Sometimes the pathology is manifested by pain in the lower abdomen before menstruation and during intercourse, as well as excessively abundant discharge during menstruation.
Read about other symptoms of adenomyosis.
This disease can affect not only the genital area, but also spread to other organs nearby.
Unfortunately, adenomyosis is the most common cause of female infertility.
Is it possible to get pregnant?
Polycystic ovary disease is a disease in which ovulation does not occur due to the presence of many follicular cysts in each ovary that do not mature to the dominant level.
One of the alleged causes of this disease is considered a hormonal disorder in the body, namely, an increased level of the male hormone in the female body.
In addition, hereditary predisposition can also influence the development of polycystic disease. This disease occupies one of the first places among the causes of infertility in women of childbearing age.
Polycystic ovary disease is treated in a variety of ways.
If the patient is not planning the next pregnancy, then treatment should be started with oral contraceptives, the action of which will be aimed at reducing the content of male hormones (androgens, progesterone) in the woman's body.
The result of effective treatment can be the normalization of the menstrual cycle, the onset of ovulation, and subsequently - the long-awaited pregnancy.
If this method of treatment is unsuccessful, then surgical intervention will be required.... It is necessary to perform a resection of the ovaries, which can be done open or laparoscopically.
After such an operation, the likelihood of pregnancy increases to 65%..
However, if the results are negative within 6 months after the operation, a survey should be carried out to identify other causes of infertility.
“Adenomyosis is directly related to the reproductive function of women, as it can lead to increased uterine tone. The presence of endometrial tissue in the inappropriate muscle layers of the uterus can lead to rejection of the embryo in early pregnancy or to termination of pregnancy at different times. This means that it is quite possible to become pregnant with adenomyosis, but there will be a constant risk of termination of pregnancy. But it should be noted that adenomyosis is not always the cause of infertility. The inflammation caused by this disease often causes adhesions that impede patency and conception itself. In any case, the treatment is selected individually and empirically. "
Is conception dangerous?
More than 70% of women diagnosed with adenomyosis cannot get pregnant.
This is hampered by many reasons, for example, one of them - the presence of foreign cells in the uterus makes it contract more often, thereby rejecting the embryo.
In addition, the patency of the fallopian tubes decreases, which interferes with the fertilization of the egg.
Even if this happens, the pregnancy cannot proceed normally and without complications. Such a diagnosis during pregnancy involves regular visits to the antenatal clinic and constant supervision of the attending physician.
It is necessary to monitor the state of the uterus, placenta and fetus at different times.
In the early stages of pregnancy, it is necessary to monitor the development of the placenta, which is responsible for metabolism and controls many processes.
At the same time, hormonal support and close monitoring of the placenta are important for a woman.... In the second trimester, pain may appear, which also needs to be controlled and monitored.
In addition, the diagnosis of abnormal presentation of the fetus is often made, therefore, in most cases, an operation in the form of a cesarean section is prescribed for delivery.
How does it affect the course of pregnancy?
At forms of adenomyosis, pregnancy occurs without problems, and sometimes a woman may not even be aware of the presence of the disease.
But with more severe forms of pathology, there are a number of factors that prevent pregnancy.
One of the main problems during conception can be a violation of the cycle in a woman.
Irregular menstruation makes it difficult to determine the date of ovulation. Therefore, in these cases, women are forced to resort to special tests or temperature indicators.
There is also such an obstacle as adhesions that prevent sperm from entering the tubes inside..
To eliminate this problem, you can carry out a special operation to remove adhesions in the uterine cavity.
However, this operation does not give a long-term result, therefore, action should be taken immediately - the disease can resume at any time.
CAREFULLY!
In the case of successful fertilization, some threats to terminate the pregnancy remain.
As discussed above, hormone therapy is very effective in maintaining pregnancy. However, in more severe cases, it is possible to increase the tone of the uterus, which can lead to a miscarriage.
