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Hi everyone,
I'm 29 and currently TTC baby #2. I have a previous live birth and have also had previous miscarriages. I'm trying to understand what my MRI findings actually mean for fertility, particularly the junctional zone measurement.
MRI findings:
Anteverted uterus
Endometrium 8.6 mm
Junctional zone measures up to 17.3 mm
Radiologist's conclusion: Adenomyosis
Both ovaries unremarkable
No fibroids mentioned
No pelvic masses mentioned
Ultrasound findings (prior to MRI):
Moderate diffuse adenomyosis
Bulky uterus
Fan-shaped shadowing
Small myometrial cysts
Normal endometrial cavity (7 mm, triple-line)
Normal ovaries
No ultrasound evidence of endometriosis
Previous history:
Age 29
Previous successful natural pregnancy/live birth
Previous recurrent miscarriages
Laparoscopy with dye test in 2021 showed bilateral tubal spill and no endometriosis
Ovulating normally on monitoring scans
BMI around 35 (previously \\\~43 and have lost a significant amount of weight)
HSG planned
My specialist has recommended progesterone support when trying to conceive.
My biggest concern is the 17.3 mm junctional zone. Most of what I've read suggests that >12 mm supports the diagnosis of adenomyosis, and thicker junctional zones may be associated with lower implantation and live birth rates, but most of the studies seem to be in IVF patients rather than women trying naturally.
I'm trying to understand:
Has anyone conceived naturally with a junctional zone this thick?
Did anyone have recurrent miscarriage with adenomyosis but go on to have a successful pregnancy?
Did progesterone seem to help?
Did anyone's specialist comment on how much a JZ around 17 mm actually affects fertility?
I know nobody can predict individual outcomes, but I'd really appreciate hearing from anyone with similar MRI findings, especially if you've gone on to have a successful pregnancy.
Thanks in advance ❤️