Donor Tissue Counseling
Adenomyosis & Fertility
Adenomyosis occurs when endometrial-like tissue grows within the muscular wall of the uterus. This page explains how adenomyosis may affect fertility, how it is evaluated, and how treatment may be approached when pregnancy is desired.
Summary:
- Adenomyosis occurs when endometrial-like tissue grows within the muscular wall of the uterus.
- It may contribute to heavy or painful periods, pelvic discomfort, or fertility challenges, although some people have few symptoms.
- Its fertility impact can vary depending on age, severity, uterine changes, and other reproductive factors.
- Evaluation may include pelvic ultrasound, MRI, reproductive history, and fertility testing when pregnancy is desired.
- Treatment depends on symptoms, reproductive goals, and whether pregnancy is being pursued now or in the future.
What Is Adenomyosis?
Adenomyosis occurs when tissue similar to the lining of the uterus grows into the muscular wall of the uterus. It can cause an enlarged or tender uterus and may be associated with heavy periods, painful periods, or pelvic pain, although some people have few or no symptoms.
Adenomyosis & Fertility
Adenomyosis has been associated with fertility and implantation challenges in some patients, but having adenomyosis does not mean pregnancy is impossible. Its significance depends on age, symptoms, reproductive history, the extent of disease, and other fertility factors.
How Adenomyosis Is Evaluated
Evaluation typically includes medical and menstrual history and pelvic imaging, often with ultrasound and sometimes MRI. Because adenomyosis can share symptoms with other pelvic conditions, the complete reproductive picture is important when determining whether it is likely to be affecting fertility.
Common Adenomyosis Questions
Can adenomyosis affect fertility?
It may. Adenomyosis has been associated with fertility and implantation challenges in some patients, although many people with adenomyosis become pregnant.
Can you get pregnant with adenomyosis?
Yes. Pregnancy is possible with adenomyosis, and the condition’s significance depends on age, severity, symptoms, and other fertility factors.
Does adenomyosis always require treatment before fertility treatment?
No. Treatment is individualized based on symptoms, reproductive history, imaging findings, and the fertility treatment being considered.
Understanding Adenomyosis in the Context of Your Fertility
Having adenomyosis does not define your fertility or determine what your path to parenthood will look like. Its significance can vary considerably from one person to another, which is why age, symptoms, reproductive history, ovarian reserve, and other fertility factors are considered together. If you are building your family now or planning for the future, Spring Fertility can help you understand how adenomyosis fits into your broader reproductive health and what options may make sense for you.
Ready to Get Started?
Schedule a consultation with Spring Fertility to discuss your options.