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Experiencing Severe Dysmenorrhea, Can Females With Adenomyosis Get Pregnant?
Many females at 30s have been married for many years, while they may suffer from severe dysmenorrhea. After diagnosis, they are told that it's the adenomyosis making troubles.
 
What is adenomyosis?
 
A vivid picture is that the unstable endometrium is not well isolated at home (endometrium), and goes beyond the isolation zone (endometrium and myometrium junction zone) to live abroad (myometrium) and " make troubles", leading to the surrounding mobilization of inflammatory reaction and strengthened protection (hypertrophy of surrounding myometrium).

adenomyosis
 
Three major manifestations of adenomyosis: dysmenorrhea, profuse menstruation, and infertility.
 
Medications that can relieve pain include:
 
Oral analgesics: such as ibuprofen, indomethacin suppository, etc.
 
Oral contraceptives: such as drospirenone and ethinylestradiol tablets. In addition, leproteroline can be used, which can stop the ovaries from producing estrogen and progesterone.
 
Methods that can reduce blood loss include:
 
Intrauterine device: It's a small device that fits inside the uterus and is normally used for birth control. While there are intrauterine devices that can release the hormone progesterone and may help improve symptoms of adenomyosis, such as levonorgestrel intrauterine birth control systems.
 
Endometrial ablation: Surgery can cause scarring to form on the lining of the uterus, reducing menstrual flow thereby.
 
Uterine artery embolization: It can block the blood supply to the uterus, thus reduce the blood loss.
 
Generally speaking, the most effective treatment for adenomyosis is a surgical removal of the uterus, but this means that the patient is unable to have children naturally. As a result, it is not suitable for patients who require fertility.

adenomyosis
 
In case of adenomyosis, do females still have the chance to have children naturally?
 
Patients with adenomyosis who want to become pregnant should work with their doctor to explore multiple medications, conservative surgery, assisted reproductive techniques, and other treatment options until the completion of pregnancy.
 
Before treatment, doctors will evaluate the infertility or fertility of patients with adenomyosis for the first time, understand their uterus state, and apply GnRHA (gonadotropin-releasing hormone) for pre-treatment if necessary, to improve the internal environment of their uterus and pelvic cavity. At the same time, they should look for the right time to guide pregnancy or choose assisted reproduction to assist pregnancy.
 
GnRHA reduces the level of estrogen progesterone at the central level and simulates the state of "ovarian castration" artificially. It can reduce the focus while improving dysmenorrhea and bleeding symptoms. In addition, by inhibiting some cytokines in peritoneal fluid, the intraperitoneal environment and the receptivity of embryos can be improved, the development and maturation of oocytes can be actively promoted, and the probability of pregnancy after drug withdrawal can be increased.
 
However, the best weapon has its drawbacks. For example, the long-term suppression of the endocrine system can lead to low estrogen status, perimenopausal symptoms, increased osteoporosis and cardiovascular risk. Clinically, it can be improved by the reverse addition of small doses of estrogen-like drugs.
 
Further, hysteroscopy and laparoscopy should be performed in a timely manner to assess the state of the uterus, fallopian tubes, ovaries, and pelvic and abdominal environments if the doctor evaluates surgical indications. The doctor will make a treatment plan based on the type and number of infertility factors identified during the evaluation process.
 
What do doctors evaluate?
 
For example, whether it is combined with endometriosis or uterine fibroid, whether the morphological structure of the uterus and abdominal cavity is abnormal, and whether the fallopian tube structure is abnormal. Later, according to the type of adenomyosis and different stages of endometriosis, assisted reproduction therapy can be guided. If the fertility is assessed as being poor, assisted reproduction therapy can be directly considered.
 
By the way, the herbal medicine Fuyan Pill is also often used for females with adenomyosis, which can help them relieve painful symptoms, improve the menstruation and unblock the tubal blockage. Its effects work on the whole reproductive system with no side effects, so it is safe and effective.


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