In this article:
We spoke with Dr Vaishali Joshi, Consultant Obstetrician & Gynaecologist, Kokilaben Dhirubhai Ambani Hospital, Mumbai, to understand what women with adenomyosis can expect during each trimester of pregnancy.
What Changes When You Are Pregnant With Adenomyosis?
“Pregnancy can go well with adenomyosis, but it may need closer monitoring because of the increased risk of certain complications.”- Dr Vaishali Joshi, Consultant Obstetrician & Gynaecologist, Kokilaben Dhirubhai Ambani Hospital, Mumbai
1. First Trimester
During the first trimester, your body adjusts to pregnancy while the baby begins its early development.You may notice:
- Symptom Changes: Periods stop during pregnancy, which may reduce adenomyosis-related cramps and pelvic pain for some women.
- Uterine Changes: The uterus starts growing to support the pregnancy, while adenomyosis-related thickening of the uterine muscle may remain visible.
- Early Pregnancy Risks: Some women with adenomyosis may have a higher chance of spotting, bleeding, or early pregnancy complications.
You may have more frequent check-ups and early scans to ensure your pregnancy is progressing well and to monitor any changes or symptoms.
2. Second Trimester
The second trimester is often a more comfortable stage, as your body adjusts to the pregnancy and the uterus continues to grow.You may notice:
- Uterine Changes: As the uterus expands, adenomyosis-related changes may become less noticeable on scans.
- Comfort Levels: Pelvic pain and cramps may settle for some women, though occasional discomfort may persist.
- Possible Risks: There may be a higher risk of pregnancy complications, including bleeding or signs of early labour.
You may have a detailed ultrasound to check your baby's growth and look at the placenta and uterus.
3. Third Trimester
The third trimester brings faster growth of the baby and prepares your body for labour and delivery.You may notice:
- Uterine Changes: As the uterus continues to stretch, adenomyosis-related changes may become less apparent on ultrasound.
- Possible Risks: Adenomyosis is linked with a higher risk of preterm birth, foetal growth problems, high blood pressure, and placental complications.
- Baby's Position: Some babies may be more likely to be in a breech or other unusual position.
You may have growth scans and closer follow-up as you approach delivery, depending on your pregnancy and your doctor's advice.
Does Adenomyosis Affect How Your Pregnancy Is Monitored?
Yes, adenomyosis may mean closer monitoring during pregnancy. Your doctor may recommend additional appointments or scans depending on the extent of adenomyosis, your symptoms, scan findings, and other pregnancy factors. The aim is to identify any concerns early and make sure your pregnancy continues to progress safely.Can You Have a Normal Delivery With Adenomyosis?
Yes, adenomyosis alone does not mean you need a C-section. If your pregnancy is progressing well, a vaginal delivery may be possible. The final decision depends on your baby's position, placental location, your health, previous delivery history, and any complications that develop during pregnancy.What Can You Do to Support a Healthy Pregnancy?
Taking care of yourself and staying connected with your maternity team can help support your pregnancy.Simple steps include:
- Keep your regular prenatal appointments and follow your doctor's advice.
- Take prescribed medicines, folic acid, and other supplements as recommended.
- Eat a balanced diet with enough protein, fruits, vegetables, whole grains, and fluids.
- Choose gentle, pregnancy-safe activities such as walking if your doctor allows them.
When Should You Contact Your Doctor?
Contact your doctor if you notice any unusual changes during pregnancy, especially symptoms that are sudden, severe, or getting worse, such as:- Heavy vaginal bleeding or bleeding that does not settle
- Severe or persistent abdominal or pelvic pain
- Regular contractions or strong cramps before your due date
- Fluid leaking from the vagina
- Severe headache, blurred vision, or sudden swelling
- Noticeably reduced baby movements later in pregnancy
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FAQs on Pregnancy With Adenomyosis: What to Expect in Each Trimester
- Will adenomyosis affect my baby's growth?
Adenomyosis may increase the risk of restricted foetal growth in some pregnancies, but it does not mean your baby will have growth problems. Regular prenatal care helps monitor development. - Do women with adenomyosis need more ultrasounds?
Not every woman with adenomyosis needs additional ultrasounds. Your doctor may recommend extra scans based on the severity of adenomyosis, pregnancy progress, symptoms, and other individual risk factors. - Is bed rest needed during pregnancy with adenomyosis?
Bed rest is not routinely recommended just because you have adenomyosis. Your doctor may advise reducing certain activities if specific pregnancy concerns develop or your symptoms require additional care.