Does adenomyosis increase the risk of miscarriage?

Adenomyosis does increase the chance of miscarriage, especially after 12 weeks of pregnancy. This issue makes many expectant mothers anxious. Next, I will explain in detail how adenomyosis affects pregnancy and provide some practical suggestions to help you better cope with this challenge.

1. The relationship between adenomyosis and miscarriage

Adenomyosis is a condition in which the endometrium is displaced to the myometrium. This abnormal tissue structure may affect the normal function of the uterus. Due to the abnormal structure of the uterus, the growth environment of the fetus in the uterus will be affected, leading to an increased chance of miscarriage. Especially after 12 weeks, the development of the placenta requires a more stable uterine environment, and the uterus of patients with adenomyosis may not be able to provide such support.

2. Reasons for increased risk of miscarriage

The changes in the uterine environment caused by adenomyosis are mainly reflected in inflammatory reactions, thickening of the uterine myometrium, and abnormal blood flow. These factors may lead to placental insufficiency, affect the nutrition and oxygen supply of the fetus, and thus increase the risk of miscarriage. Abnormal contraction of the uterine myometrium may also lead to early miscarriage.

3. Treatment recommendations before pregnancy

In order to reduce the risk of miscarriage, appropriate treatment is recommended before planning a pregnancy. Treatment options include medication and surgery, and the specific choice needs to be determined based on the severity of the patient's condition and personal needs. Medication usually includes hormone therapy, which aims to relieve symptoms and shrink lesions. Surgical treatment may involve lesion removal or uterine artery embolization.

4. Monitoring and management during pregnancy

For pregnant women with adenomyosis, regular prenatal checkups are particularly important. Through ultrasound and other examinations, doctors can monitor the development of the fetus and changes in the uterus. Once abnormalities are found, timely measures can reduce the risk of miscarriage.

5. Adjustment of lifestyle

A healthy lifestyle is also helpful in reducing the risk of miscarriage. Maintaining a balanced diet, moderate exercise and a good mental state can enhance the body's immune ability and improve the uterine environment. At the same time, avoid smoking, drinking and excessive fatigue to reduce potential effects on the fetus.

6. Psychological support and professional consultation

Facing the risk of miscarriage, psychological pressure is inevitable. Seeking professional psychological support and consultation can help patients better cope with anxiety and uneasiness. With the support of doctors and family members, maintaining a positive and optimistic attitude will also have a positive effect on the smooth progress of the entire pregnancy.

Adenomyosis does increase the risk of miscarriage, but this risk can be reduced with proper treatment and management. I hope these tips can provide you with some help and give you more peace of mind during pregnancy. Remember, maintaining close communication with your doctor is key to ensuring the health of both mother and baby.