To prevent such complications, it is necessary to consult a doctor in advance and plan a pregnancy.
The doctor will help to prescribe the appropriate treatment in advance, which will prepare the uterus for gestation and a calm course of pregnancy.
It must be remembered that in milder forms of pathology, adenomyosis is not a contraindication or an obstacle to pregnancy.
With successful conception, pregnancy and childbirth, adenomyosis may even recede. The main thing is to diagnose the disease in time and start treatment.
Sometimes after childbirth, adenomyosis may completely disappear..
This is due to the fact that pregnancy is a kind of menopause, during which the endometrial cells stop growing, which means that a woman can get rid of the pathology.
IVF for disease
In most cases, when examining women suffering from infertility, adenomyosis is diagnosed.
Most often, the disease is not the only cause of infertility, but the likelihood of a successful pregnancy is reduced.
The positive result of IVF in this pathology is 40-60%. This indicator is very high, so do not despair, but continue trying to conceive a child and treatment.
The indications for IVF prescription for adenomyosis include the following:
- lack of results from all previous treatments;
- adhesions in the pelvic area, which can be very dangerous for other organs;
- lack of ovulation, which is associated with hormonal imbalance and increased prolactin levels;
- disorders of immunity, which can lead to the death of sperm and the inability to attach the embryo to the wall of the uterus.
For a successful IVF procedure, a woman needs to prepare her body and undergo an appropriate course of treatment.
With the help of treatment, it is necessary to restore hormonal levels and increase the patency of the fallopian tubes.
IVF can be prescribed only after undergoing hormone therapy.
Diagnostic measures
One of the most effective methods for detecting adenomyosis is ultrasound.
For a more accurate diagnosis, it is necessary to be examined by a gynecologist.
Usually, this procedure consists of examining the genitals with mirrors, taking smears, and also examining the cervix using special magnifying devices.
It is also necessary to undergo a general examination of all organs by various specialists to exclude other accompanying diagnoses.
In addition, you need to pass a number of tests that may be necessary for a possible surgical intervention.
Treatment methods
If you want to get pregnant, then for this it is better to first undergo an examination by a specialist.
If a pathology is detected, the conception of a child should be postponed.
The course of the disease is unpredictable, and a possible pregnancy can lead to various unpleasant consequences.
After passing it is worth waiting for a few months and only then start conceiving. The disease can recede, or it can manifest itself with renewed vigor.
In this case, hormonal therapy or medication against inflammation can be prescribed..
The greatest threat of termination of pregnancy can manifest itself in the 1st trimester; the rest of the pregnancy depends on the success of this period.
Can there be infertility?
Usually, the causes of infertility can not be the disease itself, but pathologies that develop on its soil and, in aggregate, can lead to childlessness.
It is especially common in women with advanced pathologies, which should be treated immediately..
One of the ways to solve this problem is surgery, thanks to which many women can become pregnant.
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Evaluation of a drug or treatment
Adenomyosis and pregnancy. Endometriosis of the uterus is called adenomyosis. This is an inflammatory process. But to understand what it is, let's first find out what endometriosis is. Is it possible to get pregnant with uterine adenomyosis? Adenomyosis is the second leading cause of female infertility after inflammatory diseases of the female genital area. Many women anxiously ask if adenomyosis and pregnancy are compatible? The answer is simple: it is possible, but difficult. Unfortunately, the prognosis for pregnancy in the presence of this disease is disappointing. Adenomyosis causes infertility in 40 percent of cases.(endometriosis of the uterus) is a disease in which lesions appear in the tissues of the uterus, ovaries, and other tissues, which resemble in their structure the mucous membrane of the uterus, are small nodules that contain a dark thick liquid. In such foci, changes occur, similar to the rejection of the uterine mucosa. The resulting bleeding from these areas leads to pain during menstruation. Modern doctors usually call adenomyosis a disease such as endometriosis of the uterus. And endometriosis is a serious inflammatory process.
