Why Can’t I Get Pregnant with Adenomyosis? Understanding Your Options

Understanding why you can’t get pregnant with adenomyosis is the first step toward finding out your alternatives. Surrogacy is one of them.


Adenomyosis can make pregnancy incredibly challenging, but it doesn’t mean your dream of becoming a parent has to end.

With the right medical guidance and fertility options like surrogacy, thousands of families affected by this condition have successfully welcomed their babies into the world.

Schedule a consultation today to discover how surrogacy can help you bypass the medical barriers of adenomyosis and move forward with confidence on your path to parenthood.

If you’re struggling with adenomyosis-related fertility challenges, you’re facing a complex condition that affects your uterine wall and can significantly impact your ability to conceive and carry a pregnancy. We’re here to help you understand why you can’t get pregnant with adenomyosis, explore your treatment options, and learn how surrogacy can offer a promising alternative when other treatments haven’t worked.

Why Can’t I Get Pregnant with Adenomyosis?

Adenomyosis occurs when the tissue that normally lines the uterus (endometrium) grows into the muscular wall of the uterus (myometrium).

Unlike endometriosis, where similar tissue grows outside the uterus, adenomyosis specifically affects the uterine structure itself, making it thickened, enlarged, and often painful.

This condition creates several barriers to pregnancy. The abnormal tissue growth can interfere with implantation, as the uterine lining becomes irregular and less receptive to embryos. The structural changes to the uterus can also affect blood flow and create an inflammatory environment that’s hostile to pregnancy development.

Research published in the Global Reproductive Medicine Journal shows that adenomyosis is strongly associated with infertility, with studies indicating that women with this condition face significantly higher rates of pregnancy complications, including miscarriage and implantation failure.

Does IVF Work with Adenomyosis?

Unfortunately, ‘does IVF work with adenomyosis?’ is a question with concerning answers. Adenomyosis can significantly reduce IVF success rates.

A comprehensive study published in the National Center for Biotechnology Information found that women with adenomyosis had lower clinical pregnancy rates and higher miscarriage rates during IVF cycles compared to women without the condition.

The study revealed that adenomyosis affects the uterine environment in ways that make it difficult for embryos to implant successfully, even when high-quality embryos are transferred. The condition can cause irregular uterine contractions, poor blood flow to the endometrium, and chronic inflammation—all factors that work against successful IVF outcomes.

Many women find themselves facing adenomyosis and failed IVF cycles, which can be emotionally devastating and financially draining. This is why understanding all your options, including surrogacy, becomes crucial for making informed decisions about your fertility journey.

Why Surrogacy May Be the Best Option for Adenomyosis

When adenomyosis severely impacts fertility, surrogacy offers a pathway that bypasses the uterine complications entirely. Research indicates that adenomyosis affects approximately 20-30% of women, and for many, the condition makes carrying a pregnancy safely extremely difficult or impossible.

Surrogacy allows you to use your own eggs (if viable) or donor eggs with your partner’s sperm to create embryos that can be carried by a healthy surrogate.

This approach eliminates the uterine factors that make pregnancy challenging with adenomyosis while preserving your genetic connection to your child.

When Surrogacy Becomes the Best Option for Adenomyosis

Consider surrogacy as a primary option if you’ve:

  • Experienced multiple adenomyosis and failed IVF cycles

  • Have been advised that pregnancy would be high-risk due to your adenomyosis

  • If your symptoms are severe enough to significantly impact your quality of life during pregnancy attempts

    Medical professionals often recommend exploring surrogacy when adenomyosis has caused extensive uterine damage, when other treatments like hormone therapy or surgical interventions haven’t improved fertility outcomes, or when the physical and emotional toll of repeated pregnancy attempts becomes overwhelming.

    What Surrogacy Looks Like for Families Affected by Adenomyosis

    The surrogacy process provides a clear roadmap to parenthood when adenomyosis has made traditional pregnancy challenging. Here’s how the journey typically unfolds:

    • Step 1: Choose the Best Surrogacy Agency – Research and select an agency with experience supporting families with medical fertility challenges like adenomyosis
    • Step 2: Find a Surrogate – Work with your agency to match with a surrogate whose values, communication style, and pregnancy approach align with your needs
    • Step 3: The Embryo Transfer – Your fertility specialist will transfer embryos created from your eggs (or donor eggs) to your surrogate in an optimal uterine environment
    • Step 4: A Healthy Pregnancy – Your surrogate carries the pregnancy while you maintain involvement through appointments, milestones, and regular communication
    • Step 5: Welcoming Your Baby to the World – You’ll be present for the birth and immediately begin bonding with your child

    Speak with a specialist who understands the unique challenges of adenomyosis—we can help you find a reputable agency that prioritizes medical expertise and family support, or you can explore our list of the most reputable surrogacy agencies to find the right fit for your situation.

