When is adenomyomectomy recommended, and how does it affect pregnancy?

Adenomyomectomy is typically considered when focal adenomyosis continues to cause significant pain or heavy bleeding despite medical treatment, when the lesion is growing, or when its size or location may be interfering with fertility. In these situations, surgery can be an option to remove the adenomyosis while aiming to preserve the uterus.

Because this procedure involves repairing the uterine muscle, it can affect how we plan for a future pregnancy. Key considerations include bleeding risk, scar tissue, and the possibility of uterine wall weakness at the repair site, which is why some patients are advised to allow time for healing before trying to conceive and may be counseled toward cesarean delivery for a future birth. Our team can review your imaging, symptoms, and pregnancy goals to help you understand whether surgery is appropriate and what a safer pregnancy plan could look like for you.