eliminating the symptoms of adenomyosis.

Pregnancy does not really cure adenomyosis. Adenomyosis is caused by the invasion of the endometrium into the myometrium. After a woman has completed her pregnancy and childbirth, as her menstruation becomes normal again, the symptoms of dysmenorrhea caused by adenomyosis may reappear.

If conditions permit, patients with adenomyosis can get pregnant as soon as possible without severe dysmenorrhea. This will be of great help to the treatment of the disease. If there is no plan within a few years, or the adenomyosis is large, or dysmenorrhea seriously affects normal life, surgery should be performed before considering pregnancy. After all, adenomyosis itself is not a simple matter.