A 33-year-old member asked:
I have adenomyosis i been trying naturally for three years but failed what can i do to improve my chances of conceiving am ?
4 doctor answers • 23 doctors weighed in
Dr. Andrew Silvermananswered
Fertility Medicine 51 years experience
Adenomyosis: If you have endometriosis and are not conceiving i suggest that you be treated medically for the endometriosis of the uterus with medical therapy. Taking an analogue such as Lupron (leuprolide) will reduce the adenmyosis, and increase the chances of conceiving.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
Dr. Carolyn Thompson commented
undefined 30 years experience
Adenomyosis is essentially endometriosis within the wall of the uterus. If you have it there, it may also be in other areas. You might consider a test called an HSG (hysterosalpingogram) do determine if your fallopian tubes are open or not. It is a type of x-ray test and only takes a few minutes to perform.
Feb 22, 2012
Dr. Robert Lutz commented
Obstetrics and Gynecology 41 years experience
How did you get a diagnosis of adenomyosis as usually this determined by hysterectomy? Laparoscopy to diagnose endometriosis as well as other basic infertility workup would be necessary before considering adenomyosis as a cause.
Feb 25, 2012
Dr. Khurram Rehman commented
Fertility Medicine 28 years experience
Magnetic resonance imaging (MRI) is good at diagnosing adenomyosis, and distinguishing adenomyosis from fibroids. Of course a pathological diagnosis is the 'gold standard' but a laparoscopy may not be necessary.
Apr 12, 2012
Dr. Valentin Drezaliuanswered
Obstetrics and Gynecology 22 years experience
Adenomyosis: This is a serious disease. Worse scenario is when your tubes due to chronic inflamation got completely obliterated. In this case surgical removal of both tubes and in vitro fertilization is the only viable option.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
Dr. Amr Azimanswered
Fertility Medicine 32 years experience
Check fertility: Investigate male, tubal and ovulatory factors of infertility and treat accordingly. If suitable perform ovarian stimulation and IUI or ivf.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
Dr. Nicholas Fogelsonanswered
Specializes in Gynecology
Need more info: There are three answers given all of which are very dependent of specific issues, and may not apply to you. You need to a see a physician trained in infertility management and get worked up. Only then will you have reliable answers.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
Last updated Oct 18, 2016
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