Pregnancy Concerns and Adenomyosis: Your Symptoms

Pregnancy concerns and adenomyosis?

I had several instances of unprotected external ejaculation with Male A from the end of February to April 6, with one occurrence on March 26, which was during my ovulation period.
My period arrived early on April 8, lasting 31 days, while my usual cycle is about 34 to 42 days.
After this period ended, I experienced some abnormal light bleeding two days later.
I took a pregnancy test in early May, which was negative.
Later, I experienced left lower abdominal pain, but my menstrual cycles in May and June were normal.
At the end of June, I resumed relations with Male B, and my period was late.
On July 16, I visited a gynecologist for a pregnancy test, which was also negative, but it was found that my uterus was enlarged and I was diagnosed with adenomyosis.
My period started on July 19, but the flow was lighter than usual.
In August, my period was delayed, and the pregnancy test was negative again, with a reduced menstrual flow.
I had relations with Male B from September 10 to 13, and my period, which was due on September 26, is now two days late.

If I am pregnant, since I only had relations with Male B after June, is it certain that the child is Male B's and not Male A's? (I have not seen or contacted Male A since April 6.) I had a miscarriage with Male B two and a half years ago; could this have caused my uterus to be enlarged and misdiagnosed as adenomyosis? I do not experience any menstrual pain, but I have persistent left lower abdominal pain.
Could this be due to adenomyosis?

Niming, 20~29 year old female. Ask Date: 2018/09/28

Dr. Huang Jianzhong reply Obstetrics and Gynecology

From the end of February to April 6, I had several instances of unprotected intercourse with Male A, with external ejaculation.
On March 26, which was during my ovulation period, we also had intercourse.
After that, my menstrual period arrived early on April 8, with a cycle length of 31 days.
My usual cycle is approximately 34 to 42 days.
After this menstrual period ended, I experienced some abnormal light bleeding two days later.
In early May, I took a pregnancy test, which was negative.
Later, I experienced left lower abdominal pain, but my menstrual periods in May and June were normal.
By the end of June, I resumed my relationship with Male B and had intercourse.
My menstrual period was late, and on July 16, I visited a gynecologist for a pregnancy test, which was also negative.
However, it was discovered that my uterus was enlarged, and I was diagnosed with adenomyosis.
My menstrual period started on July 19, but the flow was lighter than usual.
In August, my period was delayed, and the pregnancy test was negative, with a reduced menstrual flow.
From September 10 to 13, I had intercourse with Male B.
My period, which was due on September 26, is now two days late.
If I am pregnant, since I only had intercourse with Male B after June, is it certain that the child is Male B's and not Male A's? Answer: Yes (I have not seen or been in contact with Male A since April 6).
Two and a half years ago, I had a miscarriage with Male B.
Could this have caused my uterus to be enlarged and misdiagnosed as adenomyosis? I do not experience any menstrual pain, but I have persistent left lower abdominal pain.
Could this be due to adenomyosis? Answer: 1.
The gynecologist's diagnosis of an enlarged uterus with adenomyosis is questionable.
2.
Having had a miscarriage would not cause an enlarged uterus.

Reply Date: 2018/09/28

More Info

When it comes to pregnancy concerns, especially in the context of adenomyosis, it's essential to approach the situation with a clear understanding of the symptoms and potential implications for both your health and the health of a potential pregnancy. Adenomyosis is a condition where the inner lining of the uterus, known as the endometrium, grows into the muscular wall of the uterus. This can lead to various symptoms, including painful periods, heavy menstrual bleeding, and chronic pelvic pain.

From your description, it appears that you have experienced irregular menstrual cycles, unusual bleeding, and left lower abdominal pain. These symptoms can be concerning, especially when considering the possibility of pregnancy. The fact that you have had unprotected intercourse during your ovulation period increases the likelihood of conception, but it is also important to consider the timing and the nature of your menstrual cycle.

If you have had a late period and have experienced symptoms such as abdominal pain, it is advisable to take a pregnancy test to confirm whether or not you are pregnant. If the test is negative but your symptoms persist, it may be necessary to consult with a healthcare provider for further evaluation. They may recommend an ultrasound or other imaging studies to assess the condition of your uterus and to rule out any complications related to adenomyosis or other potential issues.

Regarding your question about the paternity of the child, if you have only had sexual relations with B after June and have not had contact with A since April, it is likely that any pregnancy would be attributed to B. However, it is important to note that sperm can survive in the female reproductive tract for several days, so if you had intercourse with A close to your ovulation date, there is still a possibility, albeit small, of conception from that encounter.

As for your concerns about the previous abortion and its potential impact on your current condition, it is possible that previous surgical procedures can lead to changes in the uterus, but these would typically not cause adenomyosis. Adenomyosis is more commonly associated with hormonal factors and the number of pregnancies a woman has had. If you are experiencing chronic pain and have not had significant menstrual symptoms, it is crucial to discuss these issues with your healthcare provider, who can help determine the cause of your pain and the best course of action.

In summary, if you suspect you might be pregnant, taking a home pregnancy test is a good first step. If the test is negative and your symptoms continue, seek medical advice to explore the possibility of adenomyosis or other conditions. It is essential to maintain open communication with your healthcare provider about your symptoms and any concerns you have regarding your reproductive health. They can provide you with the necessary support and treatment options tailored to your specific situation.

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