Is Surgery Possible for Adenomyosis If You Want to Get Pregnant?
For many people with adenomyosis, especially those trying to conceive, understanding surgical options is crucial. The answer depends on the type and extent of disease.
Focal adenomyosis — particularly a well-defined adenomyoma — can sometimes be removed through a procedure called adenomyomectomy. This surgery preserves the uterus and may allow for future pregnancy, although it must be performed with great care by an experienced surgeon.
In contrast, diffuse adenomyosis spreads throughout the uterine muscle and is much harder to remove. In these cases, surgery to preserve fertility may not be advisable due to the risk to uterine integrity.
Even if surgery is not an option, there are still effective fertility strategies. We often excise endometriosis if present and use hormonal suppression therapy before embryo transfer to improve implantation chances. Many patients with adenomyosis have gone on to have healthy pregnancies with this approach.
Explore how adenomyosis affects fertility, how it’s different from endometriosis, and which treatments might support your goals.
