Adenomyosis and Infertility

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Adenomyosis and Infertility

The Hidden Burden Behind Painful Periods and Implantation Failure

Adenomyosis is often mistaken for “just heavy periods.” But when this condition quietly invades the uterus, it can profoundly impact a woman’s ability to conceive and carry a pregnancy. At Sparsh IVF, we recognize the silent challenge of adenomyosis-related infertility, and we offer cutting-edge, compassionate care to treat it.

If you’ve faced unexplained failed IVF cycles, recurring miscarriages, or heavy menstrual bleeding, adenomyosis could be the hidden reason. With timely diagnosis and personalized fertility treatment, pregnancy is still possible — and often successful.

What Is Adenomyosis?

Adenomyosis is a condition where endometrial tissue (normally lining the uterus) grows into the muscle layer of the uterus (myometrium). This leads to:

  • Thickened, bulky uterus
  • Heavy and painful periods
  • Abnormal uterine contractions
  • Inflammation and fibrosis
  • Implantation failure and miscarriage risk

It is often described as the “sister condition” to endometriosis but involves the inner uterine muscle, not tissues outside the uterus.

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Symptoms of Adenomyosis

How Does Adenomyosis Affect Fertility?

While many women with adenomyosis can conceive, moderate to severe cases may cause:
  • Poor implantation: The inflamed and thickened uterine wall resists embryo attachment
  • Miscarriage: Increased contractility and inflammation disrupt early pregnancy
  • Altered endometrial receptivity: Hormonal disruption leads to poor uterine lining quality
  • Failed IVF cycles: Even high-quality embryos may not implant successfully

Studies show that adenomyosis can reduce IVF success rates by 30–50% if left untreated. That’s why identifying it early is critical for treatment planning.

Signs and Symptoms of Adenomyosis

Many women live with adenomyosis for years without knowing it. Common signs include:

  • Heavy menstrual bleeding (menorrhagia)
  • Severe cramps and pelvic pain during periods
  • Pain during intercourse (dyspareunia)
  • Feeling of pelvic pressure or bloating
  • Shortened menstrual cycles
  • History of failed embryo transfers or miscarriages

Some women may be asymptomatic but are diagnosed during fertility evaluations or imaging.

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How Is Adenomyosis Diagnosed?

At Sparsh IVF, we use non-invasive and accurate diagnostic tools:

  • Transvaginal Sonography (TVS) — Can reveal a bulky uterus, irregular junctional zone, or cystic spaces.
  • 3D Ultrasound — Offers better spatial analysis of the endometrial-myometrial interface.
  • MRI scan — Considered the gold standard for mapping adenomyotic areas.
  • Clinical Evaluation — Detailed menstrual and IVF failure history, pain profiling, and hormonal assessment.

We avoid unnecessary invasive procedures and tailor diagnostics to each patient’s fertility goals.

Adenomyosis and IVF: A Complex Relationship

Adenomyosis can compromise IVF outcomes unless it’s proactively managed. At Sparsh IVF, we address this challenge with a strategic treatment timeline:

  • Medical suppression: GnRH agonists (like Lupron) are used to suppress adenomyosis for 2–3 months before IVF.
  • Modified embryo transfer timing: Transfer is delayed until the uterine environment is optimal.
  • Frozen embryo transfer (FET): Helps separate stimulation phase from transfer, improving success.
  • Hormonal priming protocols: Lining preparation is adjusted based on uterine response.
  • Surgical debulking (in severe cases): Laparoscopic excision is considered for focal adenomyomas.
Adenomyosis Treatment
Causes of Adenomyosis

Can You Get Pregnant Naturally with Adenomyosis?

Yes — especially in mild or localized cases. But as the condition progresses, the chances reduce due to uterine changes and increased inflammation. That’s why preconception evaluation is vital in women over 35 or with prior pregnancy loss.

Treatment Approach at Sparsh IVF

Our adenomyosis fertility care plan includes:

  • Accurate imaging and disease staging
  • Medical suppression before IVF (when needed)
  • Customised embryo transfer protocols
  • Preimplantation genetic testing in high-risk miscarriage cases
  • Multidisciplinary input from gynecology, reproductive medicine, and embryology teams
  • Pain management and mental health support

Why Choose Sparsh IVF for Adenomyosis?

  • In-depth diagnostics with 3D ultrasound and MRI
  • Fertility-preserving treatments focused on uterine health
  • Experience with complex IVF cycles involving adenomyosis
  • Patient-first counselling, with clarity and transparency
  • Holistic approach including wellness and post-transfer care
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Rewriting the Story for Women with Adenomyosis

Adenomyosis may complicate conception — but it doesn’t define your fertility journey. At Sparsh IVF, we have helped numerous women with this diagnosis go on to experience successful, healthy pregnancies.

Book your fertility consultation today and let us create a plan that’s as unique as your body — and your dreams.

Even when the uterus is burdened by pain, it still carries hope. At Sparsh IVF, we honor that hope with science and care.