{"id":39545,"date":"2025-06-23T12:57:43","date_gmt":"2025-06-23T10:57:43","guid":{"rendered":"https:\/\/urecentrogutenberg.es\/adenomyosis-and-its-relation-to-infertility\/"},"modified":"2025-09-30T16:19:32","modified_gmt":"2025-09-30T14:19:32","slug":"adenomyosis-and-infertility","status":"publish","type":"post","link":"https:\/\/urecentrogutenberg.es\/en\/adenomyosis-and-infertility\/","title":{"rendered":"Adenomyosis and its relation to infertility"},"content":{"rendered":"<p>Adenomyosis is a condition that is characterised by the\u00a0<strong>presence or invasion of the endometrium (<em>the layer that lines the uterine cavity<\/em>) into the muscular layer of the uterus<\/strong>.<\/p>\n<p>Although there are few studies that show its impact on fertility, proper treatment can improve a female\u2019s reproductive prognosis.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Tabla de contenidos<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #3f3f3f;color:#3f3f3f\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #3f3f3f;color:#3f3f3f\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/urecentrogutenberg.es\/en\/adenomyosis-and-infertility\/#What_is_the_endometrium\" >What is the endometrium?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/urecentrogutenberg.es\/en\/adenomyosis-and-infertility\/#When_can_we_say_that_a_female_has_adenomyosis\" >When can we say that a female has adenomyosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/urecentrogutenberg.es\/en\/adenomyosis-and-infertility\/#The_most_common_adenomyosis_symptoms_include\" >The most common adenomyosis symptoms include:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/urecentrogutenberg.es\/en\/adenomyosis-and-infertility\/#Adenomyosis_and_how_it_relates_to_infertility\" >Adenomyosis and how it relates to infertility<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/urecentrogutenberg.es\/en\/adenomyosis-and-infertility\/#Adenomyosis_diagnosis_and_treatment\" >Adenomyosis diagnosis and treatment<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_endometrium\"><\/span>What is the endometrium?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The endometrial tissue, or endometrium, is the lining that covers the inside of the uterus. It undergoes significant changes throughout the female\u2019s\u00a0<a href=\"https:\/\/urecentrogutenberg.es\/en\/what-are-the-main-phases-of-the-menstrual-cycle\/\" target=\"_blank\" rel=\"noopener\">menstrual cycle<\/a>, all of which are aimed at the successful implantation of an\u00a0<a href=\"https:\/\/urecentrogutenberg.es\/en\/embryo-classification-by-quality-for-in-vitro-fertilisation-treatment\/\" target=\"_blank\" rel=\"noopener\">embryo<\/a>\u00a0and the achievement of a pregnancy.<\/p>\n<p>This means that the endometrium has the ability to regenerate itself with each menstrual cycle in order to prepare the uterus for a possible pregnancy, and to shed (if conception has not occurred), resulting in menstruation.<\/p>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_can_we_say_that_a_female_has_adenomyosis\"><\/span>When can we say that a female has adenomyosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When the endometrial tissue grows not only in the inner layer of the uterus, but it is also able to enter deeper and invade the muscular layer of the uterus (the myometrium), we are talking about adenomyosis.<\/p>\n<p>&nbsp;<\/p>\n<p>Adenomyosis can affect the entire thickness of the uterine myometrium, or just certain areas of it. In other words, it can be focal, meaning it affects only a specific area, forming nodules or resulting in an increase in the thickness of the uterine wall. Or it can be diffuse, meaning the entire uterus is affected and enlarged as a result.<\/p>\n<p>The incidence of adenomyosis is around 11-12% in females. Generally speaking, females affected by adenomyosis are over 40 years of age and have had a caesarean section delivery and\/or some type of uterine surgery.<\/p>\n<p>Adenomyosis may or may not cause any symptoms. Studies confirm that 35% of cases can be asymptomatic.<\/p>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"The_most_common_adenomyosis_symptoms_include\"><\/span>The most common adenomyosis symptoms include:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>Heavy periods.\n<ul>\n<li>This is the most common symptoms and it\u00a0affects over 50% of females who suffer from this condition.<\/li>\n<\/ul>\n<\/li>\n<li>Dysmenorrhoea.\n<ul>\n<li>This is the name for menstrual pain, which affects around 30% of patients and is believed to be related to heavy periods, as well as to the correlation of this pathology with\u00a0<a href=\"https:\/\/urecentrogutenberg.es\/en\/endometriosis-and-fertility-everything-you-need-to-know-if-you-want-to-become-a-mother\/\" target=\"_blank\" rel=\"noopener\">endometriosis<\/a>\u00a0(around 24% of patients have both conditions).