Is it possible to get pregnant with adenomyosis? How should it be treated?

The uterus is an organ that women need to pay great attention to and maintain in their lives. The female uterus plays an irreplaceable role in producing offspring, but the uterus is very easy to get sick. For example, adenomyosis is a relatively common disease that is very destructive to women's reproductive function. So, is it possible to get pregnant with adenomyosis and how should it be treated? Let me give you a brief explanation below.

(1) Symptomatic treatment: For patients with mild symptoms who only need to relieve dysmenorrhea, non-steroidal anti-inflammatory drugs such as ibuprofen, indomethacin or naproxen can be used for symptomatic treatment during dysmenorrhea. However, the drugs should not be used in excess to prevent serious side effects.

(2) For patients with mild symptoms, no desire to have children, or near menopause, oral contraceptives or progestins can cause the ectopic endometrium to decidualize and atrophy, thereby controlling the development of adenomyosis.

(3) For women with heavy menstrual flow, dysmenorrhea, and no desire to have children, an intrauterine device containing highly effective progestin can be chosen. It continuously releases progestin locally in the uterus to control the development of ectopic lesions and needs to be removed or replaced after five years.

(4) Interventional treatment

Selective uterine artery embolization can also be used as one of the treatment options for adenomyosis. Its mechanisms of action include: necrosis of the ectopic endometrium, reduced secretion of prostaglandins, relief of dysmenorrhea, reduction of menstrual volume, and lower recurrence rate; establishment of collateral circulation of the endometrium in place, which can gradually migrate and grow from the basal layer to restore function. However, uterine artery embolization will affect the blood supply to the uterus and ovaries, thus having an adverse effect on pregnancy. It may cause infertility, miscarriage, premature birth and increase the rate of cesarean section.