Fertility
Can adenomyosis affect fertility or pregnancy?
The short answer
Yes, adenomyosis can affect both fertility and pregnancy. It may interfere with implantation and is associated with higher risks of miscarriage and preterm birth, with diffuse adenomyosis often having a greater impact than focal disease.
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. Diffuse adenomyosis often has a greater impact than focal disease.
The good news is that we can 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 plan next steps and coordinate a strategy that prioritizes both fertility and safety.
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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.
Questions people ask next
All fertility questionsCan focal adenomyosis affect fertility or miscarriage risk?
Yes, focal adenomyosis can affect fertility and miscarriage risk, especially when a lesion distorts the uterine cavity or interferes with implantation. Not all focal adenomyosis behaves the same: smaller nodules farther from the cavity may have less impact.
Can adenomyosis cause miscarriage?
Adenomyosis may contribute to miscarriage for some patients, but many people with adenomyosis have healthy pregnancies. Changes in the uterine muscle and environment may affect implantation and early placental development, and risk varies from person to person.
How does adenomyosis affect an IVF plan?
Adenomyosis can make implantation less predictable and increase the risk of certain pregnancy complications. IVF planning may include medical suppression before transfer and a frozen embryo transfer strategy, tailored to your symptoms, imaging findings, and prior IVF history.
When is adenomyomectomy recommended, and how does it affect pregnancy?
Adenomyomectomy is typically considered when focal adenomyosis causes significant pain or heavy bleeding despite medical treatment, grows, or may affect fertility. Some patients are advised to allow healing before pregnancy and may be counseled toward cesarean delivery because of uterine repair.
Further reading
Adenomyosis and Fertility: What Patients Need to Know
Explore how adenomyosis affects fertility. Learn about symptoms, research, and treatment options for better reproductive health.
Adenomyosis, Endometriosis, and Pregnancy: What Patients Need to Know
Explore how adenomyosis affects pregnancy and fertility with endometriosis. Get trusted research insights and advice for your care team.
Fertility-Sparing Treatment for Adenomyosis: Pregnancy Chances, Symptom Relief, and Pregnancy Risks
Weigh pregnancy chances, symptom relief, and risks after fertility-sparing adenomyosis treatment. Compare adenomyomectomy vs HIFU, RFA, UAE: when to add hormones