Endometric foci can be localized in various organs and tissues: on the cervix, in the thickness of the uterus itself, on the wall of the abdominal cavity, outside the organs of the reproductive system.
Uterine adenomyosis symptoms
The most common symptom is pain that starts or gets worse in the premenstrual days, during menstruation. If the uterus is damaged, there may be profuse menstruation, spotting from the genital tract before and after menstruation. The pain can be given to the sacrum, rectum, and vagina. Adenomyosis of the uterus can occur without symptoms, in which case this pathology is detected when patients contact the clinic with the question that they cannot conceive a child in any way.
Uterine adenomyosis and pregnancy
Are there any chances to bear and give birth to a healthy baby? Adenomyosis of the uterus is often accompanied by infertility. Infertility is established if pregnancy has not occurred within one or more years during regular sexual activity. With uterine adenomyosis, implantation of the ovum into the uterine lining is impossible, the death of the egg occurs.
With adenomyosis of the uterus, an adhesive process is noted, which leads to infertility. There is a violation of the patency of the fallopian tubes, which leads to the absence of pregnancy. With adenomyosis of the uterus, there may be a lack of maturation of the egg in the ovary, a change in the properties of the mucous membrane of the uterus itself.
When a diagnosis of uterine adenomyosis is established, therapy with gestagens is prescribed, against the background of which pregnancy may occur. This group of drugs should not be canceled, they must be taken further in order to provide the necessary hormonal support. It is known that this disease is characterized by the presence of hormonal disorders, therefore the first trimester of pregnancy is the most responsible. As a rule, a pregnant woman should take hormones up to 14 weeks. But this must be monitored taking into account the results of a blood test for the content of progesterone. Based on the results of the examination, the question of canceling gestagens or continuing therapy is decided. Numerous studies have been carried out, according to which no information has been obtained about the negative effect on the fetus of hormones, in particular, dydrogesterone. This drug is widely used in obstetric practice and contributes to the creation of optimal conditions for the progression of pregnancy.
The most common complication of pregnancy with adenomyosis is the threat of termination. This situation requires conducting preventive courses in order to prevent the development of a threat clinic. Prescribe drugs from the group of antispasmodics, sedatives, sedatives that improve metabolic processes.
Causes of adenomyosis of the uterus
Adenomyosis of the uterus is due to a genetic predisposition. There is a theory of hormonal development of the disease, according to which there is a violation of the content and ratio of hormones in a woman's body. Another theory of the occurrence of adenomyosis of the uterus is implantation, according to which the rejected endometrial particles settle on the ovaries, tubes, peritoneum, create "soil" for the development of the disease. The most important are negative shifts in the neuroendocrine system due to stress, malnutrition, and various non-gynecological diseases.
Diagnosis of adenomyosis of the uterus
It is possible to suspect the presence of adenomyosis of the uterus in women with infertility and in the presence of certain factors: long-term pain syndrome, with unsuccessful treatment of inflammatory processes in the uterine appendages, with intrauterine interventions, with smearing bleeding from the genital tract; with pain arising from sexual intercourse, pain when viewed on a gynecological chair; signs of adhesions in the small pelvis, soreness of the ligaments of the uterus.
Ultrasound is the main diagnostic method that allows you to determine the size of the uterus, the structure of the muscular membrane, the size, structure of cystic formations in the ovaries. The next important stage of the examination is methods for assessing the patency of the fallopian tubes. For example, the presence of foci of inflammation in the uterine wall can be detected using an X-ray image of the uterus. The image is used to estimate the size of the uterus, the extent of the spread of the process.
To date, endoscopic operations (laparoscopy) remain the standard for diagnosing various forms of infertility, including the form of infertility arising from uterine adenomyosis. During the operation, "instruments" are introduced into the abdominal cavity through the holes in the abdominal wall. With the help of such an examination, it is possible to determine the condition of the fallopian tubes, the presence of adhesions, foci of adenomyosis of the uterus.
