Adenomyosis and Fertility: What to Expect

Today an accurate diagnosis of adenomyosis is possible thanks to progress in imaging techniques like MRI. This also made it possible to correlate the presence of adenomyosis to infertility. What seems clear is that structural and functional defects of the uterine junctional zone play an important role in implantation failure or infertility. It means that patients diagnosed with adenomyosis can have lower chances of getting pregnant. But there is hope!

Can I Get Treatment for Adenomyosis and Preserve Fertility?

One of adenomyosis treatment options is hysterectomy. Of course, for women who want to preserve their fertility it is not an acceptable option. The second effective option is a non-surgical procedure called uterine artery embolization or UAE. Uterine artery embolization is  essentially the same procedure as uterine fibroid embolization that is performed to treat uterine fibroids.

If you are not familiar with the concept, Dr. John C. Lipman of Atlanta Fibroid Center explains how it works in the video below.

What to Expect from a Pregnancy after UAE

Although adenomyosis is associated with lower fertility rates in general, Dr. Lipman has seen a number of adenomyosis patients getting pregnant after UAE. It goes without saying that a procedure like UAE must be performed by a very experienced interventional radiologist who regularly performs it with a high rate of success. It’s also very important that you are monitored by the doctor performing the procedure afterwards, i.e. a follow up appointment will be required.

Adenomyosis patients can expect higher incidents of pre-term labor and other high-risk obstetrics, and your OB/GYN will follow you more closely, but the vast majority of patients have successful pregnancies with no issues at all.

If you have been diagnosed with adenomyosis and want to find out more about uterine artery embolization procedure, make an appointment with Dr. John Lipman by calling Atlanta Fibroid Center at 770-953-2600.


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Atlanta Fibroid Center
of Atlanta Interventional Institute
John C. Lipman, MD, FSIR
3670 Highlands Parkway SE
Smyrna, GA 30082

Copyright © 2019 by ATLii & John C. Lipman, MD, FSIR. All Rights Reserved.