Pregnancy and childbirth is a very important event for millions of families. After so many years of practicing uterine preservation treatment for adenomyosis, I often meet patients who tweet or call me and ask me about pregnancy and childbirth. Many of the patients who come for surgery every year also ask about pregnancy after surgery. This shows how important it is for female patients to get pregnant and have children. However, “infertility and recurrent miscarriages” is a headache for patients with adenomyosis. Why are adenomyosis patients prone to infertility and miscarriage? 1. Poor cavity environment The poor cavity environment refers to the poor environment in the uterus caused by adenomyosis lesions. For example, due to adenomyosis, the uterus becomes larger, the uterine wall thickens, and uterine polyps occur, which makes the environment for fertilized eggs to be laid very poorly and not develop normally. 2, lesions lead to fallopian tube inaccessibility The location of the lesion is close to the fallopian tube, which compresses the fallopian tube and leads to blockage of the fallopian tube, so that sperm and eggs cannot encounter each other, and naturally, pregnancy is not possible. 3. Inflammation leads to tubal adhesion and obstruction Inflammation leads to tubal adhesion and obstruction is also a cause. Some patients with adenomyosis do not have a poor uterine environment, but some aseptic inflammation caused by adenomyosis, or some inflammation that the patient has had, causes adhesions and obstruction of the fallopian tubes, which leads to infertility. Can I use suppositories if the pain is unbearable during pregnancy preparation? I don’t dare to take painkillers! Generally speaking, adenomyosis patients with dysmenorrhea have more pain when they have their menstruation, and they take medicine during their menstruation. At this time, you are not pregnant yet, and painkillers are available at this time, including suppositories as the patient said, which are also available during menstruation. After the menstrual period the pain is not so severe, stop using them. During pregnancy preparation, can I use painkillers when the pain is particularly severe during ovulation? There are some people who have severe pain during ovulation, so it is recommended not to use medication at this time. If you do not get your period when it is due, you should not use any medicine at this time, not only painkillers, but also anti-inflammatory drugs and cold medicines. When the period should not come, it may be pregnant, this time you have to go to the hospital to do a test to confirm that you are not pregnant before you can use some drugs. It would be a pity to have a child that is not pregnant because of the medication. What should I do if I get pregnant with adenomyosis? First of all, you are lucky to be able to get pregnant! It is not easy to get pregnant with adenomyosis, and it is even more difficult to get pregnant and have a baby. When I meet patients who are pregnant, I usually ask them to go to the local hospital and see an obstetrician to keep the baby alive and not to give up. Just take care of your rest. Then have regular checkups. Can adenomyosis cause fetal malformation if I get pregnant? No, it will not. No. Adenomyosis can make it difficult to get pregnant, and it can cause miscarriage after pregnancy. It is not true that the fetus is missing something or another due to adenomyosis. As long as the fetus can be preserved and the child is born at full term, the child will not have any problems.