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Is Natural Conception Possible At The Age Of 42 While Taking Triamcinolone Injections?

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Posted on Wed, 26 Apr 2023
Question: Hi

I had a missed miscarriage in April last year. I went for my first scan to find the baby had died at 5.5 weeks gestation. I then went to miscarry naturally at week 13.

Over the last 6 months my periods vary between 29 and 35 day cycles. I do ovulation kits which shows ovulation any time from day 14 to day 24. As long as the kits are showing ovulation though the days vary can I safely say that I ovulate?

I started Triamcinolone 80mg injections 3 weeks ago for severe asthma. I am worrying myself sick that they will interfere with my fertility.

I am 42 years of age and have no children and am still trying to conceive. The Triamcinolone injections are going to be every 4 weeks and as soon as I conceive they will stop. Do you see I can conceive naturally even on the Triamcinolone. I am asking this because I am on cycle day 24 and no positive OPK but I haven't done one every day so I could of missed it. I think I am panicking, what are your thoughts please?
doctor
Answered by Dr. Lekshmi Rita Venugopal (1 hour later)
Brief Answer:
Triamcinolone injection will not interfere with fertility

Detailed Answer:

Hello,

The Triamcinolone injection will not interfere with ovulation and fertility. You will have no issues conceiving while on Triamcinolone.

Regarding the cycle days, it is completely normal to have the cycle duration vary by +/- 7 days. Date of ovulation can also vary accordingly. Since OPK test is showing that you are ovulating every cycle, there is nothing to be worried about and you will have no issues conceiving.

Hope this answers your question. Please let me know if you need further clarification.

Regards,
Dr. Lekshmi Rita Venugopal
General & Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Lekshmi Rita Venugopal (8 minutes later)
thank you so much this really is music to my ears. How can I minimise the risk of miscarriage next time it really did take me months to get over it
doctor
Answered by Dr. Lekshmi Rita Venugopal (35 minutes later)
Brief Answer:
Progesterone supplementation can help

Detailed Answer:

Hello,

There is nothing specific that can be done to prevent miscarriage. However, given your age and previous history of miscarriage, progesterone supplementation during the first trimester may help. There is no 100% guarantee that progesterone will prevent miscarriage. But there is no harm in supplementing progesterone too and definitely worth giving a try.
I understand that going through a miscarriage is very difficult. But, Please be reassured that previous one miscarriage does not put you at increased risk for miscarriage in subsequent pregnancies.

Hope this answers your question. Please let me know if you need further clarification.

Regards,
Dr. Lekshmi Rita Venugopal
General & Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Lekshmi Rita Venugopal (11 minutes later)
even at my age does it not necessarily mean miscarriage? where can I get progesterone from please?
doctor
Answered by Dr. Lekshmi Rita Venugopal (4 hours later)
Brief Answer:
Spontaneous loss of pregnancy is miscarriage

Detailed Answer:

Hello,

Spontaneous loss of pregnancy is always miscarriage irrespective of maternal age.

Only thing is that the risk of miscarriage slightly increases with advancing age. You can receive progesterone prescription from your OBGYN once pregnancy is confirmed.

Hope this answers your question. Please let me know if you need further clarification.

Regards,
Dr. Lekshmi Rita Venugopal
General & Family Physician
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Lekshmi Rita Venugopal (18 hours later)
My consultant wants to put me on Omalizumab for my asthma and stop Triamcinolone. Will this interfere with me conceiving and my periods?
doctor
Answered by Dr. Lekshmi Rita Venugopal (4 hours later)
Brief Answer:
Omalizumab not found to affect fertility

Detailed Answer:

Hello,

Omalizumab does not affect ovulation or your fertility. There will be no issues conceiving.

However, safety during pregnancy is not exactly known since not much data regarding use in pregnant women is not available. So Omalizumab should be used only if absolutely necessary during pregnancy.

Hope this answers your question. Please let me know if you need further clarification.

Regards,
Dr. Lekshmi Rita Venugopal
General & Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Lekshmi Rita Venugopal (35 hours later)
If I got pregnant naturally before will I get pregnant naturally again
doctor
Answered by Dr. Lekshmi Rita Venugopal (7 hours later)
Brief Answer:
Yes, you can conceive naturally

Detailed Answer:

Hello,

As long as your ovarian reserve is not exhausted (which occurs at menopause), there is definite possibility of you conceiving naturally. As age advances the probability of conceiving diminishes. But still there are many women who conceive naturally in their 40s.

Hope this answers your question. Please let me know if you need further clarification.

Regards,
Dr. Lekshmi Rita Venugopal
General & Family Physician
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Lekshmi Rita Venugopal (5 minutes later)
My ovarian reserve is 6.3
doctor
Answered by Dr. Lekshmi Rita Venugopal (9 hours later)
Brief Answer:
Please provide details

Detailed Answer:

Hello,

Ovarian reserve test includes a variety of tests like the antimullerian hormone, FSH level, E2 level and follicular count.
Please specify which specific test or combination of tests were done for result interpretation.

Hope this answers your question. Please let me know if you need further clarification.

Regards,
Dr. Lekshmi Rita Venugopal
General & Family Physician
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Lekshmi Rita Venugopal (31 minutes later)
fsh 6.3
doctor
Answered by Dr. Lekshmi Rita Venugopal (16 hours later)
Brief Answer:
Day 3 FSH level

Detailed Answer:

Hello,

The FSH level taken on day 3 is used to assess ovarian reserve. The cut off level for FSH depend on the specific test used by the laboratory.

However, FSH of 6.3 is generally normal for women above 40, which indicates that there is adequate ovarian reserve.

Hope this answers your question.

Regards,
Dr. Lekshmi Rita Venugopal
General & Family Physician
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3808 Questions

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Is Natural Conception Possible At The Age Of 42 While Taking Triamcinolone Injections?

Brief Answer: Triamcinolone injection will not interfere with fertility Detailed Answer: Hello, The Triamcinolone injection will not interfere with ovulation and fertility. You will have no issues conceiving while on Triamcinolone. Regarding the cycle days, it is completely normal to have the cycle duration vary by +/- 7 days. Date of ovulation can also vary accordingly. Since OPK test is showing that you are ovulating every cycle, there is nothing to be worried about and you will have no issues conceiving. Hope this answers your question. Please let me know if you need further clarification. Regards, Dr. Lekshmi Rita Venugopal General & Family Physician