- Adenomyosis and pregnancy - in most cases compatible
Adenomyosis and pregnancy - how these two conditions are compatible? Experts believe that pregnancy is possible even in advanced adenomyosis. But it is possible and infertility - the reasons for its development in the adenomyosis too. If the pregnancy is, it certainly will benefit the woman.
What happens to the uterus at the time of adenomyosis
One of the causes of adenomyosis is elevated blood female hormone estrogen, which support the first half of the menstrual cycle. Usually, the female sex hormone the second half of the menstrual cycle, progesterone
Progesterone - norm and pathology
in the body of a woman produces enough. Under the influence of estrogen grows over the mucosa of the uterus - the endometrium. Rejection is accompanied by a thick layer of endometrial severe menstrual bleeding during which mucosal cells fall into the muscle layer of the uterus and begin to grow there under the influence of cyclic hormone. These areas of tissue are identical to the endometrium and endometriosis.
The muscle layer of the uterus, which are endometriosis
Endometriosis - a serious problem with serious consequences
undergoes certain changes. Monthly rejection areas of endometriosis, accompanied by bleeding, causing inflammation and swelling in the surrounding smooth muscle. The inflammatory process ends with the death of the muscle fibers and their replacement by connective tissue.
The uterus also may develop disorders. The fact is that during menstruation blood, which occurs when separating portions endometriosis partially released into the uterine cavity through the micro-posts. Thus mucosal integrity is broken, which may lead to the development inside the uterus adhesions - connective cords. But there is not always spikes. Sometimes they do not happen.
What are the benefits for pregnant women suffering from adenomyosis
Status of pregnancy is certainly useful for women suffering adenomyosis
Adenomyosis - avoid constant stress
As for forty weeks she had no menstruation, the endometrium is not separated from the wall of the uterus, and therefore also not endometriosis undergoing cyclic changes and proliferate. In some cases, they regress, but it does not happen so often, and usually in the early stages of the disease. Therefore, obstetricians generally do not dissuade women suffering from adenomyosis, pregnancy.
Adenomyosis and pregnancy - what is the danger?
The dangers can trap a woman at the very beginning of pregnancy. First of all, it has a value insufficient blood levels of progesterone. This hormone is particularly necessary in the first and second trimesters of pregnancy, as it inhibits the contraction of smooth muscle of the uterus and thereby prevent abortion - abortion. How to cope with this situation? It will obstetrician-gynecologist of female consultation - an appointment synthetic analogues of progesterone.
Next danger - a state of the uterine wall. The modified wall of the uterus can not be stretched so quickly because of the muscle fibers it has been replaced by connective tissue, which does not stretch at all. The wall of the uterus may be thinner and then later in pregnancy there is a risk of its rupture. What to do? Constantly observed in female consultation - the doctor always has the opportunity to send a woman to the US, which will determine the thickness of the wall of the uterus and the risk of its rupture. If the threat is high, do a caesarean section.
Finally, the threat to the pregnancy may be able to uterus. If it has spikes, then the growth of the fetus and they squeeze it, was forced to take a forced situation. By the time of birth the fetus can take the wrong position, excluding natural childbirth. In this case also caesarean section.
One of the most unpleasant complications of adenomyosis is associated with premature detachment of the placenta. This may occur if the placenta is located near the site of endometriosis or directly under it. All changes in the placenta can be seen on the ultrasound, so you just need to be in a timely manner to receive and fulfill all the prescribing physician.
Similarly, an ultrasound will be visible changes in the vessels of the placenta, which may lead to the development of placental insufficiency
Placental insufficiency - deviation from the norm
. The doctor in this case avoids complications child.
Thus, pregnancy when adenomyosis possible and even useful. But in order to carry and give birth to a healthy baby, a woman must always be seen in the antenatal clinic and fulfill all the prescribing physician. If you get pregnant on their own can not, then in this case, an obstetrician-gynecologist is almost always able to help.