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Can Woman Give Birth After Menopause

Pregnancy Over Age 50

PART ONE: Should Menopausal Women Be Given Time off from Work?

Pregnancy over the age of 50 has, over recent years, become possible for more women, and more easily achieved for many, due to recent advances in assisted reproductive technology, in particular egg donation. Typically, a woman’s fecundity ends with menopause, which, by definition, is 12 consecutive months without having had any menstrual flow at all. During perimenopause, the menstrual cycle and the periods become irregular and eventually stop altogether, but even when periods are still regular, the egg quality of women in their forties is lower than in younger women, making the likelihood of conceiving a healthy baby also reduced, particularly after age 42. The female biological clock can vary greatly from woman to woman. A woman’s individual level of fertility can be tested through a variety of methods.

In the United States, between 1997 and 1999, 539 births were reported among mothers over age 50 , with 194 being over 55.

The oldest recorded mother to date to conceive was 74 years, and the youngest mother was 5 years old. According to statistics from the Human Fertilisation and Embryology Authority, in the UK more than 20 babies are born to women over age 50 per year through in-vitro fertilization with the use of donor oocytes .

Learn To Recognize The Signs

Women in their fifties most likely reach menopause or are in their perimenopause stage of life. The signs of menopause can sometimes be similar to that of pregnancy, so it is important that you recognise the symptoms of pregnancy such as nausea, constipation, swollen breasts, and food sensitivity at 50.

How Common Is Pregnancy After 40

Implicit in this question is the reality that fertility declines with age. The estimated rate of infertility in women aged 15 to 34 years of age is 7-9%. By contrast, for women 40-44 years of age, the rate is approximately 30%. This is a significant increase, but it also means that 70% of women in the latter age range are not infertile! In other words, as a woman in the age range of 40-44, the odds that you will be able to conceive spontaneously are in your favor.

However, due to the increased risk of infertility in this age range, we typically dont advise this population of women to try as long before getting an infertility evaluation. For example, for women younger than age 35, we advise 12 months of trying to conceive before initiating assessment for infertility. For women 35-40, we reduce that period to six months. In addition, for women over the age of 40, while there is no strict guideline, we dont usually recommend waiting a full six months.

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Is Ivf In Older Women Ethical

Fertility doctors know that with the right amount of monitoring, a woman can safely carry out a pregnancy well into her 50s or 60s. But is it ethical for a woman to do this? There is no law in the U.S. limiting the age for a woman to receive IVF individual clinics make that decision.

Some U.S. fertility clinics use a womans menopause as a guideline for when fertility treatment should no longer be conducted. Using this as a basis, Dr. Adamson said that if he were to give fertility treatment to a woman over the age of 50, there would need to be “compelling reasons to proceed” with the pregnancy, and that they would need to “outweigh the significant medical risks associated with pregnancy at this age.” Once a woman reaches her mid-50s, “it’s difficult to envisage a situation in which the social benefits of pregnancy and parenthood outweigh the major medical risks.”

Flisser had a bit of a different perspective on the issue, saying that menopause is no longer a limit on a womans fertility and it needs to be dissociated from it. In terms of determining the cut, it has to be passed on more than just age.

Although pregnancy at an older age may not affect the health of the mother, there are definitely moral complications that may come from giving birth at an older age, with parental lifespan being the most obvious concern. If you have a child at 55, there is a high chance that you may not live to see them graduate from college.

Infertility Evaluation And Advanced Maternal Age

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Infertility usually is diagnosed if a woman has not become pregnant after 1 year of unprotected intercourse . However, if she is 35 or older, the evaluation should begin after 6 months of trying unsuccessfully to conceive. If a couple has an obvious medical problem affecting their ability to conceive, such as absence of periods , sexual dysfunction, a history of pelvic disease, or prior surgery, they should begin the infertility evaluation immediately. Fertility tests may include ovulation detection and evaluation of the fallopian tubes, cervix, and uterus. The male partner will have a semen analysis. Most testing can be completed within 6 months, and appropriate treatment can be started immediately after the evaluation is completed.

