Yes, who has uterine hypertrophy can get pregnant, although the condition may make pregnancy difficult. The hypertrophy of the uterus changes its structure and may even cause infertility.
This is because loss of normal structure of the uterine musculature may interfere with the transport of sperm through the uterus, making it difficult to fertilize the egg.
A common cause of uterine hypertrophy is adenomyosis, which is the invasion of the inner part of the uterus (endometrium) in the muscular layer of the organ (myometrium).
Besides the uterine hypertrophy, the adenomyosis causes several structural and functional changes in the uterus which can prevent a woman from becoming pregnant, such as:
- Changes in the vascularization of the endometrium, which may prevent implantation of the embryo in the uterus;
- Interference in the transport of the egg through the fallopian tubes to the uterus;
- Molecular anomalies;
- Problems in the secretion of adhesion proteins in the endometrium;
- Genetic alterations;
- High concentrations of free radicals in the uterus.
Read more about adenomiosis in:
What is adenomyosis and what are the symptoms?
Who has adenomyosis can get pregnant?
The treatment of adenomyosis and uterine hypertrophy is performed mainly with hormonal medications. If there are no results with hormone therapy, treatment is surgical.
The diagnosis and treatment of uterine hypertrophy is the responsibility of the gynecologist.
Read too:
What is uterine hypertrophy?
What is the treatment for uterine hypertrophy?
