Chances of Getting Pregnant with Adenomyosis

Adenomyosis is a condition where the inner lining of the uterus, known as the endometrium, grows into the muscular wall of the uterus. This can lead to progressively worse menstrual cramps, an enlarged uterus, and difficulties in embryo implantation, which may result in trouble getting pregnant. Women with adenomyosis have a natural pregnancy success rate of approximately 60%. Around 40% of women with this condition are unable to conceive naturally and may need to explore assisted reproductive technologies such as in vitro fertilization (IVF). Even with IVF, however, some women may still face challenges in achieving a successful pregnancy.

Severity of Adenomyosis and Fertility

Women with mild forms of adenomyosis generally have a higher chance of natural conception compared to those with more severe cases. It is often recommended for women diagnosed with this condition to begin planning for pregnancy earlier rather than later, as doing so may help prevent the condition from worsening over time.

How Pregnancy Affects Adenomyosis

Interestingly, once a woman with adenomyosis becomes pregnant, the progression of the disease may actually slow down or even improve. During pregnancy, the ovaries continuously produce estrogen and progesterone, hormones that induce a temporary, physiological form of amenorrhea (absence of menstruation). As a result, the endometrial tissue does not shed on a monthly basis, which helps prevent further aggravation of adenomyosis. This hormonal shift during pregnancy can offer some relief from the condition's symptoms and potentially improve long-term outcomes.