Can I get pregnant and have a baby if I have adenomyosis?

Mar 14, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Whether patients with adenomyosis can conceive and deliver depends on the severity of the condition and the patient's overall health status. In cases of mild disease where the shape and environment of the uterus are not significantly affected and the woman's ovarian function is normal, pregnancy may be attempted, although regular follow-up is required. However, in severe cases with abnormal uterine morphology, impaired ovarian function, and inability to ovulate normally, normal conception and delivery may not be possible.

Generally, adenomyosis refers to the condition of adenomyosis of the uterus, pregnancy means gestation, and giving birth refers to delivery. Whether a patient with adenomyosis can become pregnant and deliver depends mainly on the severity of the condition and the woman's overall health status. If the condition is mild and the patient's general condition is good, she can usually become pregnant and deliver. However, if the condition is severe and accompanied by complications, and the woman's general health is poor, normal pregnancy and delivery might not be possible. A detailed explanation is as follows:

If a woman's adenomyosis is mild, with no significant uterine enlargement and the lesion is localized without affecting the shape and intrauterine environment of the uterus, and if her ovarian function is normal with regular ovulation and she is of appropriate age, she can generally attempt pregnancy. However, regular follow-ups during pregnancy are necessary to monitor fetal development and determine the appropriate mode of delivery based on the fetus's condition.

If a woman has severe adenomyosis, presenting symptoms such as significant abdominal pain and abnormal vaginal bleeding, which have affected the uterine morphology and environment, resulting in poor uterine conditions and abnormal shape, and if the woman's general condition is poor, with diminished ovarian function and advanced age leading to inability to ovulate normally, the conditions for pregnancy are not met, and pregnancy and delivery might not be feasible. It is recommended to follow the doctor's guidance and undergo lesion excision surgery, which involves removing the lesion through surgical means.

In addition, whether a woman can become pregnant should also be assessed in conjunction with the health of her fallopian tubes and the male partner's sperm quality. If there is a current desire for childbearing, it is advisable to undergo comprehensive examinations first, followed by a comprehensive evaluation.

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Having two menstrual periods usually refers to experiencing menstruation twice. In general, the main causes of having two menstrual cycles include emotional fluctuations, irregular lifestyle, luteal phase deficiency, endometrial polyps, adenomyosis, and others. If any discomfort occurs, it is recommended to promptly seek medical attention at a正规 hospital for proper diagnosis and treatment. In daily life, maintain a regular sleep schedule and avoid staying up late; also ensure a balanced diet.

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Why does my menstrual cycle occur once every half month?

In general, the main causes of having menstrual periods every half month include hormonal fluctuations during puberty, excessive stress, luteal phase deficiency, endometrial polyps, and adenomyosis. If this condition occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, maintain a regular sleep schedule and avoid staying up late; keep emotional stability and reduce mental stress.

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How are uterine fibroids caused?

Under normal circumstances, the main causes of uterine fibroids include hormonal changes, aging, endometritis, polycystic ovary syndrome, and adenomyosis. If discomfort symptoms occur, it is recommended to seek timely medical treatment at a正规 hospital. In daily life, one should maintain external genital hygiene and avoid unclean sexual activity; maintain a regular diet and balanced nutrition.

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How large is the size of uterine adenomyosis considered severe?

To determine the severity of adenomyosis, the size of the lesion should not be the sole criterion. A comprehensive assessment is required, taking into account the extent of the lesion, symptom presentation, growth rate, and impact on fertility. Generally, the condition is considered relatively mild when the lesion is localized, the uterine volume is not significantly increased, and symptoms are mild. However, the condition may be more severe if the lesion is extensive, the uterine volume is markedly increased, or symptoms significantly affect quality of life, even if individual lesions are not large.