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