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Pregnant Pause

Understand Fertility Facts

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As long as I am having regular periods, I should be fertile.
Even if a woman regularly ovulates, has regular periods and feels fine from adequate estrogen and progesterone secretion from the ovary, the eggs that the ovaries produce as a woman ages have a decreased ability to establish a pregnancy. Because this decline in egg potential can vary from woman to woman, it is important to seek a consultation with a specialist for basal FSH and estradiol levels and provocative testing after the age of 30. Regular periods are a sign of proper ovulation, but if there are other problems such as tubal blockage or endometriosis, pregnancy still will not occur without help.

Women over 40 should be able to conceive easily as long as they are healthy.
According to the American Society for Reproductive Medicine, approximately two-thirds of women will not be able to get pregnant spontaneously at 40 or older. Nationally, the percentage of IVF cycles in 2001 resulting in live births for women aged 41 to 42 was 10.4 percent, whereas patients going through IVF under the age of 35 have much higher success rates, often as high as 50 percent. This underscores the need for women to seek competent fertility care promptly.

Fertility drugs usually result in multiple pregnancies.
Recent advances have led to increased pregnancy rates while minimizing the risk for higher multiples. Patients undergoing fertility drug treatment should be closely monitored. For patients going through in vitro fertilization, improved technology has increased pregnancy rates, leading to fewer embryos needing to be transferred in order to maximize chance of pregnancy. Multiples are always possible but the rate is not as high as most people think.


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