Pregnancy with Adenomyosis: Bleeding Risks at 14 Weeks

Adenomyosis and Pregnancy

Hello, doctor.
Is it common for pregnancy with adenomyosis to be accompanied by bleeding throughout the entire pregnancy? I am currently 14 weeks pregnant and often experience bright red bleeding.
I have been taking progesterone, and my cervical examination is normal.
Thank you.

Bety, 20~29 year old female. Ask Date: 2022/07/20

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is possible to only pursue conservative treatment, such as taking progesterone and getting plenty of rest.
Wishing you good health.

Reply Date: 2022/07/20

More Info

Pregnancy with adenomyosis can indeed present unique challenges, including the risk of bleeding. Adenomyosis is a condition where the endometrial tissue, which normally lines the uterus, grows into the muscular wall of the uterus. This condition can lead to various symptoms, including heavy menstrual bleeding, painful periods, and, in some cases, complications during pregnancy.

At 14 weeks of pregnancy, experiencing bright red bleeding can be concerning. While some bleeding can be normal in pregnancy, especially in the first trimester, it is essential to monitor the situation closely. In women with adenomyosis, the risk of bleeding may be heightened due to the abnormal positioning of the endometrial tissue, which can lead to increased uterine sensitivity and contractions. This can result in bleeding episodes, which may be mistaken for menstrual bleeding.

The presence of bright red blood often indicates fresh bleeding, which can be alarming. However, it is crucial to differentiate between various causes of bleeding during pregnancy. In many cases, bleeding can occur due to benign reasons such as cervical irritation, implantation bleeding, or even subchorionic hematomas. Given that your cervical examination has returned normal, this is a positive sign, but it does not entirely rule out other potential issues.

The use of progesterone (黄体素) is common in pregnancies complicated by bleeding, as it helps to support the uterine lining and maintain the pregnancy. It is essential to follow your healthcare provider's recommendations regarding medication and activity levels. Resting and avoiding strenuous activities can help reduce the risk of further bleeding.

It is also important to keep an eye on any accompanying symptoms. If you experience severe cramping, increased bleeding, or any other concerning symptoms, it is advisable to seek immediate medical attention. In the United States, if your healthcare provider's office is closed, going to the emergency room is the appropriate course of action to ensure both your safety and that of your baby.

Regarding the long-term implications of adenomyosis on pregnancy, while it can increase the risk of complications, many women with adenomyosis have successful pregnancies. Regular monitoring through ultrasounds and consultations with your obstetrician can help manage any risks effectively.

In summary, while bleeding during pregnancy with adenomyosis can be more common, it is essential to remain vigilant and communicate openly with your healthcare provider. They can provide tailored advice based on your specific situation and help you navigate this challenging time. If you have any lingering concerns or questions, do not hesitate to reach out to your healthcare team for further clarification and support.

Similar Q&A

Understanding Bleeding and Pain During Pregnancy at 14 Weeks

Hello, I am currently 14 weeks pregnant, but since the beginning of my pregnancy, I have experienced three episodes of significant bleeding, requiring the use of sanitary pads. After the bleeding, it turned into brown discharge that lasted for about a week. The bleeding episodes ...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: Based on what you described, your doctor found that a low-lying placenta is likely the reason for your increased risk of bleeding. A low-lying placenta can lead to bleeding, especially if there are contractions in the uterus, and the amount of bleeding may be significant. ...

When Will My Period Return After Induction Abortion?

Hello Dr. Wu, I experienced premature rupture of membranes at 14 weeks of pregnancy, which led to an induction procedure on October 15, 2002 (the doctor mentioned that it was caused by adenomyosis leading to bleeding and subsequent infection). After the procedure, I had persisten...

Dr. Wu Zongcheng reply Obstetrics and Gynecology
1. The causes of dysmenorrhea can be divided into two main categories: (1) organ tumors and (2) functional pain. Uterine fibroids can certainly cause dysmenorrhea. 2. The prolonged abdominal pain is likely due to inflammation. If a bacterial infection has not completely healed,...

Managing Preterm Birth Risks in High-Risk Pregnancies

Hello, Director Cao: I am a 40-year-old pregnant woman. I had a uterine fibroid removed last year and after six months of recovery, I became pregnant. I am currently in my 15th week, and this is my first pregnancy. Early in the pregnancy, my doctor diagnosed me with adenomyosis; ...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, having preterm risk factors does not necessarily mean that you will have a preterm birth. Generally, it is advisable to rest more, have regular check-ups, and seek medical attention if you experience any discomfort. Whether to request leave for bed rest should depend on yo...

Understanding Cervical Insufficiency and Embryonic Resorption in Pregnancy

Hello: Last year, I had a miscarriage at 14 weeks of pregnancy. The day before the miscarriage, I felt tightness in my uterus in the afternoon, followed by brown spotting. I went to the hospital that evening, and the doctor said there was no major issue and did not prescribe any ...

Dr. Chen Changfu reply Obstetrics and Gynecology
Early pregnancy loss studies indicate that the majority (about 70-80%) are due to chromosomal abnormalities in the fertilized egg, resulting in non-viable embryos that cannot be sustained and will inevitably lead to miscarriage. It is possible for a miscarriage to occur naturally...