Can I get pregnant with adenomyosis?

Adenomyosis is a disease that is very harmful to women. Although the cause of adenomyosis is not clear at present, it is certain that adenomyosis will have a certain impact on women's fertility. Adenomyosis can lead to some complications, including endometriosis, which in turn leads to a decline in fertility. Can you get pregnant with adenomyosis?

The possible causes of infertility caused by adenomyosis include: combined with endometriosis, which causes adhesions in the lesion site and, in severe cases, obstruction of egg collection and transportation functions. At the same time, the autoimmune response caused by endometriosis affects sperm activity, etc. It is generally believed that severe adenomyosis, especially in patients with endometriosis, is prone to infertility. This type of patients have uterine hypertrophy and are prone to pelvic adhesions, which are not conducive to ovulation and embryo implantation, so the natural pregnancy rate is not high.

Generally speaking, due to changes in the intrauterine environment, the pregnancy rate of patients with adenomyosis is lower, which is easy for most people to understand. Patients with adenomyosis can become pregnant with appropriate treatment. Therefore, we would like to remind patients that due to the special manifestations of patients with adenomyosis, whether they are pregnant or not must be carefully judged to avoid misdiagnosis.

Small fibroids do not have much impact on conception, pregnancy, fetal development, delivery, and postpartum recovery. However, if the tumor grows in the wrong place or is large, it will still have an impact. For example, a larger fibroid that protrudes into the uterine cavity can double the miscarriage rate, or affect fetal development, or affect fetal position, causing obstructive dystocia. Intramural fibroids can also affect uterine contraction, which will have an impact on delivery, hemostasis, and postpartum uterine recovery. Fibroids at the opening of the fallopian tubes at the uterine horns or at the lower end of the uterus may also affect conception. Removing the fibroids that cause obstruction can make half of infertile patients pregnant.

On the other hand, pregnancy also has an impact on uterine fibroids, mainly because the large amount of estrogen and progesterone stimulation during pregnancy can cause the fibroids to grow significantly. Due to rapid growth, insufficient blood supply, ischemia, necrosis and bleeding in the tumor may occur, which may cause severe pain, fever, increased blood count, etc.