Pregnancy follow-up
The pregnancy outcome was assessed in 32 out of 54 women (59.3%) who attempted to conceive after vaginal repair (Fig. S4). Among these, there were 12 cases of adenomyosis and 42 cases of non-adenomyosis. For those that achieved pregnancy, the pregnancy rates of women with and without adenomyosis were 66.7% (8/12) and 61.9% (26/42), respectively. Unfortunately, seven out of 54 pregnancies (13.0%) resulted in miscarriages, which included two women with adenomyosis and five women without adenomyosis. Due to privacy concerns, two out of 26 women without adenomyosis did not want to reveal details of their pregnancies. Data on 25 women (six with adenomyosis and 19 without adenomyosis) who achieved pregnancy and delivered infants are summarized in Table S5. By TVS, the TRM increased significantly from 2.3 ± 0.8 mm (range, 0.5–4.0 mm) to 7.6 ± 2.9 mm (range, 3.0–12.0 mm) after vaginal repair at the 3-month follow-up (p < 0.001). The duration of menstruation decreased significantly from 13.4 ± 3.3 days to 7.6 ± 2.3 days after vaginal repair (p < 0.001). At the 3-month follow-up, 17 out of 25 (68.0%) women had no evidence of CSD as determined by TVS. All women selected cesarean section as the method of childbirth, and there was no case of uterine rupture or dehiscence. As shown in Table S5, the mean neonatal birth weight was 3224.2 ± 401.0 g for the women who gave birth. Two women without adenomyosis suffered postpartum hemorrhage. However, all women had good pregnancy outcomes and delivered healthy babies.