Brief Answer:
You will need IVF to get pregnant, and possible surgery on your tubes

Detailed Answer:
Hello, and I hope I can help you today.

If your tubes are both blocked, there is no way you will conceive without bypassing your tubes, which means through IVF (in-vitro fertilization).

The fact that you have a hydrosalpinx can be a factor in IVF success. When you have a hydroslapinx, the fluid from your tube flushes backwards into your uterus and statistically this can decrease the success rates for IVF. Therefore most fertility specialists would recommend you actually have both of your tubes removed (as they won't work anymore to help you conceive). If you still have fibroids in your uterus, they may recommend that they be removed too depending on the size and location.

I suggest you consult with a fertility specialist to determine the best options for treatment for you. Many health insurance plans cover infertility services now. You also should bring your partner to the appointment also because he will need an analysis of his sperm to see if there are any problems there, which also could affect the chances of success with IVF. The specialist will also do blood tests to check your hormone levels and your ovarian reserve to see if it would even be possible to do IVF with your own eggs. If they do not think you will produce enough eggs to do IVF, they may recommend you use an egg donor.

I wish there were any less technologically advanced treatments available that would work for you, but unfortunately if your tubes are blocked there are limited options. Some infertility specialists may be able to do surgery to try to repair your tubes, but if your ovarian reserve is low, you may not be able to conceive anyway.

So in summary, in order to accurately figure out if you can get pregnant, you will need to see a fertility doctor and have some hormone tests, an ultrasound, and a consultation. Only then will it be possible to determine if there are treatment options for you.

I hope I was able to adequately answer your question today and that my advice was helpful. If I can be of any further assistance, please do not hesitate to contact me again.

Best wishes, Dr. Brown

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Brief Answer:
You really need a hormonal evaluarion at 3 months of no period

Detailed Answer:
Hello again.

Skipping periods sometimes is not unusual in your 40's. We do not always ovulate every month so this is the result.

This is most likely age-related, but other hormonal imbalances, like thyroid disease, can also cause irregular periods.

There is certainly nothing dangerous that can make you not menstruate, but if you miss more than 3 months you should see your GYN and they can do a hormonal evaluation and give you medication to restart your cycle.

The same hormone tests are required at an initial fertility evaluation, so they may also give your doctor more information about your fertility potential.

So again there is nothing to worry about but if you miss another month it would be advisable to see a doctor and get an evaluation of your hormones.

I hope this was helpful in answering your question. If you had a favorable experience, please post a rating for me when you finish the session.

If you need anything else, I am still available for you as well.

Best, Dr. Brown

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Brief Answer:
It could be-yes

Detailed Answer:
If they find during your hormonal evaluation that you have a low ovarian reserve (tell your GYN that you're interested in IVF and they will test that) it can affect your ability to get IVF with your own eggs. You can still get IVF, but they may recommend you use an egg donor. Your GYN can also recommend a specialist if you plan to try to conceive right away.

I wish you the best of luck with your evaluation and future reproductive plans.

Sincerely, Dr. Brown

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