Adenomyosis and fertility
Many women with adenomyosis can and do get pregnant. That said, adenomyosis can make conceiving harder for some, as changes in the uterine muscle may affect implantation, and it often coexists with endometriosis, which can also affect fertility. The degree of impact varies a lot from person to person.
So a diagnosis of adenomyosis doesn't mean you can't get pregnant — but if you're trying to conceive, it's worth factoring in.
During pregnancy
For women who conceive, adenomyosis is generally manageable in pregnancy, though it may be associated with a somewhat higher risk of certain complications. Your care team can monitor you appropriately. Encouragingly, the hormonal changes of pregnancy, and menopause later on, often reduce adenomyosis symptoms.
Every pregnancy is individual, and having adenomyosis doesn't mean problems are inevitable.
If you're planning a family
If you have adenomyosis and want to get pregnant, it's worth seeing a doctor early to discuss timing and options, since some treatments (like the hormonal IUD or pill) prevent pregnancy and would need to be stopped. Where conceiving is difficult, referral to a fertility specialist can help, and treatments exist to improve the chances.
Planning ahead makes a difference. A telehealth consult is a good place to discuss your fertility plans and arrange the right support.
References & sources
This content is general information and not a substitute for individual medical advice. Please consult a GP for your personal situation.
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