Abstract

While the impact of endometriosis in pregnant women with adenomyosis has not yet been investigated, previous research has shown that endometriosis and adenomyosis are strongly associated to several unfavourable pregnancy outcomes. The current study sought to assess the effects of prior laparoscopic surgery and endometriosis pathology diagnosis on pregnancy outcomes in women with adenomyosis. This study included 60 pregnant women who had been previously or currently diagnosed with adenomyosis. Eight of them had endometriosis as well, according to a previous laparoscopic surgery diagnosis. Women with just adenomyosis and those who had undergone surgery for endometriosis were compared in terms of demographic traits and pregnancy outcomes. Women who also had endometriosis had much lower surgery rates than those who merely had adenomyosis. Older age at delivery and a higher risk of postpartum haemorrhage, with no discernible differences between the two groups in other unfavourable pregnancy outcomes. The surgical history of endometriosis and the use of assisted reproductive technology were the criteria identified to be most closely linked with the development of PPH in women with adenomyosis. In pregnant women with adenomyosis, a history of prior laparoscopic surgery and a pathological diagnosis of endometriosis may raise the risk of PPH, although this hypothesis needs to be confirmed in larger-scale investigations in the future. Additionally, ART-assisted pregnancy increases the incidence of PPH in adenomyosis-suffering women. Pregnant adenomyosis patients who had endometriosis surgery prior to conception or by ART should be carefully watched because they are at a high risk of PPH.