What is Adenomyosis?

Adenomyosis, also referred to as “uterine endometriosis,” is a benign disease confined to the uterine muscle. Endometrial cells from the lining of the endometrial cavity, migrate from that lining, most commonly into the posterior side or back wall of the uterus. As these cells respond to monthly hormonal changes, blood can get trapped in the myometrium producing a hard and enlarged uterus. Adenomyosis is most frequently seen in women in their early to middle 40s and is often associated with hormone imbalance…usually an excessive estrogen supply. Various published studies have shown that 12% of patients with Adenomyosis also have been diagnosed with Endometriosis in other sites outside the uterus, within the pelvis. As high as 62% of women who had hysterectomy were found to have this disease on pathology reports.

Adenomyosis and Fertility

Positive fertility outcomes are usually dependent upon how much of the uterus has been impacted by the disease. Many women can conceive with Adenomyosis, but due to the damage within the organ many pregnancies are lost via miscarriage. As Adenomyosis spreads into the myometrium of the uterus, monthly bleeding actually damages the individual uterine cells. These muscle cells over time lose their ability to stretch and contract. When a conception occurs and the fetus begins to the grow, the uterus can only stretch so far before it can no longer hold the pregnancy: this is when spontaneous miscarriage and/or uterine rupture occurs. As the disease spreads monthly, the damage becomes more extensive. This is the sole reason, that fertility consultant strongly advise women, if you suspect you have Adenomyosis based on symptoms or a family history, or even a diagnosis with your healthcare provider, do not postpone your plans to have a family….act immediately whenever possible. The longer you wait , the less chance of a successful pregnancy outcome and maintaining future fertility options.

The best treatment of choice is surrogacy.