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What Causes Difficulty In Conceiving?
i am 42 years old and only have a daughter who is currently eight years old. I have been tryin hard in vain to conceive. According to various doctors reports i have multiple fibroids inside my uterus . But despite this I managed to get pregnant even with fibroids and gave birth to my daughter through a normal delivery. I am desperate to have a baby or babies. Three days ago i was advised to use fertility pills which i should finish by saturday, and then proceed to using ovacare, kindly advice.
Thu, 15 Dec 2016
Hi there,
After going through your question, I am of the opinion that:
1) Fibroids do cause infertility, especially as age increases as well as size of fibroids increases.
2) The reason that fibroids cause infertility are: a) They distort the uterine cavity and prevent implantation. b) Hormonal changes are caused which can prevent ovulation. c) Sometimes, they obstruct sperm transport and fertilisation. d) They can cause miscarriages due to poor placentation.
3) My suggestion is that you keep trying to conceive, but in case the pills do not work, you might need to get your fibroids removed by myomectomy and then plan for pregnancy.
4) As it is, your age is also a factor in reduced fertility. As we grow older, our follicles reduce and there are a lot of hormonal changes too. A woman of 34 and of 42 are completely different. you should get evaluated for your hormonal profile too with tests like FSH, LH, AMH, sr. testosterone and oestradiol, TSH, T3, T4 and blood sugar and sr. insulin.
I wish you all the best.
Regards,
Dr Shikha Shah
After going through your question, I am of the opinion that:
1) Fibroids do cause infertility, especially as age increases as well as size of fibroids increases.
2) The reason that fibroids cause infertility are: a) They distort the uterine cavity and prevent implantation. b) Hormonal changes are caused which can prevent ovulation. c) Sometimes, they obstruct sperm transport and fertilisation. d) They can cause miscarriages due to poor placentation.
3) My suggestion is that you keep trying to conceive, but in case the pills do not work, you might need to get your fibroids removed by myomectomy and then plan for pregnancy.
4) As it is, your age is also a factor in reduced fertility. As we grow older, our follicles reduce and there are a lot of hormonal changes too. A woman of 34 and of 42 are completely different. you should get evaluated for your hormonal profile too with tests like FSH, LH, AMH, sr. testosterone and oestradiol, TSH, T3, T4 and blood sugar and sr. insulin.
I wish you all the best.
Regards,
Dr Shikha Shah
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