Re: response for secondary infertility

[ Follow Ups ] [ Post Followup ] [ American Infertility Association Message Board ] [ FAQ ]

Posted by on May 06, 19100 at 07:37:55:

In Reply to: response for secondary infertility posted by Dr.Barad on May 06, 19100 at 00:46:15:


Age effects are one of the hardest things to accept about infertility. You may feel well, look young, and recently have had a child yet you could be having a problem concieving simply because of your age. Yes... we all know women in their forties who have successfully achieved pregnancy and had a child. Those women don't go to fertility clinics. The population of couples with infertility is best represented by the national SART data. Take a look at the SART data for IVF success rates and age. Remember, all those IVF programs are under economic pressure to cycle women who are mostl likely to succeed. It's a good bet that most of the women cycled in the SART data had favorable baseline FSH studies. Even so, pregnancy rates fall sharply after age 38 and reach almost zero by age 44. We don't really understand why. There really is no medical answer that we know of to fix it.

The hardest part to understand is that sometimes some women are successful, even in the older age range. For some couples, this creates hope and a feeling of compulsion to keep going.

Understand that at age 43 there is no accepted medical treatment to change your fertility potential. Any intervention has a chance of success, but must be considered speculative.

You certainly can't succeed if you don't try. Just understand that time is a gamble. Each try costs you something, even if it's just a bit of your heart. Protect youself. Make a careful decision on how much you are willing to gamble. Stay inside your limit. Be careful. Be lucky. Be well.

Donor egg is another story...

Dr. Barad

: Dr. Barad: Thank you for responding so promptly to my question about 3 weeks ago. Yes I did have an HSG after the abortion and was told that everything lookes looked perfect, no scarring or adhesions. Can you think of anything that could be happening in the uterus to prevent implantation given the fact that the HSG looked fine. I was told it could be my age. I am now 43 but got pregnant at 38 the first time and at 41 the second time so I am really thinking it is some microscopic change in the uterus that can't be seen. Is that possible? My FSH & LH & E2 on day 3 are usually 4.5, 4.7, and 55-70 respectively. What are your thoughts if any as to what could be done at this point. Your response and time are appreciated so very much. Audrey

Follow Ups:

Post a Followup