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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Possible To Get Pregnant At 46 Yrs? How To Improve Chances? IVF Needed?

I am 46 years old female and i have been career minded and now feel the time is right for me to have a baby. However i am concerned i have left it too late. My partner is nearly 47 years old and we are young at heart and physically fit for our age. My partner only has one testicle due to his other one being strangulated a few years ago. I have regular periods and have used a test to see if i am ovulating..which i am. Is it possible for me to get pregnant at my age? How can we improve our chances? Would we have any choices in relation to having IVF , due to our age? How can i tell if my eggs are still healthy? I would prefer to use my own eggs..is this possible? Thank you for your help.
Wed, 13 Feb 2013
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OBGYN 's  Response
Hello
At 46, you are obviously aware that conception will be difficult, if not impossible.
IVF is the only way ahead for you.
Your partner's semen analysis is essential due to the testicular injury.
Also, you can assess your egg forming capacity by testing your ovarian reserve.
This is done by estimating AFC ( antral follicular count ) on ultrasound, measuring hormones like AMH ( anti mullerian hormone ) and FSH and LH on day 2.
This would tell you if your own eggs can be used for IVF
Your endometrial status needs to assessed for IVF also.
Please consult a reputed Infertility Specialist and go for detailed testing and evaluation at the earliest, kindly do not waste more time.
Take care.
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Possible To Get Pregnant At 46 Yrs? How To Improve Chances? IVF Needed?

Hello At 46, you are obviously aware that conception will be difficult, if not impossible. IVF is the only way ahead for you. Your partner s semen analysis is essential due to the testicular injury. Also, you can assess your egg forming capacity by testing your ovarian reserve. This is done by estimating AFC ( antral follicular count ) on ultrasound, measuring hormones like AMH ( anti mullerian hormone ) and FSH and LH on day 2. This would tell you if your own eggs can be used for IVF Your endometrial status needs to assessed for IVF also. Please consult a reputed Infertility Specialist and go for detailed testing and evaluation at the earliest, kindly do not waste more time. Take care.