The short explanation
Adenomyosis is a condition where tissue like the womb lining grows into the muscle wall of the womb. It is linked with heavy and painful periods. Research suggests it may make getting pregnant somewhat harder for some women and may slightly increase some pregnancy risks, but many women with adenomyosis do get pregnant and have healthy babies. How much it matters depends on how widespread it is, your age, other fertility factors and whether there is also endometriosis or fibroids. Treatment choices are different for women who want a pregnancy, because some common treatments for adenomyosis prevent pregnancy while they are used.
What depends on your situation
The parts of this that change from woman to woman. Uncertainty is stated, not hidden.
- If you are trying to conceive and it has not happened within a year, or six months if you are over 35, a fertility check for both partners is reasonable.
- Pain relief and treatments to reduce bleeding may be used while trying for pregnancy. Your doctor can explain which ones are suitable.
- A gynaecologist with experience in fertility can help plan, especially if adenomyosis is extensive.
What this answer cannot determine
The boundary of online education. These need a clinician who can see you.
- This answer cannot tell how adenomyosis affects your own chances of pregnancy. That depends on your scan, age and a fertility assessment.
Questions for your clinician
Take these with you. You can add any of them to an appointment card.
- How extensive is the adenomyosis on my scan?
- Could it affect my chances of getting pregnant?
- Which treatments can I use while trying to conceive?
- When should we have fertility tests?
When to seek help
Clinician-approved guidance for this topic. When in doubt, being seen is never the wrong choice.
Emergency — call 112 now
- Call 112 or go to the nearest emergency department if you have very heavy bleeding with fainting or breathlessness.
Get help the same day
- Get care the same day if you have severe pain that is not controlled.
Raise it at a routine appointment
- Book an appointment with a gynaecologist to discuss your scan and plans for pregnancy.
Sources
The evidence this explanation is built on.
- Adenomyosis Cleveland Clinic
- Endometriosis NHS
Who wrote and reviewed this
Every AskHer answer names its author. A clinically reviewed answer also names the clinician who signed it off — if no clinician is named below, it has not been clinically reviewed.
- Author
- AskHer Editorial (AI-assisted draft) AskHer's editorial team — not an individual clinician Works in English, தமிழ், हिन्दी
- Clinical reviewer
- Nobody yet No clinician has signed this answer off, and no person on the editorial team has read it yet. That is what the “Written with AI assistance” label means. It is queued for an editor to read, and then for a clinician who works in this area. The sources it was drafted against are listed above.
- Review status
- Written with AI assistance — not yet reviewed by a person
- Last reviewed
- Not yet reviewed by a person
- Version
- 1
Correction history
Substantive changes are listed, not quietly edited away.
No corrections have been made since this answer was first published.
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