Can I get pregnant with adenomyosis?

Patients with adenomyosis can get pregnant, but they need targeted treatment according to their condition to increase the chances of pregnancy. Treatments include medication, surgery, and assisted reproductive technology, while adjusting lifestyle and dietary habits can also help improve symptoms.

1. Drug therapy is a common treatment for adenomyosis, mainly including hormone drugs and non-steroidal anti-inflammatory drugs. Hormonal drugs such as gonadotropin-releasing hormone agonist GnRH-a can relieve symptoms by inhibiting ovarian function and reducing estrogen secretion. Non-steroidal anti-inflammatory drugs such as ibuprofen can relieve pain and inflammatory reactions. Oral contraceptives can also relieve symptoms by regulating hormone levels.

2. Surgical treatment is suitable for patients who are ineffective with drug treatment or whose condition is severe. Common surgical methods include uterine artery embolization, hysterectomy and adenomyosis lesion resection. Uterine artery embolization blocks the blood flow of the uterine artery and reduces the blood supply to the lesion, thereby alleviating symptoms. Hysterectomy is suitable for patients who have no fertility needs and completely solves the symptoms. Adenomyosis lesion resection can remove the lesion while preserving the uterus, increasing the chance of pregnancy.

3. Assisted reproductive technologies such as in vitro fertilization (IVF) and embryo transfer (ET) can help patients with adenomyosis achieve pregnancy. IVF combines eggs and sperm in vitro to form embryos, which are then transplanted into the uterus to increase the chance of pregnancy. ET transplants already formed embryos into the uterus, which is suitable for patients who have difficulty conceiving naturally. These technologies need to be performed under the guidance of professional doctors to ensure safety and success rate.

4. Adjusting lifestyle and eating habits also plays an important role in improving adenomyosis symptoms and increasing the chance of pregnancy. Patients are advised to maintain a regular work and rest schedule and avoid excessive fatigue and mental stress. In terms of diet, increase fiber-rich foods such as vegetables, fruits and whole grains, and reduce the intake of high-fat and high-sugar foods. Moderate exercise such as yoga and walking can relieve pain and improve blood circulation, which helps increase the chance of pregnancy.

Patients with adenomyosis can improve their chances of pregnancy through medication, surgery, and assisted reproductive technology. Adjusting lifestyle and eating habits can also help improve symptoms. It is recommended that patients choose appropriate treatment plans based on their own conditions under the guidance of professional doctors to increase the possibility of successful pregnancy.