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Preventing Pregnancy After Menopause

In order to prevent pregnancy during or after menopause, you must continue using an effective form of birth control. Since birth control pills are not recommended past the age of forty, your doctor will likely suggest using a diaphragm, IUD, or a permanent option such as a tubal ligation.

If you decide that you want to have a baby and you have already been through menopause, there are options to consider. A donor egg program will allow you to carry the baby throughout pregnancy with the aid of a younger females eggs. But there is also a much higher risk of fetal problems at an advanced age. The risks for an older woman carrying a baby include developing an infection, embolisms, hemorrhaging, strokes. and seizures. Risks to the baby are also possible.

Can Menopause Be Reversed

The short answer is no, but researchers are working on it.

One avenue of study is treatment using a womans own platelet-rich plasma . PRP contains growth factors, hormones, and cytokines.

Early efforts to restore activity in the ovaries of perimenopausal women indicate that ovarian activity restoration is possible, but only temporarily. Research is still in the early stages. Clinical trials are underway.

In a small study of postmenopausal women, 11 of 27 who were treated with PRP regained a menstrual cycle within three months. Researchers were able to retrieve mature eggs from two women. IVF was successful in one woman.

Much additional research on larger groups of women is needed.

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What About The Use Of Medications

The idea of using birth control, medications, or other hormones to induce lactation may not sound safe, but just remember that they are only taken to induce the formation of breast tissue and are discontinued before milk production starts. Such is the case with the use of herbal remedies prior to lactating.

However, if you or your supplementary milk suppliers are on any prescription medications or supplements, you may want to consult your doctor, midwife, and lactation specialist before providing that milk to your baby. Not all side effects are known when it comes to infants and there have been past cases of major illnesses in conjunction with unknown side effects of medications in breast milk.

There are three different protocols to inducing lactation or relactating. They are the

  • Regular Protocol,
  • Menopause Protocol, and the
  • Independent Protocol.

The first two involve the use of hormonal treatments and/or herbal treatments. The third in involved after menopause or hysterectomies. And the last one involves going it alone. The longer and more stimulation that is applied during a protocol, in general, the more milk that is produced.

How Can Frozen Donor Eggs Improve My Chances Of Success

47-Year-Old Gives Birth to Child An Hour After Finding Out She’s Pregnant

Selecting frozen donor eggs is a sensible option, both from a medical and practical standpoint. Donors are rigorously tested for genetic and infectious diseases, and the extensive amount of information available about the donor themselves allows the intended parent to choose a donor based on the traits and values that are of most importance.

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How To Prepare For A Pregnancy In Your 50s

If a woman wants to get pregnant in her 50s, she might have to resort to in vitro fertilization , where the sperm and egg will be combined in a lab, then transferred into the uterus as a fertilized embryo. It can be difficult for an older woman to get pregnant, but not impossible. The odds of getting pregnant are only 1% but a woman can have a child in her 50s. If you are above the age of 50, these tips can help. The tips mentioned below can at least help you get started.

Getting Started With Lactation After Menopause

I found it rather slow going to induce while experiencing the effects of menopause. There is a lot going on in your body during this time, especially with the hormones required for successful milk production.

My attempts at inducing involved the co-operation of my partner, and a lot of breast suckling to stimulate the milk-making process. This was somewhat successful and I was able to produce some milk, and the odd time, an exciting little spray of milk.

Of course, I was not satisfied with the amount of milk I was making, so I opted to add domperidone into the mix. This turned out to be a great addition, and within a few months I was able to produce almost 2oz of milk a day. This may not sound like a lot, but you should be aware that inducing seldom gives you the amount of milk that you would have if you you had gone through a pregnancy the two can not be equated the hormonal changes in the body during a pregnancy are just not something that we can fully duplicate. That being said

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Physical Limits In Older Women

At 20 weeks of pregnancy, a female fetus has a fully developed reproductive system, complete with her entire life’s worth of eggs six to seven million to be exact. But by the time that woman is 30, she will have lost nearly 90 percent of her eggs, and at age 40, only around three percent of them are left. Most women are no longer able to become naturally pregnant in their mid-40s. However, while a womans eggs have an expiration date, the uterus, or where a fertilized egg will attach and grow, does not.

