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Re: At my age, how long do I wait for fertility treatment?

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sat, 18 Sep 1999 12:37:48 -0500 (CDT)


At Fri, 17 Sep 1999, chris wrote: >
>My first pg was at age 23 in 1981 and ended with a premature bith at 25
>weeks. Baby was normal and strong, lived 8 hours-just too small to
>survive. Was diagnosed with incompetent cervix. 4 months later, pg
>again and checked each week by dr. to put in cerclage. Cerclage was
>never done, went 3 weeks past due date, 8lb baby that was delivered by
>c/s after 27 hours of labor. Obviously, incompetent cervix was not a
>good diagnosis. Had half of thyroid removed between the first 2 pgs due
>to tumor. Have never had thyroid meds or problems since. Nearly bled
>to death after premature birth and had anestesia complications and
>infection after c/s. Decided I was lucky to have one healthy child and
>that I was not cut out to be a broodmare. DH and I never got
>sterilized, used a diaphragm sucessfully over the years until I became
>pg earlier this year at the age of 41. (My fault -left it in the
>dresser drawer one too many times.)Huge shock for both of us and our
>17yr old but we were delighted. I went in for my check-up at 17 weeks
>and had a fetal demise, followed by a D&E. Had a lot of bleeding after
>surgery and took 2 months and progesterone therapy to quit bleeding and
>cycle again. Now I am ttc and on my second normal cycle. Had breast
>cancer at age 32 that was caught very early and has not recurred
>(partial mastectomy- no chemo). At my age and with my history, how long
>should I wait before seeking assistance if I don't get pg? I have 29-31
>day cycles and am testing with OPKs- doesn't look like I have LPD or
>perimenopause but I know my biological clock has got to be heading for
>midnight. Also, do I need an RE or a specialist? I am unusually healthy
>in spite of my past. Thanks.
>
>--
>chris
>

Wow. I would recommend seeing a RE now -- why waste any time? Also, have you been worked up for a blood clotting disorder? It sounds as if you bleed unusually heavily.

I admire you for wanting to have another child after all you have been through -- and especially since your first one is almost out of the house!

Best of luck to you.

--
Kelly Shanahan, MD, FACOG

Replies are for educational purposes only. They do not take the place of a consultation with your own doctor, nor do they construe any doctor-patient relationship. Private e-mails WILL NOT be answered due to the fact that I am answering this question after my baby is in bed and I do need some sleep myself! Plus, my husband is getting jealous of the computer.




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