Can Adenomyosis Cause Infertility?

Dr. Randy Morris

Can Adenomyosis Cause Infertility?

Dr. Randy Morris

Adenomyosis is a relatively common condition affecting the uterus. Although there are some studies that indicate a link between adenomyosis and infertility, the evidence is inconclusive. Below, we will take a look at the basics about adenomyosis and its treatment, as well as the link between adenomyosis and fertility.

About Adenomyosis

The uterus is composed of three layers. The serosa is a thin lining covering the outside of the uterus. The myometrium is the thick, muscular layer that provides structure and is responsible for contracting during menstruation and childbirth. The endometrium is the inner lining, which is built up each month in preparation for pregnancy and shed during menstruation when pregnancy does not occur.During adenomyosis, the endometrium grows down into the myometrium. The condition is basically a form of endometriosis that affects the myometrium. The primary symptom associated with adenomyosis is pelvic pain, especially during menstruation; some menstrual irregularities can also occur. Adenomyosis can be difficult to diagnose, because the symptoms are similar to those of other conditions and it can be difficult to examine the inside of the uterus.

Adenomyosis and Fertility

Some studies have attempted to establish a link between adenomyosis and fertility. The evidence thus far is inconclusive. Some studies have found no link, while others have found a link; however, no large, well-designed studies have conclusively proven whether or not adenomyosis can cause infertility. As a result, treating adenomyosis to improve a woman's chances of getting pregnant is considered experimental. In most cases, if a woman has adenomyosis and infertility, the doctor will recommend treating the symptoms of adenomyosis separately from the infertility.

Treatment for Adenomyosis

Most of the time, the symptoms of adenomyosis fade after a woman goes through menopause. For women who are nearing menopause, or for whom symptoms are not severe, treatments like over-the-counter medication and birth control pills can be effective at controlling symptoms. The only conclusive way to remove the endometrial growths is surgery, which is typically only considered as a last resort. In some cases, it is possible to remove the affected part of the uterus, a procedure known as myomectomy. In other cases, the entire uterus must be removed in a hysterectomy. Dr. Randy Morris would be happy to meet with you about your reproductive health. To schedule your consultation today, please click below and enter your information or call IVF1 at (630) 357-6540.