You can get pregnant with an enlarged uterus due to adenomyosis, but the chances of getting pregnant are lower than normal. An enlarged uterus due to adenomyosis, which is characterized by irregular menstruation and menstrual cramps, can still lead to pregnancy if the symptoms are mild or after active treatment. When adenomyosis occurs, it prevents sperm from passing through, which reduces the chances of pregnancy. In addition, changes in the pelvic microenvironment can easily lead to ovulation disorders and poor corpus luteum formation, thus reducing the probability of pregnancy. If the patient’s symptoms of adenomyosis are severe, it is recommended that he or she should go to the hospital in time for treatment. Conservative treatment can be chosen according to the doctor’s advice, or try lesion excision to promote successful pregnancy. In daily life, it is important to avoid spicy, stimulating and greasy diets, and try to choose light types of food to promote good health.