Can I get pregnant naturally with adenomyosis?

The presence of adenomyosis has a great impact on women's normal fertility. Its harm to women's fertility is no less than that of endometriosis, and requires professional treatment for the disease. So, can women with adenomyosis get pregnant naturally?

If the patient has mild adenomyosis, there is still a chance of pregnancy. The most fundamental solution to adenomyosis is hysterectomy or medication until menopause. For young patients who want to have children, it is best to try to conceive as soon as possible while conservative treatment is still effective and there is no recurrence. There is still a chance of successful pregnancy.

Because the endometriotic foci in the myometrium also undergo periodic changes with the menstrual cycle, they undergo periodic congestion, edema, and bleeding. These bleedings are wrapped by the myometrium, which has limited expansion and great tension. This change causes the uterus to undergo spasmodic contractions and severe dysmenorrhea.

Patients should pay attention to avoid iatrogenic implantation when undergoing myomectomy, especially those who penetrate the uterine cavity during surgery, or those who undergo cesarean section or cesarean section to retrieve the fetus. The surgical incision should be protected to avoid implantation of endometrial debris in the incision causing abdominal wall incision endometriosis, or implantation in the pelvic cavity causing pelvic endometriosis.