04/01/2026
adenomyosis and infertility and miscarriages
Adenomyosis can affect fertility and pregnancy, but the relationship isn’t always straightforward. Here’s a clear breakdown of how it connects to infertility and miscarriages:
🧠 What adenomyosis is
Adenomyosis happens when tissue similar to the uterine lining (endometrium) grows into the muscular wall of the uterus. This can make the uterus enlarged, inflamed, and less functional.
🤰 Adenomyosis and infertility
Adenomyosis can make it harder to get pregnant, though many people with it still conceive.
Possible reasons:
🔸 Implantation problems – the uterine lining may not be as receptive to an embryo
🔸 Inflammation – can interfere with s***m movement or embryo development
🔸 Abnormal uterine contractions – may disrupt embryo implantation
🔸 Often occurs alongside Endometriosis, which also affects fertility
⚠️ Adenomyosis and miscarriage risk
There is evidence of increased miscarriage risk, especially in untreated or severe cases.
Why this may happen:
🔹 Poor blood flow to the uterine lining
🔹 Hormonal imbalances affecting early pregnancy support
🔹 Chronic inflammation in the uterus
🔹 Difficulty maintaining stable implantation
Some studies suggest miscarriage rates may be higher than average, but outcomes vary widely depending on severity and treatment.
📊 Important perspective
Not everyone with adenomyosis has infertility or miscarriages
Many people still have successful pregnancies, especially with treatment
Severity (diffuse vs focal adenomyosis) plays a big role
💊 Treatment options (when trying to conceive)
Treatment is individualized, but may include:
Hormonal therapies (to suppress disease before trying)
Fertility treatments like IVF
Medications to improve uterine environment
In some cases, surgery (for focal disease)
🩺 When to seek help
Consider seeing a fertility specialist if:
You’ve been trying for 6–12 months without success
You’ve had recurrent miscarriages
You have symptoms like heavy, painful periods
💬 Bottom line
Adenomyosis can contribute to infertility and miscarriage, mainly by affecting the uterine environment—but it doesn’t make pregnancy impossible. With proper evaluation and treatment, many people go on to have healthy pregnancies.