Adenomyosis - a disorder in which the endometrium, or uterine lining begins to grow into the uterine wall.Although currently adenomyosis diagnosed in an increasing number of women - especially it is common among those who suffer from endometriosis - is still unclear how great the probability that a violation will cause infertility and whether it is possible to get pregnant adenomyosis.
reasons for adenomyosis may be a genetic predisposition, overweight and obesity, surgery on the uterus (including abortion), heavy physical labor, poor environmental conditions, lack of exercise, combined oral contraceptives, frequent stress, and so on.
first obtained from research data that adenomyosis may cause infertility, related to 2004.Then a report was published about the study state of health living in zoos baboons: it was found that animals suffer from adenomyosis, are more likely to become infertile.Researchers concluded that adenomyosis is closely associated with primary infertility in
It was also noted that the successful reduction of conception transitional area connecting the uterus during embryo implantation should be minimal.Excessive reduction of transitional areas connecting women with adenomyosis dramatically reduce the likelihood of implantation.The probability of pregnancy was highest in cases where the woman is less than five beats per minute.It should be noted that these findings were made on the results of surveys of women who do IVF.However, it is likely that the reduction transitional area connecting women with adenomyosis reduce the chance of getting pregnant and those who are trying to conceive naturally.During the research it was noted that adenomyosis often leads to the fact that cuts are becoming more frequent, become irregular, and disrupted the mechanisms by which sperm get into the womb.
Another cause of infertility in adenomyosis can be anomalous concentration of free radicals in the uterus.An excess of free radicals can cause damage to a fertilized egg, and prevent the normal development of the embryo.
treatment of infertility in adenomyosis
Until now there have been no systematic studies of treatments for infertility associated with adenomyosis, although in the last twenty years, doctors used to do a lot of different techniques - more or less successfully.In general, pregnant with the adenomyosis is possible, although it is possible not all patients.
of first choice for the treatment of infertility in women with adenomyosis is usually one or another drug from the group of gonadotropin-releasing hormone.Good results could be obtained when using a drug therapy, and with the combination of drugs and surgery.
operation is usually given in cases where it becomes apparent that medical therapy is not enough to achieve the desired result.
Uterine artery embolization is now widely used to treat infertility in adenomyosis.In one study involved 94 women with adenomyosis, which made the uterine artery embolization.Six of them wanted to get pregnant, and the five succeeded, one of the subjects after the operation became pregnant twice.In addition, two pregnancy occurred because of problems with contraception, and one of the women who became pregnant had an abortion.Of the seven pregnancies (including two one woman), five ended with vaginal delivery, and two - by Caesarean section.One woman went into premature labor, and the baby had a low birth weight, but it does not have a negative impact on its further development.To make valid conclusions about how effective is uterine artery embolization for women suffering from adenomyosis, and want to get pregnant, need additional, more extensive and qualitative research.
to treat adenomyosis Adenomyosis - treatment should be individualized can also be used endometrial resection.One of the latest - and probably safer - varieties of this operation - high-intensity focused ultrasound ablation.This technology uses the external action of ultrasonic energy to using heat to destroy certain areas of tissue in the uterus.Thus the skin remains intact.Earlier this method was used only for the treatment of malignant tumors, but now with the help and treat adenomyosis.
Because the technology is relatively new, there is very little information on its effectiveness in the treatment of infertility Infertility Treatment - What are the priority principles .At the moment, described only one case where a woman suffering from adenomyosis and infertility, failed to conceive after high-intensity focused ultrasound ablation.The woman, whose age is 36 years old, could not get pregnant because of the severe menometrorrhagia - disorders characterized by an abnormally prolonged menstrual bleeding, as well as frequent intermenstrual bleeding.Six weeks after surgery menometrorrhagia symptoms become much less severe, and after some time she became pregnant;pregnancy was normal and resulted in vaginal birth.