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Re: Course of action for woman with family history of fertility issues
From: Anon (anonymous@obgyn.net)
Tue, 30 Apr 2002 12:00:04 -0500 (CDT)
At Tue, 30 Apr 2002, KTP wrote:
>KTP,
>From the patient perspective: I brought the issue up myself with my then
gynecologist when I was about 30- he had not mentioned it in my prior
annual exams. His quaint reply was " The proof is in the pudding". In
other words he told me to try to conceive for a year, and if not, he
would begin testing, etc. He also felt time was on my side. I waited
until 32, and luckily conceived in 4 months. Remember also that men
have fertility problems so even if you start in your twenties it could
be an issue. For females there may be specific fertility problems not
related to age, but I do not have knowledge in that area.
>I know that recently, I've been hearing a lot in the news about how
>doctors are now recommending that women try to have their first child
>earlier (since the age seems to keep creeping up into the late 30's and
>early 40's). I know that in my family, we've had fertility issues with
>people getting pregnant, staying pregnant, and having healthy full-term
>kids. Therefore, I know that I need to be aiming at my mid to late
>twenties to have a first child.
>
>However, I have never heard anything about this from my doctor. I have
>a few friends in their late 30's or early 40's who are trying to get
>pregnant - but low and behold, they've already entered an early
>menopause.
>
>Doctors: Do you talk with your patients about their fertility and its
>possible "expiration date?" What course of action do you recommend for
>women who tell you they have a familiy history of fertility problems?
>
>Patients: Have your doctors talked with you about your fertility?
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