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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can A 36 Year Old Woman Have A Normal Pregnancy?

I am 36 next month and had an ectopic in feb of this year ( surgery , but tube saved). I also miscarried at 5 weeks ( just a couple of days ago). I have a ten year old daughter from previous relationship. Is my body trying to tell me that I m too old for another pregnancy. Should I try ivf ?                                                                  
Fri, 19 Feb 2016
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OBGYN 's  Response
Hello dear,
I understand your concern.
In my opinion the problem in your case is maintainence of pregnancy but not formation of embryo.

Usually IVF is suggested to those who are not able to conceive naturally.

But in your case the pregnancy occurred naturally both of the times but first one got terminated due to ectopic and 2nd one due to miscarriage.

The cause for ectopic cannot be pinpointed but the miscarriage might be due to genetic anamolies or hormonal insufficiency like thyroid abnormalities or progesterone insufficiency,diabetes etc.

So I suggest you to rule out thyroid abnormalities , diabetes etc.

Also give a gap of 3 months for next conception.
And start taking folic acid tablet starting one month before planning the pregnancy.

And as you are 36 years get screened for Down syndrome and other anamolies by ultrasound, blood work up during early pregnancy.

Nothing to worry.Untoward effects might not repeat in further pregnancy.

Relax.Avoid stress.
As stress also might hamper the normal hormonal balance in body leading to untoward effects.

Hope this helps.
Best regards...Dr.Srilatha
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Can A 36 Year Old Woman Have A Normal Pregnancy?

Hello dear, I understand your concern. In my opinion the problem in your case is maintainence of pregnancy but not formation of embryo. Usually IVF is suggested to those who are not able to conceive naturally. But in your case the pregnancy occurred naturally both of the times but first one got terminated due to ectopic and 2nd one due to miscarriage. The cause for ectopic cannot be pinpointed but the miscarriage might be due to genetic anamolies or hormonal insufficiency like thyroid abnormalities or progesterone insufficiency,diabetes etc. So I suggest you to rule out thyroid abnormalities , diabetes etc. Also give a gap of 3 months for next conception. And start taking folic acid tablet starting one month before planning the pregnancy. And as you are 36 years get screened for Down syndrome and other anamolies by ultrasound, blood work up during early pregnancy. Nothing to worry.Untoward effects might not repeat in further pregnancy. Relax.Avoid stress. As stress also might hamper the normal hormonal balance in body leading to untoward effects. Hope this helps. Best regards...Dr.Srilatha