Adenomyosis and Pregnancy

Chances of adenomyosis and pregnancy

Thanks to the latest research, doctors now understand that adenomyosis and pregnancy are not two words that they want to see together. Adenomyosis will directly have a negative impact on successful utility rates for a multitude of reasons.

For this reason, treatment programs are now offered by doctors for women who have concerns that their adenomyosis and pregnancy will be the reason why they won't conceive.

Understanding adenomyosis

This ailment is when the inner lining of the uterus bulges through and touches the uterus. This can increase cramps, bloating, and increase the flow during periods. Adenomyosis and pregnancy is now also associated with decreased fertility. Obviously, this is not a woman's best friend.

Fortunately, the condition is not at all life threatening but does cause great discomfort and inconvenience for women. It is considered to be common in women who have had child birth before or older women in general. Having surgeries in the uterus also leave women susceptible to obtaining the condition.

Still, doctors are still in debate as to what directly causes the condition. The idea of the imbalance of sex hormones is one of the most solid theories so far. For this reason, women who are prone to the condition should check their levels of estrogen, progesterone, prolactin, and follicle to see if they are in the danger zone. The condition is also thought to be associated with angiogenesis and endometriosis.

How it is diagnosed?

The most concrete way to diagnose adenomyosis is to perform a hysterectomy. This procedure has been the oldest method available to doctors until recent advances had been made for the disease.

If a doctor suspects that adenomyosis is existent, they will start out by touching and examining the pelvic area. The most obvious indicator would be a grossly enlarged uterus that is sensitive to the touch. This is the point where the doctor will have to resort to more advanced methods to have a look inside. There are other conditions that can be mistaken for adenomyosis, so the doctor will have to have more concrete evidence. Uterine fibroids, for example, are one of the most common conditions that it is confused with.

As most women probably don't want to go under the knife, imaging technology like MRIs are the most common method. Since the image can never always be clear, the experienced doctors will have to make their best judgment in combination with the symptoms. The latest advances in transvaginal ultrasound have made non-invasive diagnosis even more accurate.

Signs to look out for

You may be able to evaluate if you are prone to having the condition by looking out for a combination of the most obvious symptoms.

Heavy bleeding during your period is a big indicator that something is affecting your uterus. Since it is pushing against the uterus wall, the flow will come out with much more force than usual. The bleeding may also occur even when you are not having your period.

Severe cramps that are stronger than usual is another indication that something is not right with your uterus. The pressure against the uterus wall will be very high. When there is any menstrual activity, the pain and pressure will be amplified.

Adenomyosis may also cause extreme abdominal pressure. The stomach is within the same vicinity as the uterus. Because of this, the stomach may be bothered by the same bulge that is affecting the uterus area. With the combination of the above, you may have a case for your doctor to believe that it is adenomyosis.

How it is treated

If the doctor suspects that the symptoms are too much to bear or there will be an effect on your reproductive system, surgery will likely be suggested. In this case, the focal and nodular adenomyosis tissue will be removed entirely. Of course, an accurate diagnosis is needed prior to surgery.

Lupron is also a drug that is useful in the battle against adenomyosis. This will lower estrogen levels so that a woman has an increased chance of becoming pregnant. This drug is typically administered via an injection. Oral estrogen-reducing drugs, like Letrozole, are also helpful but less effective.

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Last Reviewed:
August 27, 2017
Last Updated:
October 10, 2017
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