Can I conceive with adenomyosis?

Question

Hello doctor,

I am 29 years old. Last year, I was diagnosed with adenomyosis after an ultrasound. Previously, I had undergone ovarian polyp removal. My gynecologist has told me that there is no problem with me to get pregnant. However, everything I read online says differently. We plan to start trying for baby by next month. Is there anything I can do to help with the process? I am just confused with my doctor's words, as we have waited a year and the disease has more likely spread. I have been taking progesterone since the diagnosis. I just want to prepare myself mentally before trying. Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Firstly, let me tell you that sonography is not always suggestive of adenomyosis. It cannot diagnose it. For diagnosis, you have to send biopsy of the uterus. In adenomyosis there is pain before, during and after menses. There is also focal and diffuse type of adenomyosis. Whatever you read on the internet is about diffuse or generalized adenomyosis. A few things on focal adenomyosis are available because most of the time it goes undiagnosed or has very mild symptoms that do not hamper routine. So, just focus on the present and start trying for pregnancy. In fact, if you get pregnant and pregnancy goes up to term or near term, then there is a chance of cure from adenomyosis theoretically. If you do not have the symptoms of clear adenomyosis, then there is a chance that it is not adenomyosis. So, do not worry and take chance for a year. If you do not get pregnant, then consult a gynecologist.