Adenomyosis is a common but often underdiagnosed condition that can impact reproductive health and fertility. Many patients are told their symptoms are “normal,” which can delay diagnosis and treatment. Understanding how adenomyosis affects fertility and treatment options is an important step toward getting answers—and exploring the right path forward.

What Is Adenomyosis?

Adenomyosis occurs when tissue similar to the uterine lining grows into the muscular wall of the uterus. This can cause the uterus to become enlarged and lead to painful or heavy menstrual cycles.

Although it shares similarities with endometriosis, adenomyosis affects the uterine muscle itself.

Common Symptoms of Adenomyosis

Symptoms can vary, but often include:

• Heavy or prolonged menstrual bleeding
• Severe menstrual cramps
• Chronic pelvic pain or pressure
• Pain during intercourse

These symptoms are frequently normalized, but they shouldn’t be ignored.

Can Adenomyosis Affect Fertility?

Yes, adenomyosis may impact fertility in several ways:

• It can interfere with embryo implantation
• It may alter the uterine environment
• It has been associated with an increased risk of miscarriage

That said, many individuals with adenomyosis are still able to conceive, especially with the right care and treatment plan.

“Adenomyosis can affect the uterine environment in ways that make implantation more challenging, but it does not mean pregnancy isn’t possible. With the right diagnosis and a personalized treatment plan, many patients still have strong success rates.”

— Dr. Antonio Gargiulo, Board-Certified in Obstetrics and Gynecology and in Reproductive Endocrinology and Infertility, Medical Director of Advanced Reproductive Surgery at Fertility Centers of New England

How Is Adenomyosis Diagnosed?

Diagnosis typically involves:

• Pelvic ultrasound
• MRI imaging
• Clinical evaluation of symptoms and history

Because symptoms overlap with other conditions, working with a fertility specialist can help ensure an accurate diagnosis.

Treatment Options for Adenomyosis

Treatment depends on your symptoms and fertility goals. Options may include:

• Hormonal therapies to manage symptoms
• Anti-inflammatory approaches for pain relief
• Fertility treatments such as IVF when appropriate

A personalized approach is key to improving outcomes.

When to Talk to a Fertility Specialist

If you are experiencing ongoing symptoms or have been trying to conceive without success, it may be time to explore whether adenomyosis is a factor.

Early evaluation can help identify the cause and open the door to effective treatment options.

You Deserve Answers

At Fertility Centers of New England, we take a comprehensive, individualized approach to care—so you can better understand your fertility and feel supported every step of the way.

Schedule a consultation to learn more.