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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Procedure For Termination Of Pregnancy?

Hi there, I am 40 years old and I have found out that I am 1.5 months pregnant. My partner had a vasectomy 8 years ago so this wasn't planned at all and he doesn't want another child as he has two from his previous marriage. We have only been together 3 months, but I feel it may be my last chance so i am very uncertain about what to do.



I would like to know what is involved in a termination this early in the pregnancy and also, I hear there is a new fertility test out that can tell me how many years I have left where I can get pregnant. I would like to know whether this test is reliable when I am pregnant already as it might be better for us to plan for a child when our relationship is say two years in if we knew my fertility was ok then.

                                                                 
Wed, 29 Jun 2016
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OBGYN 's  Response
Hello, and i hope I can help you today.

Pregnancy termination in the first trimester is low risk and will not interfere with future fertility if there are no complications. At less than 7 weeks, there are options for both surgical termination (via D and C, which is a suctioning of the uterine lining) or medical termination, which can induce a miscarriage by taking pills or placing them in the vagina, depending on the regimen recommended to you. Pregnancy termination should always be preformed under the guidance of a physician' care.

Regarding your future fertility, there is no test that can tell you how long you will remain fertile. The fact that you conceived recently is a good sign, but no measure of hormone levels can predict the outcome when a woman is trying to conceive. People with abnormal hormone levels get pregnant accidentally all the time, and the majority of infertile couples have completely normal testing.

However, fertility declines with age most sharply after age 38-9. Many women can conceive into their early to mid forties, however there is no way to predict fertility at a given time until you actually try.

So the general recommendation of planning childbearing "sooner rather than later" especially after age 38 is the best we can do. Women who have never been pregnant have a harder time in general conceiving than women who already have.

So in summary, you have the most options regarding pregnancy termination (depending on where you live) the earlier you seek medical care. A first trimester abortion poses little risk and will not affect getting pregnant in the future.

I hope I was able to adequately answer your question today and that this information was helpful.

Best wishes,

Dr. Brown



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What Is The Procedure For Termination Of Pregnancy?

Hello, and i hope I can help you today. Pregnancy termination in the first trimester is low risk and will not interfere with future fertility if there are no complications. At less than 7 weeks, there are options for both surgical termination (via D and C, which is a suctioning of the uterine lining) or medical termination, which can induce a miscarriage by taking pills or placing them in the vagina, depending on the regimen recommended to you. Pregnancy termination should always be preformed under the guidance of a physician care. Regarding your future fertility, there is no test that can tell you how long you will remain fertile. The fact that you conceived recently is a good sign, but no measure of hormone levels can predict the outcome when a woman is trying to conceive. People with abnormal hormone levels get pregnant accidentally all the time, and the majority of infertile couples have completely normal testing. However, fertility declines with age most sharply after age 38-9. Many women can conceive into their early to mid forties, however there is no way to predict fertility at a given time until you actually try. So the general recommendation of planning childbearing sooner rather than later especially after age 38 is the best we can do. Women who have never been pregnant have a harder time in general conceiving than women who already have. So in summary, you have the most options regarding pregnancy termination (depending on where you live) the earlier you seek medical care. A first trimester abortion poses little risk and will not affect getting pregnant in the future. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes, Dr. Brown