<\/li>\n<\/ul>\n<\/li>\n<li>Pain during intercourse.<\/li>\n<li>Bleeding between periods.<\/li>\n<li>Infertility.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Adenomyosis_and_how_it_relates_to_infertility\"><\/span>Adenomyosis and how it relates to infertility<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Although adenomyosis is a condition that develops mainly in patients who have gone through childbirth,\u00a0<strong>there are published clinical cases that show a relationship between adenomyosis and infertility<\/strong>, especially in cases of\u00a0<a href=\"https:\/\/urecentrogutenberg.es\/en\/secondary-infertility-when-a-second-pregnancy-doesnt-come\/\" target=\"_blank\" rel=\"noopener\">secondary infertility<\/a>, and due to associated endometriosis.<\/p>\n<p>It is believed that it may be due to an abnormality in the union between the endometrium and the uterine myometrium that could interfere with\u00a0<a href=\"https:\/\/urecentrogutenberg.es\/en\/\/implantation-bleeding-how-can-you-tell\/\" target=\"_blank\" rel=\"noopener\">embryo imp<\/a>l<a href=\"https:\/\/urecentrogutenberg.es\/en\/\/implantation-bleeding-how-can-you-tell\/\" target=\"_blank\" rel=\"noopener\">antation<\/a>, in addition to having a negative impact on sperm transport.<\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"AP66qwrDhO\"><p><a href=\"https:\/\/fertilityclinicspain.com\/\" target=\"_blank\" rel=\"noopener\">Home<\/a><\/p><\/blockquote>\n<p><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Home&#8221; &#8212; URE Centro Gutenberg\" src=\"https:\/\/fertilityclinicspain.com\/embed\/#?secret=Y0Kq0oOh7r#?secret=AP66qwrDhO\" data-secret=\"AP66qwrDhO\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Adenomyosis_diagnosis_and_treatment\"><\/span>Adenomyosis diagnosis and treatment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Upon physical examination of the female, an enlarged uterus will be found and confirmed with an ultrasound or magnetic resonance imaging, techniques that also make it possible to diagnose the presence of adenomyomas or adenomyosis cysts in the thickness of the uterus.<\/p>\n<p><strong>Treatment will depend on the patient\u2019s symptoms and future plans for pregnancy<\/strong>. Treatment options range from hormonal medical treatments to complex surgical interventions.<\/p>\n<p>Fortunately for females who suffer from this disease and wish to become mothers, proper treatment could improve their likelihood of conception and a viable pregnancy.<\/p>\n<p>&nbsp;<\/p>\n<p>For that reason, the team at URE Centro Gutenberg advises you to discuss your case with a reproductive specialist if you know or think you may have this condition.\u00a0<a href=\"https:\/\/urecentrogutenberg.es\/en\/contact\/\" target=\"_blank\" rel=\"noopener\"><strong>Request an appointment with us<\/strong><\/a>\u00a0and we\u2019ll be happy to help you.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adenomyosis is a condition that is characterised by the\u00a0presence or invasion of the endometrium (the layer that lines the uterine cavity) into the muscular layer of the uterus. Although there are few studies that show its impact on fertility, proper treatment can improve a female\u2019s reproductive prognosis. &nbsp; What is the endometrium? The endometrial tissue, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":34160,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[497],"tags":[617,616,538,528,512,504,529,543,542,518,508,502,513,503,510,506],"class_list":["post-39545","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fertility-problems","tag-adenomyosis","tag-adenomyosis-and-its-relation-to-infertility","tag-artificial-insemination","tag-assisted-reproduction","tag-assisted-reproduction-clinic-in-malaga","tag-assisted-reproduction-techniques","tag-causes-of-infertility","tag-centro-gutenberg-en","tag-clinic-gutenberg-en","tag-fertility-clinic","tag-fertility-clinic-in-malaga","tag-fertility-treatments","tag-fertility-treatments-in-malaga","tag-in-vitro-fertilisation","tag-ivf-clinic-in-malaga","tag-pregnancy"],"_links":{"self":[{"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/posts\/39545","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/comments?post=39545"}],"version-history":[{"count":4,"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/posts\/39545\/revisions"}],"predecessor-version":[{"id":39725,"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/posts\/39545\/revisions\/39725"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/media\/34160"}],"wp:attachment":[{"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/media?parent=39545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/categories?post=39545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urecentrogutenberg.es\/en\/wp-json\/wp\/v2\/tags?post=39545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}