Uterine adenomyosis is defined as an inadequate invasion of the tissue that normally lines the interior of the uterus, which has the function of allowing the implantation of the embryo and supporting the pregnancy for its entire duration, to the deepest layers of the uterus. This invasion can generate very painful periods, very heavy bleeding and in the case of fertility these invasive areas cause less blood to reach the endometrium (a phenomenon we call vascular sequestration) leaving the embryo with less available nutrients.
Outside the context of fertility it could be said that adenomatosis and its symptoms have a cure and it would be the removal of the uterus, but in our context this option is unthinkable, so all the solutions for us are to reduce the activity of this disease in order to improve the chances of pregnancy. These solutions go along two lines.
The first uses medications that reduce the activity of the adenomyosis before pregnancy. This has to be done in conjunction with assisted reproduction treatment since these medications inhibit ovulation. The second involves minimally invasive surgery such as radiofrequency ablation of the areas of adenomyosis. It is a very innovative treatment that is giving very good results.