Treatment of adenomyosis of the uterus
Treatment of adenomyosis of the uterus is performed by surgical correction, physiotherapy, hormonal therapy. In recent decades, hormonal drugs have dominated the drug therapy of uterine adenomyosis. They temporarily stop menstruation, suppress the work of the ovaries. They create an artificial menopause, which leads to a decrease in the severity of the symptoms of the disease, a decrease in the foci of adenomyosis of the uterus. Hormonal drugs of the latest generation have a minimum of side effects compared to drugs of previous generations. Treatment with such hormonal drugs is used as the first stage of treatment before surgery. In the treatment and prevention of the progression of non-severe forms of uterine adenomyosis, oral hormonal contraceptives are also used.
The greatest effect can be obtained with a combination of hormonal and surgical methods of treatment - laparoscopy, during the operation, endometriotic foci are removed. In this case, hormones can be used as a preoperative preparation, within 3-6 months after surgery, as a preventive measure against the onset of symptoms of uterine adenomyosis.
Planning a pregnancy with uterine adenomyosis
Laparoscopy is used if there are endometrioid ovarian cysts, there is a need to establish the patency of the fallopian tubes. After surgery, hormone therapy is usually prescribed for 3-6 months. Hormonal drugs put the reproductive system to sleep. After a few months, therapy is canceled, the patient is allowed to become pregnant. If pregnancy does not occur within one year, then this dramatically reduces the chances of restoring a woman's reproductive function. In this case, the IVF program is recommended. During pregnancy and lactation in the absence of menstruation, a reverse development of adenomyosis of the uterus may occur. Termination of pregnancy with curettage of the uterine cavity leads to exacerbation and aggravation of uterine adenomyosis. Timely examination, treatment of adenomyosis of the uterus helps the onset of pregnancy.
The fact of the presence of adenomyosis does not mean that pregnancy will proceed in all pregnant women with complications. A large percentage of patients do not know at all that they have such a disease, while conception occurs without any problems. In this situation, it is not necessary to immediately prescribe hormone therapy. It is necessary to conduct a comprehensive follow-up examination of a woman, her hormonal profile, so that the need for drug treatment can be assessed.
If a woman suffers from adenomyosis and is planning a pregnancy, then she must be prepared for such an important period in her life. Conducting a full examination and appropriate treatment, depending on the results obtained, is a guarantee that pregnancy will occur and will proceed without complications. Particular attention is paid to the diagnosis of infections related to STIs. With adenomyosis, there is a decrease in the protective, immune forces of the body. Pregnancy is a state of natural immunodeficiency, therefore, this can lead to the fact that the infectious process during pregnancy will be accompanied by various complications. It is necessary to prescribe a course of specific therapy before the onset of pregnancy, since the list of drugs allowed for pregnant women is very limited.
It can be argued that for a woman, the diagnosis of adenomyosis should not mean that she will not be able to give birth to a healthy baby. The most important thing is to follow the recommendations of a specialist in the treatment of this disease and take a responsible approach to the planned pregnancy.
Adenomyosis of the uterus is a disease in which the inner layer of the uterus (endometrium) grows. Therefore, another name for this disease is endometriosis. In fact, nature is so arranged that each menstrual cycle the endometrium grows in the uterus. It is necessary so that a fertilized egg can gain a foothold in it, and pregnancy occurs. If conception does not occur, then the endometrium begins to flake off, causing bleeding, which we call menstruation. In this article we will talk about when adenomyosis can be dangerous for a woman's health, and also talk about the peculiarities of pregnancy after adenomyosis of the uterus.
