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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Pregnancy Tips For A Woman With A History Of Abortions And Miscarriage

hi I am 45 years old and trying to have a baby since 2 years and nothing happening. I been talking to my friends and they telling me . I should to a womp crap or put a IUD for couple month and take it then I may get pregnant. What should I do . I had 2 abortion and last one miscarriage 6 years ago . please help
Mon, 30 Jan 2017
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OBGYN 's  Response
Hi ,
Only factor of concern in your case is the age. Above 40 chances of pregnancy is low, as the of healthy eggs left in your ovary will be very low. But you should try as chance is NOT ZERO .
Use of IUD is not a treatment for pregnancy.
As you grow older the number of healthy eggs reduce, hence you should know how many eggs are left in ovaries , By Serum AMH level. Beware this only shows the Quantity of eggs , not the Quality of eggs. If value is within normal range you better go for IVF. You should meet an infertility specialist & also get in-depth investigated for those two abortions.
Best method or if AMH is low - would be Donor egg IVF, where your age doesn't matter.
All the best
Dr.Balakrishnan
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OBGYN Dr. Jacqueline Brown's  Response
Hello, and I hope I can help you today.

Unfortunately, at the age of 45, your baseline chance of pregnancy is very low. Even if you have been pregnant before, your fertility declines with age, and above age 42-43 the chance of getting pregnant on your own is less than 10 percent.

If you have been trying to conceive for 2 years without success, I do not recommend delaying infertility treatment by using some form of contraception temporarily and then discontinuing it. There is no evidence that it will increase your chances for fertility and may actually cause complications that can make it more difficult to get pregnant after.

I recommend that if you and your partner are actively desiring pregnancy as this time that you go for an evaluation of your fertility by an OBGYN doctor or fertility specialist. A test of your FSH, which can determine your ovarian reserve (how close you are to menopause) as well as other hormone levels will enable to help the doctor to determine your chances of getting spontaneously pregnant at all. Other testing of your partner for his sperm count may be necessary as well. Depending on your results, you may have options for treatment if you and your partner desire to do so.

So in summary, I want to reassure you that your previous pregnancy history has no bearing on your chances of pregnancy at this time in your life. At this time, if you have not been able to conceive for 2 years, I strongly suggest you see a GYN doctor or fertility specialist for evaluation and treatment, as time is of the essence if you desire pregnancy in your age group.

I hope I was able to adequately answer your question today and that my advice was helpful.

Best wishes,

Dr. Brown
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Suggest Pregnancy Tips For A Woman With A History Of Abortions And Miscarriage

Hi , Only factor of concern in your case is the age. Above 40 chances of pregnancy is low, as the of healthy eggs left in your ovary will be very low. But you should try as chance is NOT ZERO . Use of IUD is not a treatment for pregnancy. As you grow older the number of healthy eggs reduce, hence you should know how many eggs are left in ovaries , By Serum AMH level. Beware this only shows the Quantity of eggs , not the Quality of eggs. If value is within normal range you better go for IVF. You should meet an infertility specialist & also get in-depth investigated for those two abortions. Best method or if AMH is low - would be Donor egg IVF, where your age doesn t matter. All the best Dr.Balakrishnan