Can I get pregnant if I have adenomyosis?

People with adenomyosis can usually become pregnant, but may face difficulty conceiving or an increased risk of miscarriage. Adenomyosis is a disease caused by the invasion of endometrial tissue into the myometrium, which may affect embryo implantation or pregnancy maintenance. It is recommended that patients consult a doctor before pregnancy and develop an individualized pregnancy preparation plan based on their condition.

Patients with mild adenomyosis can usually conceive naturally, and myometrial lesions have less impact on pregnancy when they are more localized. Such patients may only present with abdominal pain or increased menstrual flow during menstruation. Monitoring ovulation through ultrasound and guiding intercourse time can increase the probability of pregnancy. After pregnancy, progesterone support needs to be strengthened and the uterine environment should be reviewed regularly. Some patients need to use dydrogesterone tablets, progesterone capsules and other drugs for luteal support under the guidance of a doctor.

Moderate to severe adenomyosis may significantly reduce pregnancy success rates, and diffuse lesions can lead to abnormal uterine contractions and uterine cavity deformation. Such patients are often accompanied by severe dysmenorrhea, painful intercourse and persistent pelvic discomfort, and the probability of natural conception may be reduced. Pregnancy conditions can be improved through ovulation induction treatment, hysteroscopic lesion resection or pretreatment with GnRH-a drugs. For patients with significantly enlarged uterus, doctors may recommend using drugs such as leuprolide acetate sustained-release microspheres to shrink the lesions before trying to conceive.

During pregnancy preparations, you should maintain a regular schedule, avoid high-fat and high-sugar diets, and conduct moderate pelvic floor muscle training. Record the changes in basal body temperature and menstrual cycle every month, and start supplementing with folic acid 3 months before pregnancy. If you try to conceive naturally for 6-12 months without success, you need to go to the reproductive medicine department promptly to evaluate whether assisted reproductive technology intervention is needed. After pregnancy, placental position and fetal development need to be closely monitored, and complications such as uterine rupture need to be alerted.