Adenomyosis of the uterus is a dangerous pathology that, if improperly treated, can develop into cancer or infertility. As a rule, women who have ever had an abortion or used intrauterine contraceptives face this disease. Also at risk are:
- professional athletes who have excessive physical activity;
- women who have no sex life;
- women who have given birth before, especially those who did not have natural childbirth, but through surgical intervention;
- women who have hormonal diseases and a hereditary predisposition to endometriosis;
- frequent exposure to the sun or in a solarium can also provoke adenomyosis;
- surgical interventions in the uterus are a direct consequence of adenomyosis.
How to understand that you have adenomyosis? This pathology has quite serious symptoms that you will definitely not miss. Among them:
- very painful menstruation;
- menstruation is very abundant - women have to change pads almost every hour;
- a few days before the onset of menstruation and a few days after them, a woman discovers a dark brown daub on her underwear;
- during intercourse, a woman experiences pain.
If you have one of these symptoms, you need to see a doctor so that during the examination he confirms your concerns or refutes. If you have adenomyosis, the uterus will be enlarged. Now the main thing is to find out at what stage of its development the disease is:
- the first - when the endometrium penetrates only into the intermediate layer located between the inner lining of the uterus and muscle tissue;
- the second - when the endometrium has already penetrated into the muscle layer, but has not yet completely overcome it, but only half;
- third - when the muscle layer is almost completely affected by the endometrium;
- fourth - when the endometrium has already passed into the abdominal cavity.
If you are diagnosed with the third or fourth stage of adenomyosis, then you have little chance of getting pregnant, no matter what age you are. But the first and second stages can be cured even without the help of surgical intervention, using only physiotherapy and special hormonal drugs.
In addition to the stage of adenomyosis, the doctor will also determine the type of disease. There are only three of them:
- Diffuse adenomyosis, in which the endometrium grows evenly throughout the inner layer of the uterus.
- Focal - when only clear foci of endometrial growth to the uterus are visible.
- Nodular - when the endometrium acquires the volume of tumors.
For those who are concerned about the question of whether pregnancy is possible with adenomyosis, we note that the onset of pregnancy with adenomyosis is possible only if the woman has a diffuse type of disease. However, many of the fair sex who are diagnosed with endometriosis perceive the disease as a sentence that they will never be able to give birth to a child. There is a lot of truth in this, because ovulation is often absent in adenomyosis, and if it occurs, then the fertilized egg cannot safely attach to the wall of the uterus so that pregnancy begins to develop. There is a small paradox here - sometimes it is pregnancy that heals adenomyosis. Indeed, in this case, the endometrium does not develop in any way, because it does not exfoliate.
According to numerous reviews of women who have adenomyosis, their doctors did not dissuade them from pregnancy during examination, but, on the contrary, argued that in this way it was possible to cure the disease. However, it should be noted that pregnancy with adenomyosis in women after 40 does not occur. There are many explanations for this, but the main thing is the changes in the hormonal background in connection with the approaching menopause.
Adenomyosis and Pregnancy: Risks and Dangers
A woman with endometriosis, becoming pregnant, risks her health. After all, her risk of miscarriage or premature birth increases several times, compared to other women who do not have such a serious pathology. Almost all pregnancy in a patient with adenomyosis will take place under the strict observance of doctors.
Childbirth can go well, the postpartum period will be much more difficult, when uterine bleeding opens, which sometimes seems to be stopped only by removing the uterus. Nevertheless, it must be borne in mind that each case is individual - for one woman everything goes without problems, while for the other all the troubles will make themselves felt immediately. If you have adenomyosis, you just need to be very careful about your condition and follow all the doctor's prescriptions.
Video: "Adenomyosis - Should You Treat?"
In this video, a young obstetrician-gynecologist Dmitry Lubnin talks about adenomyosis, which can occur in all women at any age. Separately, he focuses on methods of treating this ailment and explains why pregnancy can be the only way to treat diffuse adenomyosis. Note that many modern doctors do not share this point of view. However, women who dream of experiencing the joy of long-awaited motherhood will find it useful to hear the opinion of a professional so as not to lose heart and continue to try to give birth to a healthy and strong baby without risking their lives.
