Now adenomyosis patients tend to be younger and younger, and many adenomyosis patients still have fertility requirements. They are most distressed about whether adenomyosis will affect fertility and whether they can be pregnant.

Can patients with mild adenomyosis be pregnant?

Whether adenomyosis patients can be pregnant depends on the degree of adenomyosis. In the case of mild adenomyosis, we recommend active pregnancy because pregnancy is a good treatment for adenomyosis. A full-term pregnancy, including prolonged breastfeeding after pregnancy, can have a better inhibitory effect on adenomyosis.

However, it should be noted that the degree of adenomyosis is aggravated if the patient does not receive treatment. The patient may have symptoms such as uterus enlargement, increased menstrual blood volume, etc. It also affects ovarian function and normal ovulation, which may affect pregnancy.

If it is true that the uterus is relatively large, affecting fertility, women can first do some uterine contraction treatment and wait until the uterus contracts before pregnancy. Then there may be a normal pregnancy.

What is the pregnancy rate of a woman 43 years old?

The 43-year-old woman is an older adult. In this age group, the relative probability of pregnancy is relatively tiny, and after pregnancy, it may also increase the risk of pregnancy complications and the incidence of fetal malformation. Women with adenomyosis can affect pregnancy at this stage.

If women are healthy, with only adenomyosis, regular menstruation, ovulation, and no diabetes, heart disease, kidney disease, etc., they can consider fertility. However, it should be noted that 43-year-old pregnant women belong to the elderly. After pregnancy, they must have a regular prenatal examination, strengthen the regulation of the physiological environment and supplement special physiological nutrition before pregnancy, which can significantly increase the success rate of pregnancy.

How is adenomyosis treated?

The menopausal treatment injection of adenomyosis can make the hormone level in the body reach the menopausal state and make the ectopic endometrium slowly atrophy, thus playing a therapeutic role. This method is also known as medical oophorectomy or physical hypophysectomy, so these patients can be relieved after menopause.

Some scholars who study adenomyosis believe that oral drug hormones can make the endometrium degenerate and atrophy, thus achieving the role of controlling the development of adenomyosis. Some patients choose to release the effective hormone locally and continuously, which can control endometriosis between the uterine muscle walls.

According to the understanding of traditional Chinese medicine on uterine glands, adenomyosis is related to blood stasis. Pathogenic factors such as cold coagulation and phlegm dampness can lead to the formation of blood stasis. Regarding treatment, drugs should promote blood circulation and aim at the causes of blood formation and the degree of weakness of patients. Activating blood circulation and removing blood stasis from traditional Chinese medicine Fuyan Pill can relieve the symptoms in patients. At the same time, it can also strengthen the physique and improve the patient's chances of conception.

Because adenomyosis is more common in middle-aged women, most of whom have given birth, and the dysmenorrhea and increased menstrual flow caused by the disease are often more severe, surgical hysterectomy is also a standard treatment.

Surgical treatment:

Complete hysterectomy: A total hysterectomy is generally recommended for patients with no fertility requirements and whose clinical symptoms seriously affect their quality of life. Whether to preserve the ovary depends on the patient's age. Laparoscopic or laparotomy should be chosen as appropriate.

Excision of adenomyosis lesions to preserve fertility: through laparoscopy or laparotomy, without cutting the endometrium to remove the focus as much as possible and suture and repair the uterus. For adenomyosis patients with clear boundaries, especially adenomyoma, adenomyosis focus resection can significantly improve postoperative dysmenorrhea and menorrhagia. But it cannot achieve the goal of a radical cure for adenomyosis.

Hysteroscopic endometrial ablation: for older patients with no fertility requirements, the doctors can remove most of the endometrium and superficial adenomyosis lesions to achieve the purpose of treatment. However, for patients with deep lesions or no fertility requirements, the depth of invasion of the lesions should be known through ultrasound before using this method.

Laparoscopic hysterectomy: removing the nerve or presacral nerve in the uterosacral ligament with electrocautery or laser under the laparoscope to block the pain nerves of the uterus. Although the surgery is more complex for women who remain fertile, it has a better effect in controlling long-term pain than traditional surgery.

However, in recent years, adenomyosis has become younger, and patients often require fertility preservation. Some patients cannot undergo a hysterectomy. Therefore, conservative medical treatment and conservative surgical treatment become important.

In addition, patients also need to learn to care.

First, to clean the perineum, you should wash it with warm water once or twice daily.

Secondly, patients should not be tired. They can use listening to music, participating in recreational activities, and other ways to distract and reduce physical and mental fatigue.

Thirdly, when the patient has severe back pain, do a massage. It can relieve the pain in the waist and abdomen and increase comfort.

Finally, remain optimistic. A good mood is an essential thing. Everyone can't be smooth sailing, and pressures and frustrations exist everywhere. Therefore, we must have a correct attitude and face life with optimism. The psychological stress is too great, and the bad mood directly affects the illness.

Self-care for adenomyosis is essential, which can promote clinical treatment and physical recovery.

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