PREGNANCY-BIRTH Messages for June, 2000: Re: Age and Trying to Conceive

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Re: Age and Trying to Conceive

From: anonymous@obgyn.net
Wed, 28 Jun 2000 13:45:13 -0500 (CDT)

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In reply to: Sue: "Age and Trying to Conceive"

At Tue, 27 Jun 2000, Sue wrote: >
>I am planning to have tubal reconstructive surgery in a few months. I
>turned 41 two months ago and have no children.
>
>Doctor said my chances are greater with IVF however, I am concerned
>about "super-ovulation" and the potential of ovarian cancer.
>
>Here is my question --- is 41 too old to try to conceive naturally after
>tubal surgery (had them ligated 7 years ago and have a hydro since
>then)? Would it make sense to attempt IVF several times and then have
>ovaries taken out?
>Which has the greatest risk of birth defects - conceiving on own or IVF?
>
>Any response will be greatly appreciated. It's a lot to think about!!!

IVF is more likely to allow you to be pregnant, but it may be more expensive, though tubal reconstruction is also very expensive. If you have had a hydrosalpinx, then that tube will be virtually worthless, even after reconstruction. Super-ovulation is a risk, but it is actually quite rare, and the potential for increased risk for ovarian cancer has not been totally borne out by subsequent studies, and at the very least has been overstated in the popular press Your natural fertility at age 41 may be diminished to the point that you will need ovulation induction regardless of your tubal status. This is a very complicated situation. I wish you all the luck.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
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