Question: HI! I'm Curious about my somewhat rapid belly girth. I am a 48 yo female with two children ages 9 & 6 produced via intensive IVF ( I mention this because I had 11 stimulated IVF cycles on XXXXXXX FSH plus other meds). Oddly in 2006 I was diagnosed with long standing Spondyloprathy - diagnosed by a University based Rheumatologist (possibly Ankylosing Spondyothropathy). I went through 14+ months trying various NSAIDS to no avail. I am now on Fentanyl Patch. I have rejected, for the time being, TNF a blockers as my children are so young and sick all the time with usual childhood bugs, and my mother has latent, never treated TB. I am about 5'7" and used to be 115 now about 120-125. My belly - only - belly is larger. I am also perimenopausal -perhaps fully in menopause (12 month wait right?). After all the IVF meds , as well as the cocktail of meds the docs had/have me on for the AS or Undifferentiated AS, I'm nervous about malignancies. The main question is how can I tell I'm just getting a belly due to age and meopause v something more sinister (remember I was 5"7 115lbs!,the human coat hangar, the but of jokes!), Now look 4 months pregnant (with my second), with my first I did not show until 6.5 months , I worked in government in Washington right before 911, and NO one could tell I was pregnant!