If you have adenomyosis, should you get pregnant first or have surgery first? It is a difficult choice for adenomyosis patients who have not had children. If you choose to get pregnant first, you are worried that you will not be able to get pregnant, and you are also worried that if you do get pregnant you will have a miscarriage, because after all, the environment of the uterine cavity of the disease will not be too good. If you choose to have surgery first, you are worried that the uterus will be damaged and need some time to recover, and you will be able to get pregnant after the surgery, which is also a problem. In fact, for adenomyosis, whether to get pregnant first or surgery first, depends on the patient’s specific situation. Symptomatic treatment If you are still young, or unmarried and childless, and have not talked about boyfriends in recent years, for this type of situation, it is recommended that the first symptomatic treatment, what is symptomatic treatment, that is, for the symptoms of the treatment, for example, your menstrual cramps painful and uncomfortable, then take some painkillers first, Chinese medicine to ease the menstrual cramps. If the menstrual flow is heavy, resulting in anemia, then take blood tonic medicine first, which is called symptomatic treatment. For these young girls, the symptoms are still relatively mild, so symptomatic treatment can solve the problem, but it is recommended to talk about friends as soon as possible, as soon as possible to get married and have children. Try to get pregnant first For those who are already married but have no children and suffer from adenomyosis, my advice is to try to get pregnant first, as early as possible. Relax your mind and stop thinking nonsense at this time. There are many patients with adenomyosis who have given birth to their children, and some of them had their children after adenomyosis was detected, and they delivered their babies successfully at the end of the day. So don’t be discouraged, maybe you can have a baby too. Of course not all people are equally lucky. Some people have a large uterus and a poor uterine environment, and they have not been able to get pregnant without contraception, so these patients can consider IVF, and maybe they will also be able to reap the benefits of a good pregnancy. Of course, there are also people who get pregnant and then miscarry, like a patient who came in for a Uterus Preservation U procedure before. Remember she said she was 3 months pregnant and the embryo stopped developing. But it’s normal for situations like this to occur. We would like to remind patients with adenomyosis that it is important to preserve the pregnancy. Although there is still a certain chance of miscarriage when a child is conceived with adenomyosis, it is more secure if the pregnancy is successfully carried through once, and the baby born will not be affected by the adenomyosis and develop deformities and so on. Strictly follow the perinatal care booklet throughout the pregnancy. Surgery first So when do you need to have surgery first and then get pregnant? A: The patient’s situation is more serious, the dysmenorrhea is particularly serious, the uterus is relatively large, has affected their life and work, and has been trying to conceive for 2 years, 3 years, but still can not get pregnant. And do test tube is also unsuccessful. For this kind of patients, we should carry out uterus preservation surgery before considering pregnancy. You have been trying to get pregnant for so many years. You still can’t get pregnant. Then it means that your uterine environment is already very poor. The chances of getting pregnant are already zero, so the result of trying to get pregnant again now is still not conceived. So this is the time to consider surgical treatment, digging out the lesions and preserving the uterus. After the surgery, pregnancy can then be considered. The purpose of this is to leave no regrets. Secondly, if there is a large adenomyoma on the uterus (which is also adenomyosis, but it is called adenomyoma because of the restricted growth of the adenomyosis lesion), and it happens to be blocking the sperm-egg union, then this case can also consider surgery before considering pregnancy. Whether it is symptomatic treatment, trying to conceive first, or surgery, I emphasize the importance of “action first” in the face of adenomyosis, and not to procrastinate.