Can You Conceive Naturally With Adenomyosis?

BySamradni Pradhan
Updated: 25 Jul 2025, 9:30 pm

Conception can become harder with adenomyosis, although it does not indicate an impossibility to become pregnant naturally. The blog will help you understand what adenomyosis is, its impact on fertility, and what you can do to increase your chances of conceiving naturally. Many women with adenomyosis have successful pregnancies through proper care and early interventions.

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If you have been diagnosed with adenomyosis and are trying to conceive, you might be wondering if natural conception is still possible. Yes, it is, but it might be more time-consuming and require better planning. The available information on the impact of adenomyosis on your body and fertility can guide you to arrive at better decisions relating to fertility.

In this article:


What does this condition entail, and how does it affect your chances of achieving a natural pregnancy? Let's take a closer look at this.


What Is Adenomyosis?

Adenomyosis refers to a condition where the inner lining of your uterus, which is known as the endometrium, invades the muscular wall of the uterus. It might enlarge your uterus, thicken it, and make it sensitive. The entrapped tissue reacts to your monthly hormones, and this can cause painful periods, heavy menstruation, and pressure in the pelvis.

Although adenomyosis is most prevalent in women aged 30-40, young women are subject to it as well. Not all women with adenomyosis exhibit symptoms, and some may have continuous discomfort.


How Does Adenomyosis Affect Fertility?

Adenomyosis does not significantly impact fertility in the same way, so its effect can vary from individual to individual. However, one should know that not all women with adenomyosis will have difficulties conceiving. Other women might find it harder, though, due to the impacts that the condition has on the uterus.

Here are a few ways adenomyosis might influence your ability to conceive:

  1. Changes in the uterus: The thickened uterine wall may affect the shape and function of your uterus. This can make it harder for a fertilised egg to implant properly.
  2. Inflammation: Chronic inflammation caused by adenomyosis may reduce the quality of the uterine environment, making it less suitable for embryo development.
  3. Hormonal imbalance: Adenomyosis can disrupt the normal hormonal balance in your body, potentially interfering with ovulation and regular menstrual cycles.
  4. Poor blood flow: The condition can alter blood flow to the uterus, which is crucial for nourishing an embryo during the early stages of pregnancy.
  5. Miscarriage risk: Some studies have shown that women with adenomyosis may have a slightly higher risk of early pregnancy loss.


How Do You Know If You Have Adenomyosis?

Adenomyosis is often hard to detect because its symptoms can be similar to other conditions like fibroids or endometriosis. If you are experiencing heavy periods, cramping, or pain during intercourse, it is important to speak with a doctor.

Diagnosis may involve the following:

  • Pelvic examYour doctor may feel that your uterus is enlarged or tender.
  • UltrasoundA transvaginal ultrasound can help identify changes in the uterus.
  • MRI scan An MRI can provide a clearer picture and is often used when ultrasound results are not conclusive.

Can You Conceive Naturally With Adenomyosis?

Yes, natural pregnancy is possible with adenomyosis. Many women with this condition can conceive and carry healthy pregnancies. However, the likelihood of success may depend on several factors:

  • Your age.
  • The severity of the condition.
  • Whether other fertility issues are present.
  • How long have you been trying to conceive?
If your adenomyosis is mild and you have regular cycles, your chances of conceiving naturally may still be quite good. On the other hand, if the condition is advanced or combined with other issues like endometriosis or blocked tubes, you may need additional support.


What Can You Do to Improve Your Chances?

Here are a few steps you can take to support natural conception:
  1. Track your cycle: Keep a record of your periods and ovulation to identify your most fertile days. Ovulation kits and basal body temperature tracking can be helpful.
  2. Maintain a healthy lifestyle: A balanced diet, regular physical activity, and stress management can support your hormonal health and improve fertility.
  3. Seek medical guidance early: If you are under 35 and have been trying for more than a year (or over 35 and trying for six months), speak to a fertility specialist.
  4. Manage symptoms: Hormonal treatments like contraceptive pills may not be suitable while trying to conceive, but your doctor can recommend other ways to manage pain and inflammation without affecting fertility.
  5. Consider supplements: Some women find fertility-friendly supplements such as folic acid, vitamin D, and omega-3 helpful. Always consult your doctor before starting any new treatment.


When to Consider Fertility Treatment

If you have been trying to conceive naturally for a while and are not getting results, fertility treatments can be an option. Depending on your condition, your doctor may recommend:

  • Ovulation induction with medications
  • Intrauterine insemination (IUI)
  • In vitro fertilisation (IVF)
Depending on the severity of adenomyosis or other factors, such as whether you are also experiencing other conditions, such as endometriosis or low ovarian reserve, IVF may provide a higher success rate.

Having adenomyosis does not imply that you would not have a natural conception. It does not make it impossible, though this condition can make it more difficult. A significant number of women with adenomyosis have successfully had a pregnancy.

Learn about your body, ask early, and be proactive in managing your fertility. Remembering the right care, support, and patience, you will be able to make some significant steps on the way to the creation of the family you might dream of.

FAQs on Can You Conceive Naturally with Adenomyosis?

  1. How long should I try to conceive naturally with adenomyosis before seeking help?
    If you are under 35, consider waiting 12 months before consulting a doctor. If you are over 35, consider seeking help after six months of trying to conceive. If you have other symptoms like irregular periods or severe pain, consider seeing a specialist sooner.
  2. Can adenomyosis go away on its own?
    Adenomyosis typically does not resolve on its own. In some cases, symptoms may reduce after menopause. However, treatments can help manage symptoms and improve fertility outcomes.
  3. Does adenomyosis always require IVF?
    No. IVF is one option, but many women conceive naturally or with less invasive treatments. Your doctor will help you determine the best course of action, taking into account your age, medical condition, and fertility goals.
Disclaimer: Medically approved by Dr Anupama Santosh, Ayurvedic fertility expert at Shreshtha Ayurvedic Center at Bengaluru