Patient's question:
Hello expert! I am 27 years old, female, and had an abortion 5 years ago. Last July, I was diagnosed with cervical inflammation, and I had not been pregnant for half a year at that time. After taking traditional Chinese medicine for half a year, I got pregnant in March of this year. However, after three months, I experienced premature rupture of membranes. Due to uncertainty about the situation, I continued to try to carry the pregnancy to term until July of this year when I had an induced abortion at 18 weeks of pregnancy.One month after the abortion, due to prolonged postpartum bleeding, I went for a check-up and was told there were residual tissues, requiring a second D&C procedure. At that time, I refused because my endometrium was very thin. Instead, I took a week of Yimucao (Chinese herbal medicine) and waited for my period to come after 50 days. When I went for another check-up, they said my uterus had enlarged, and the blood test results showed normal hormone levels.
Doctor's answer:
Hello, if adenomyosis is confirmed, it will affect pregnancy. If you have only had one examination, it is recommended to do a four-dimensional vaginal color Doppler ultrasound after the next menstrual period to confirm it. After confirmation, laparoscopic surgery can be used to treat adenomyosis. After treatment, you can get pregnant again, and pregnancy itself is also an auxiliary treatment for adenomyosis. Adenomyosis is formed when the endometrium invades the uterine muscle layer, and it is prone to cause infertility and miscarriage after pregnancy.