Adenomyosis is a disease of the female reproductive organs.
It is characterized by the proliferation of endometrial tissue along the inner region of the uterus.
In a neglected state, the disease can cause infertility. Pregnancy that develops with the disease can have difficulties in its course.
Description
The growth of the endometrium occurs in the first phase of the menstrual cycle. Closer to the ovulation process, it reaches a thickness of 10-12 mm. The endometrium represents several layers of mucous tissue on the inner surface of the uterus.
If conception occurs, then the ovum is attached in a certain place.
If the egg does not meet with the sperm, then the endometrium is rejected and leaves the body along with menstrual blood.
With pathologies, the endometrium penetrates into the muscle tissue of the uterus, causing an inflammatory process. This disease is a serious obstacle to embryo attachment.
Signs of adenomyosis:
- Painful periods
- Reducing the duration of the menstrual cycle;
- Profuse menstruation;
- Pain syndrome during sexual intercourse;
- Spotting discharge;
- Deformation of the shape of the uterus, a change in its volume.
Is it possible to get pregnant
Endometrial pathology leads to.
If left untreated, the chances of getting pregnant are significantly reduced... But there are chances of successful conception with uterine adenomyosis, this will require the help of specialists.
A gynecologist or reproductologist deals with the treatment of adenomyosis.
Fertilization of the egg takes place in the fallopian tubes. But this is not enough for the development of pregnancy. The fertilized egg needs to attach to the uterus area.
With adenomyosis, the layers of the endometrium are too scarce... Therefore, pregnancy breaks down before the first day of the delay in menstruation. This type of termination is called biochemical pregnancy.
There are four stages of the disease. Adenomyosis of the uterus of 1 and 2 degrees does not require surgical intervention and the likelihood of independent pregnancy is quite high.
The third stage of adenomyosis is characterized by deformation of the uterus, which can be eliminated within the framework of the operation. Otherwise, a woman will not be able to get pregnant.
The fourth stage is the most difficult. At the same time, foci of tissue growth are localized on other organs.
How to do it, ways
Before starting planning for motherhood, the patient must get rid of the existing disease.
There are several treatments :
- Hormone therapy;
- Surgical intervention;
- Physiotherapy treatments.
The initial stage of treatment is taking oral contraceptives for a period of 3 months to six months. During their intake, the work of the ovaries is muffled. The lesions begin to shrink.
Sometimes pregnancy is possible against the background of drug withdrawal. Physiotherapy is carried out on the recommendation of the attending physician. They are selected individually.
Surgery is an extreme treatment. The operation is called laparoscopy. It takes place under general anesthesia. Three punctures are made in the abdomen.
Through the holes obtained, medical devices are inserted that are used to eliminate lesions.
Pregnancy after laparoscopy is possible in the next cycle. Additionally, you need to check the patency of the fallopian tubes..
The inflammatory process that has arisen against the background of the proliferation of the endometrium can lead to the formation of an adhesions.
It leads to a violation of the patency of pipes. Then surgery may be required to cut the adhesions.
Disease detection during gestation
If adenomyosis is found during pregnancy, this can cause an early miscarriage.
For the first 14 weeks, the patient should be monitored by specialists. The administration of hormonal drugs is shown, provoking an increase in the layers lining the uterus.
This prevents the rejection of the fetus. For a period of more than 14 weeks, the likelihood of rejection of the embryo by the body is noticeably reduced.
But there is another danger. There is a possibility of the formation of knots, the volume of which increases..
Their presence does not allow the child to take the desired position in the womb. This can lead to pathologies.
Is it possible to have an abortion in case of illness
Abortion surgery is undesirable in case of illness. It can significantly aggravate the existing situation.
During an abortion, the surface of the uterus is scraped. This leads to her injury. The likelihood of re-pregnancy decreases.
The thickness of the endometrium is getting smaller than before. If an abortion is inevitable, then in the future the woman will face long-term treatment.
