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Can adenomyosis affect fertility or pregnancy?

Topic:Fertility
Affected areas:pelvicabdominalsystemic
An illustrative collage of elements depicting fertility.

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.

Worried About Fertility?

Adenomyosis can impact your ability to conceive and carry a pregnancy safely. Our specialists tailor treatment plans to help you overcome these challenges and achieve your family goals.

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Lotus Endometriosis Institute provides California-based surgical evaluation and advanced excision care for patients with suspected endometriosis, adenomyosis, complex pelvic pain, and related conditions.


Many patients contact us from outside California to learn whether traveling for in-person evaluation and possible surgery may be appropriate.

Call Us

(424) 255-1340

(805) 920-0909

Fax: (805) 935-4338

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420