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Is Natural Conception Possible After Age 40?

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Posted on Wed, 2 Dec 2015
Question: I really hope you can help me. Let me start from the beginning I am 40 years of age, never used any kind of contraception and have never been pregnant. I was never sexually active until I was 26 years of age and then it would only be maybe 3 times a year. We have been more sexually active the past 6 months about twice a week. I have only ever had one partner and that is my current husband.

I got married in July 2012 and we decided we wanted to try for a baby. We have never been consistent with intercourse.

I really want to conceive naturally, do you really see this can happen for us? I am overweight. My husband has 20 cigarettes a day and drinks within the alcoholic guidelines (lager or bitter). My husband has now stopped smoking and cut down alcohol.

I have been to see fertility specialist. I have had vaginal swabs and an internal examination today. (Everything has come back normal). Ultrasound scan is also normal. Blood results are as follows: Estrogen 115, LH 1.7, FSH 7.1

Husband semen analysis is also good. With a 5% morphology which specialist says has to be above 4%

My bmi is 40 and fertility specialist wants it down to 30 before commencing any type of treatment which she said will probably be tablets to make me ovulate. I have currently lost 18lb.

I am worried if I don't lose weight I will never get pregnant. Clearblue fertility monitor in the past has shown ovulation and some months no ovulation do you think I could keep try to use this.

If I lose weight can I reverse things naturally and start to ovulate?

I usually have a regular bleeding pattern 24-28 day cycles. Never have pain or any kind of problem.



1. Are my bloods normal?

2. Do you agree the fertility monitor is a good diagnosis for ovulating?

3. Do you see I can conceive naturally?

4. Any suggestions please to help me achieve what I really want.

5. Am I stressing out too much?

6. Do I need my tubes checked? Fertility Specialist says I dont

If Clearblue fertility monitor shows 3 bars do I:

1. Ovulate

2. Release an egg

3. Should I conceive naturally

Another thing that confuses me is Fertility Monitor shows Ovulation, but Ovulation strips do not. I think I am getting myself into a Frenzy and should just use the Fertility Monitor and forget ovulation test strips. What are your thoughts please?

I am worried and crying that I will never be a Mum. My Fertility Specialist is not worried and just stays I need to lose weight. Please help.

My Fertility Specialist says I am not conceiving as I need to have sex more than 3 times a week. To be honest we have sex maybe twice a week is that why I am not conceiving?
doctor
Answered by Dr. Vjollce Mbiarra (53 minutes later)
Brief Answer:
Being on so much stress can damage you

Detailed Answer:
Hi dear again and thanks for trusting to us .

I feel that you are on so much stress ,but it can damage you because it can cause hormonal imbalances .
Hormonal imbalances can make your cycle be irregular or anovulator.
Hence be calm and wait for good results.

As we have discussed ,you have chances to conceive naturally ,because everything is normal(all reports you have send ).

Yes ,being overweight is a negative thing you have .
Hence try to lost weight .

Have intercourse during your fertile window and you will see that you will be pregnant.

All the best
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Vjollce Mbiarra (20 minutes later)
Thank you
doctor
Answered by Dr. Vjollce Mbiarra (5 minutes later)
Brief Answer:
It is my pleasure

Detailed Answer:
It is my pleasure to help you .

Hope in God that you will became a mother soon and you will see that you will have good results .

All the best
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Vjollce Mbiarra

OBGYN, Maternal and Fetal Medicine

Practicing since :2006

Answered : 1572 Questions

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Is Natural Conception Possible After Age 40?

Brief Answer: Being on so much stress can damage you Detailed Answer: Hi dear again and thanks for trusting to us . I feel that you are on so much stress ,but it can damage you because it can cause hormonal imbalances . Hormonal imbalances can make your cycle be irregular or anovulator. Hence be calm and wait for good results. As we have discussed ,you have chances to conceive naturally ,because everything is normal(all reports you have send ). Yes ,being overweight is a negative thing you have . Hence try to lost weight . Have intercourse during your fertile window and you will see that you will be pregnant. All the best