Will Adenomyosis All Be Combined with Infertility?

In layman's terms, adenomyosis is a condition in which the endometrium, which is supposed to encircle and sprout from the uterus, runs into the muscular layer of the uterus. And cause the endometrial tissue in the muscular layer of the uterus to start bleeding every time a menstrual period comes. This process and an inflammatory reaction occur at the site of bleeding in the muscular layer, which in turn fibrosis—it causing increased peristalsis or peristaltic disturbances in the uterus, preventing sperm transport or embryo implantation.

Do all patients with adenomyosis have combined infertility? OF course not! It is common for people with adenomyosis to conceive successfully and have children. According to some experts, the chance of infertility in adenomyosis patients is 30%, and most patients can conceive naturally.

How to prepare for pregnancy in adenomyosis patients

1. Early pregnancy

When adenomyosis is not severe, get pregnant as early as possible. Adenomyosis is an estrogen-dependent disease that is very difficult to reverse once it occurs. It will become more powerful as we age, which is very tricky.

So who is more likely to develop adenomyosis? --Those with primary dysmenorrhea are more likely to get adenomyosis and endometriosis. These people are more likely to have children earlier.

2. Medication

If adenomyosis has already occurred, women are unsuccessful in trying to conceive, or women have repeated miscarriages, they should consider the cause of adenomyosis. Women can start with medication, such as the herbal medicine Fuyan Pill, which can effectively activate blood, remove blood stasis, and unblock the meridians. The main ingredient is natural herbs, so they will not harm the body, and long-term use can also regulate the body. It can also increase the probability of natural pregnancy after cure.

3. Surgical treatment

Surgery can be considered. The more severe adenomyosis, the giant uterus, drug treatment, and physical treatment methods, it is difficult to improve the symptoms and the impact on pregnancy. Patients can consider surgery to reduce the size of the uterus after surgery improves the success rate of pregnancy.

4. In vitro fertilization

Adenomyosis infertility is also one of the indications for IVF. If women cannot get pregnant after medication, surgery, or ovulation treatment or are relatively old, women can actively consider IVF to help women conceive.

Why do women have adenomyosis?

Adenomyosis is related to the restless endometrium. What causes the displacement of these "endometrium"? The endometrium is directly above the myometrium and lacks the protection of a submucosal layer, making it anatomically easy for the basal endometrium to invade the myometrium.

Multiple pregnancies and deliveries, abortions, curettage, chronic endometritis, etc., can cause damage to the endometrium or superficial myometrium. The basal endometrium may invade the myometrium to grow and develop. In addition, studies have shown that the onset of adenomyosis is related to estrogen and progesterone in the body and even to immune and genetic factors.

What are the clinical manifestations of adenomyosis?

In addition to dysmenorrhea, excessive menstrual flow and irregular uterine bleeding are also standard, and in severe cases, secondary anemia may occur. Excessive menstrual flow is usually characterized by heavy bleeding for several consecutive menstrual cycles, more than 80 ml, and affects the quality of life of women physically, psychologically, socially, and economically. The incidence of pressure symptoms, miscarriage, and infertility is low.

On examination, a uniformly enlarged uterus can be palpated with pressure pain, more pronounced at the onset of menstruation. In the case of adenomyoma, the uterus is asymmetrically enlarged with a bit of a bulge.