Can adenomyosis affect fertility or pregnancy?

Yes—adenomyosis can affect both fertility and pregnancy. It may interfere with implantation and is associated with higher risks during pregnancy, including miscarriage and preterm birth, with diffuse adenomyosis often having a greater impact than focal disease.

The good news is that there are ways to tailor a plan based on your goals and the pattern of disease we see on imaging and evaluation. Depending on your situation, we may consider medical pretreatment, adjustments to an IVF approach, or carefully selected surgery when adenomyosis is focal and accessible. If you’re trying to conceive now or planning pregnancy, our team can help you map out next steps and coordinate a strategy that prioritizes both fertility and safety.