    How You Can Find the Perfect Surrogate Match Quickly

    Working with an experienced surrogacy agency dramatically accelerates the matching process and ensures you’re connected with surrogates who have been thoroughly screened for medical, psychological, and lifestyle factors that contribute to successful pregnancies.

    The best agencies maintain pools of pre-screened surrogates, which means you could be matched within weeks rather than months. This pre-screening includes comprehensive medical evaluations, psychological assessments, background checks, and lifestyle reviews.

    What if you could skip the uncertainty of wondering whether your next match will work out? Learn about typical surrogacy wait times and how the right agency can significantly reduce your time to pregnancy.

    Weighing the Cost of Surrogacy Against Ongoing IVF Attempts

    Surrogacy typically costs between $100,000-$200,000+ total, including agency fees, surrogate compensation, medical expenses, and legal costs.

    While this represents a significant investment, it’s important to consider the cumulative costs of repeated IVF cycles when dealing with adenomyosis.

    Multiple IVF attempts can easily reach $50,000-$80,000 or more, especially when you factor in medications, monitoring, additional procedures, and time off work.

    For women with adenomyosis, success rates for IVF are lower, meaning more cycles may be necessary, further increasing costs without guaranteed results.

    When you examine the complete breakdown of surrogacy costs, surrogacy often becomes more cost-effective than continued IVF attempts, particularly when you consider the higher success rates and the emotional costs of repeated treatment failures.

    Making Surrogacy Affordable: Financing Options for Adenomyosis Families

    Don’t let cost concerns prevent you from exploring surrogacy. Multiple financing options can make this path to parenthood more accessible:

    Coping with Difficulty Getting Pregnant Due to Adenomyosis

    The emotional impact of adenomyosis-related fertility struggles extends far beyond the physical symptoms. Coming to terms with the reality that your body may not be able to carry a pregnancy safely requires significant emotional processing and support.

    Consider connecting with support communities where you can share experiences and find encouragement:

    Professional counseling, particularly with therapists who specialize in fertility challenges, can provide valuable tools for processing these experiences and making decisions about next steps in your family-building journey.

    Next Steps in Exploring Surrogacy

    Your adenomyosis diagnosis doesn’t define the end of your parenthood dreams—it simply means exploring a different path to reach them. Surrogacy has helped thousands of families affected by uterine conditions welcome healthy babies, offering hope where other treatments have fallen short.

    The most important step is educating yourself about your options and connecting with professionals who understand both adenomyosis and surrogacy. This knowledge empowers you to make confident decisions about your family’s future.

    Imagine the relief of moving forward with a fertility plan that doesn’t depend on overcoming your adenomyosis—speak with surrogacy specialists who can help you understand exactly how this process could work for your unique situation and timeline.

    FAQ

    Can adenomyosis be cured to improve fertility?

     Currently, there’s no cure for adenomyosis. Treatment options like hormone therapy can manage symptoms but don’t typically restore normal fertility. Surgical options exist but may not improve pregnancy outcomes significantly.

    How quickly can I start the surrogacy process with adenomyosis?

    You can begin the surrogacy process immediately. Unlike other treatments that require managing your adenomyosis first, surrogacy bypasses uterine complications entirely, allowing you to move forward without delay.

    Will my adenomyosis affect the quality of my eggs for surrogacy?

    Adenomyosis primarily affects the uterus, not egg quality. Many women with adenomyosis can use their own eggs successfully in surrogacy arrangements, though age and other factors may also influence egg quality.

    Is surrogacy more successful than IVF for adenomyosis patients?

    Yes, surrogacy typically offers higher success rates for women with adenomyosis because it eliminates the uterine factors that make pregnancy difficult with this condition. Success rates depend on factors like egg quality and the health of your surrogate.

    How do I know if my adenomyosis is severe enough to consider surrogacy?

    Consider surrogacy if you’ve experienced multiple IVF failures, have been advised that pregnancy would be high-risk, or if your symptoms significantly impact your quality of life during pregnancy attempts. A fertility specialist can help assess your specific situation.

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