It will be difficult to conceive a child. The first time you need to take hormonal drugs.
When a woman has a desire to conceive a child, it is necessary to conduct a comprehensive examination.
What are the chances with IVF
The most common methods of infertility treatment include artificial insemination.
It is carried out when the fertilization of the egg in vivo is impossible. With the growth of the layers of the endometrium, the problem lies in the implantation of the embryo.
The disease does not affect the process of conception. An exception may be those situations in which the disease causes hormonal disorders, anovulatory syndrome may occur.
The egg does not leave the follicle, so conception cannot take place. But even in this case, before IVF is carried out, it is necessary to restore the function of the endometrium.
The likelihood of developing infertility
The chance of getting pregnant with adenomyosis is approximately 40%... As the disease progresses, the chances of successful conception decrease.
The first and second stages of the disease are common. They are easy to treat.
As a result, women get the desired pregnancy. The advanced stages of pathology require more attention.
Sometimes adenomyosis can lead to absolute infertility. This applies to those situations when there are too many lesions. Every woman is able to insure herself against the disease.
The reasons for its occurrence include hormonal disorders, abortion abuse or poor lifestyle choices.
To prevent the formation of adenomyosis, a woman needs to monitor her diet, and regularly attend antenatal clinics.
It is also important to maintain regular hygiene of the genitals and to monitor the cleanliness of sexual intercourse.
The mucous cavity of the uterus can grow an unlimited number of times under the influence of the hormonal system. This mechanism is important when pregnancy occurs. So she prepares to receive the egg, fertilized by the sperm, to allow it to penetrate into the wall of the uterus. If pregnancy does not occur in a particular cycle, then the endometrium lining the inner walls of the female organ is rejected, through the vagina it comes out in the form of menstrual discharge.
In order to understand whether or not it is possible to become pregnant with uterine adenomyosis, you need to understand the features of the pathology. In short, adenomyosis is a diagnosis that means that the tissues of the endometrium of the uterus grow beyond the limits of its cavity, penetrate deep into the walls of the organ.
Sometimes it happens that endometrial cells penetrate the peritoneum. The reasons for this are various:
- operations,
- internal injuries
- throwing menstrual blood, etc.
In this case, the cells take root no longer on the surface of the uterus, but on the membranes of other organs, which provokes the development of inflammatory foci. The endometrium, meanwhile, grows into the uterine walls, into the walls of other internal organs, significantly disrupting their functioning.
Does the diagnosis mean infertility? ..
Adenomyosis in section: photoThe statistics are disappointing. In 40-80% of cases, it is adenomyosis that causes infertility in women. But it is also important to remember another thing: competent treatment will help to get pregnant in the end, even in severe cases. And sometimes pregnancy occurs without the help of a gynecologist. However, hope for this, especially after the age of 35, nulliparous, is not worth it.
For a favorable bearing of the fetus and delivery, doctors recommend first curing adenomyosis, and only then planning a pregnancy. With an undesirable outcome, the disease of the uterus will only progress, and rapidly, and give complications.
So, the question of whether it is possible to become pregnant with adenomyosis does not have an unambiguous answer. One thing is clear: the possibilities for conception are much less than that of an absolutely healthy woman, but there are chances. If you still succeed in getting pregnant, then the gestation process is constantly under the threat of interruption.
Is it possible to get pregnant and endure with adenomyosis? The problem requires a detailed explanation. For what reasons is fertilization impossible?
- Adenomyosis is a disease in which the walls of the uterus are affected by pathological growths, often spreading to nearby organs. If the fallopian tubes are affected, then conception is impossible. Due to the inflammatory process in the pipes, adhesions form inside the tubes, making it difficult to pass through.
- The hormonal balance is disturbed. Because of this, the reproductive system does not work "like a clock". Disruptions occur, in particular, in the processes of egg maturation. This is expressed in the fact that a woman notices menstrual disorders: irregularity, long and heavy periods, accompanied by painful sensations, daubs at the beginning and end of menstrual bleeding, etc.
