Adenomyosis can create female fertility issues
At ArkLaTex Fertility, we understand the disappointment of trying to get pregnant and facing negative test after negative test. Before you consider throwing in the towel, we suggest a visit with our Northern Louisiana fertility doctor. David T. Vandermolen, M.D., M.S., can diagnose female fertility problems, including adenomyosis, and then develop a thorough treatment plan to increase the odds for a successful outcome.
What factors can affect female fertility?
For a healthy pregnancy to occur, the ovaries must release an egg for fertilization by the sperm. The zygote then travels to the uterus and implants in the uterine lining. If fertilization and implantation don’t happen, the uterine lining sloughs off, and a menstrual period follows. Unfortunately, issues related to maternal age, hormone imbalances and anatomical abnormalities, such as adenomyosis, can disrupt the regular conception and implantation process.
What is adenomyosis?
Normally, endometrial tissue lines the uterus, where it thickens, sheds and bleeds based on your menstrual cycle. Sometimes, that tissue grows into the uterine wall, resulting in adenomyosis. With this condition, this tissue continues to behave how it usually would, but the abnormal location creates problems within the uterus.
Common signs of this uterine condition
Not every patient diagnosed with adenomyosis has symptoms. Even without any noticeable signs, however, the condition can hinder female fertility. You have a greater risk if you are between 40 and 50 years old; have given birth at least once; have endometriosis; or have had a D&C, a procedure to remove material from inside the uterus. Generally, the problem resolves itself once a woman enters menopause.
Women with this condition may experience several symptoms.
- Irregular or excessive bleeding
- Severe menstrual cramps
- An enlarged uterus
- Chronic pain in the pelvic area
- Tenderness in the abdomen
- Discomfort during intercourse
- Infertility
Diagnosing and treating this condition
Other conditions, such as endometriosis, polyps and leiomyomas, can present with similar symptoms, which can make it more difficult to identify adenomyosis. Dr. Vandermolen will often perform a pelvic exam and a sonogram as initial steps. He may also order an MRI of the uterus for better imaging. In some cases, he confirms this condition by ruling out other conditions.
Treatment for this uterine issue depends on your stage of life and where you are with family planning. Anti-inflammatories may control the discomfort, and hormonal medications can lessen bleeding. Depending on the severity of symptoms and whether you are concerned about female fertility, our Northern Louisiana fertility doctor may recommend medical suppression of estrogen to shrink the adenomyosis before fertility treatment, such as IVF. In uncommon cases, adenomyomectomy to remove the excess tissue from the uterine wall, may be done.
Dr. Vandermolen and our team are prepared to assist you on your fertility journey. We will provide the clinical expertise and compassionate care that you need. Contact our office to schedule an appointment.