Adenomyosis and frozen embryo transfer

Your fertility specialist will consider the extent of suspected or confirmed adenomyosis together with uterine findings, symptoms, embryo information, previous treatment, and your broader reproductive history. The plan is individual rather than based on the diagnosis alone.

Adenomyosis affects the muscular wall of the womb and may alter its shape or cause inflammation and contractions. These features can matter when the clinic evaluates the uterine environment before transfer, although they do not predict the outcome for an individual.

An ultrasound is commonly used to review the womb. The team may consider further imaging if the appearance is unclear, symptoms are significant, or another condition such as a fibroid needs to be distinguished. Not every person needs extra testing or pretreatment.

Tell the clinic about heavy bleeding, pelvic pain, previous pregnancy outcomes, earlier embryo transfers, and all medicines or supplements. Ask how the womb lining will be prepared and monitored, and follow the prescribed schedule exactly.

Some frozen transfer cycles use oestrogen followed by progesterone, while others follow ovulation. If progesterone is prescribed, confirm when to start it, how to use it, what to do after a late or missed dose, and whether any other treatment is being suggested specifically for adenomyosis.

Contact the fertility clinic promptly if you start a transfer medicine at the wrong time, miss a prescribed dose, develop unexpected bleeding, or have pain that is worsening. Do not stop hormonal medicine without instructions unless emergency care advises otherwise.

Seek urgent medical care for severe pelvic or abdominal pain, fainting, marked dizziness, breathing difficulty, chest discomfort, very heavy bleeding, fever with feeling acutely unwell, or signs of a serious allergic reaction. After a positive pregnancy test, one-sided pain, shoulder-tip pain, or collapse requires urgent assessment.

Ask whether the scan clearly supports adenomyosis, whether its location or extent affects the proposed approach, and what alternatives exist. Clarify the transfer protocol, the purpose and downsides of any pretreatment, and who to call if bleeding or pain begins outside clinic hours.