- Against the background of adenomyosis, the immune system is depressed. The female body perceives spermatozoa that have reached the uterine cavity as threatening agents and seeks to neutralize them. The same "fate" can be comprehended by the formed embryo. Damage and rejection occur at an early stage, when implantation has not even occurred. Pregnancy with adenomyosis can end at a very early stage.
- The uterus is characterized by increased contractile abilities, exceeding the norm. Because of this, even if conception occurs, the fertilized egg is implanted into the uterine wall, there is a risk of rejection of the ovum.
- Adenomyosis and the chances of pregnancy after 40 years are, one might say, incompatible concepts. The probability is 50 to 50. Not only does the functioning of female organs gradually slow down at this age, but there may also be other gynecological diseases. These are ovarian cysts, uterine fibroids, chronic inflammation in the gonads, etc.
It is worth evaluating now not only the physiological, but also the psychological aspect. With adenomyosis, sexual activity can be greatly complicated. In addition to pain during intercourse, many women experience a depressed state, they do not have a positive general attitude, and libido is absent or severely reduced. The less frequent the meetings, the less chance of conception.
Oddly enough, but adenomyosis with a disturbed hormonal balance, enhanced by the contractile activity of the muscle tissue of the uterus, is not always a 100% guarantee that pregnancy will not occur. But if it happened, then all these manifestations of the pathological process are one of the main risk factors that can lead to miscarriage.
Unwanted consequences of miscarriage
It is extremely important to preserve pregnancy with uterine adenomyosis. Otherwise, with an interruption, the chance of a strong relapse of the disease is high, and it often develops into a severe form.
Specificity of the postpartum period
The period after childbirth in a woman with such a diagnosis as adenomyosis is considered quite dangerous. At this time, there is a risk of relapse and accelerated development of the disease, while there will be bleeding. After childbirth, the female body is restored, the menstrual cycle resumes, which provokes the proliferation of the endometrium of the uterus. But this does not mean that if it turned out to become pregnant with such a diagnosis, it is worth interrupting it. Abortion, spontaneous or induced, only worsens the condition of the uterus.
Doctor's help
For those who decide to become pregnant with adenomyosis, if this does not happen without the help of a doctor, there are still ways. For example, your doctor may prescribe appropriate contraception. After the abolition of oral contraceptives, pregnancy may occur.
Sometimes other hormonal agents are prescribed, such as Utrozhestan, Dyufaston, Byzanne, etc. (strictly in consultation with the doctor!). In case of obstruction of the fallopian tubes, laparoscopy, hysteroscopy can be recommended.
Adenomyosis and the onset of pregnancy
Adenomyosis can heal after pregnancy. If adenomyosis is at an early stage, a woman is less than 35 years old, then pregnancy can really become a kind of cure. Indeed, during this period, there is no menstrual bleeding. The so-called physiological menopause occurs, during which the growth of the endometrium and its pathological growth also slow down.
The specifics of the course of pregnancy with adenomyosis
- A woman with this diagnosis is likely to have a progesterone deficiency. And this means that the contractility of the uterus is high, there is a risk of miscarriage, the risk of damage at a later date. Delivery by caesarean section is likely to be required.
- Sometimes there are adhesions in the uterine cavity with adenomyosis. Because of them, the growth of the fetus is difficult, it is forced to occupy the wrong position, which also makes it impossible to give birth naturally.
- If there is a focus of adenomyosis near the attachment site, there is a risk of premature placental abruption.
- Due to the pathological process in the vessels that deliver nutrients to the membranes, there is a high risk of damage. This causes placental insufficiency, which can hinder the development of the child.
Control at all stages: from preparation for conception to gestation and delivery - a guarantee that a happy pregnancy with such a diagnosis is still possible.
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