The bottom line is that the uterus can function just about until the death of the woman, Dr. David Adamson, a fertility expert for Advanced Reproductive Care, in California, told Medical Daily.

While it seems there are no longer biological constraints to pregnancy past menopause, the risk of dangerous complications associated with carrying a child and giving birth significantly increase as a woman ages. Generally speaking, any woman who reaches age 35 and becomes pregnant is considered an older mother. This puts her at an increased risk for multiple pregnancies, gestational diabetes high blood pressure during during pregnancy premature birth having a baby of low birth weight needing a C-section having a child with chromosome abnormalities and experiencing a miscarriage. Pregnancy is also physically hard on the older body, and the weight of carrying a child can be more stressful for women over 50 than it would be for younger women.

Can A 64 Year Old Woman Give Birth

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Other women in their 60s and 70s have given birth in recent years, though generally after having fertility treatment. The China Daily reported in December 2016 that a 64-year-old woman gave birth to a baby boy by Caesarean section after IVF treatment in the countrys northeast Jilin province.

Since she is presumably long past the onset of menopause, which is when the menstrual cycle ends, it seems likely that Kaur used an egg donated by a younger woman. Mary Jane Minkin, MD, a clinical professor at Yale University School of Medicine, says its almost certain that the mother did.

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Are You Pregnant Or Perimenopausal

Doctors may perform blood tests to determine if a woman who has skipped one or more periods is either pregnant or approaching menopause. These tests measure the levels of certain hormones, some of which signal pregnancy and others that can provide clues about a woman’s ovarian function or decline.

FSH, or follicle-stimulating hormone, is produced in the brain and increases as the number of eggs produced by a woman’s ovaries decreases. A consistently elevated FSH level along with the ending of menstrual cycles for 12 months supports a diagnosis of menopause.

That being said, FSH levels fluctuate during perimenopauseso it is difficult to interpret a single number. This is why an FSH blood or urine level cannot accurately diagnosis perimenopause or menopause. It is simply another piece of the pie. A women’s symptoms and menstrual history are also needed to put the whole picture together.

How Do You Know If You’re Still Fertile

You must assume you’re still capable of conceiving until menopause is complete, which has not occurred until menstrual periods have ceased for 12 full months. Menopause is not an on-off switch, says Dr. Stuenkel. But many women dont really understand exactly whats happening.

Ovarian function waxes and wanes in perimenopause, meaning that a woman may release an egg some months but not others. Additionally, body levels of estrogen, progesterone, and other hormones tend to be erratic during this time and egg quality decreases, all contributing to more than a 50 percent decrease in fertility among women 40 and over compared to younger women. But natural conception is still possibleif remotefor women until their mid-fifties.

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Postmenopause And In Vitro Fertilization

When you reach postmenopause, your hormone levels are no longer suitable for ovulation and natural pregnancy, and birth control isnt necessary anymore. However, there is still a chance you could get pregnantthrough in vitro fertilization .

IVF after menopause has proven to be successful in many cases. It can be done using your own eggs that you had frozen earlier in life, or by using a donors eggs . This process will require you to undergo hormone therapy to prepare your body for the implantation process and to carry the baby to term.

However, be aware that postmenopausal women are much more likely to experience minor to major complications of pregnancy after IVF compared to premenopausal women.

IVF after menopause isnt an option for everyone. It depends greatly on your overall state of health and a doctor should be able to tell you whether or not its an option for you.

Experts Suggest That If The Mother Is Healthy Most Twins Born To Older Women Are At A Much Lower Risk Of Fetal Or Infant Death Than Twins Born To Younger Mothers

How To Enjoy Sex After Menopause

Erramatti Mangayamma, 74, became the oldest woman in the world to give birth to twins on Thursday in a nursing home in Guntur city, Andhra Pradesh.

Already 30 years past menopause, Mangayamma had an in vitro fertilisation procedure a form of assisted reproductive technology to conceive after trying naturally for more than 50 years. Reportedly, the mother and babies are safe, though Mangayamma is being kept in the intensive care unit to help her cope with the stress of childbirth.

Representational image. Reuters

Mangayamma may be the oldest one yet, but she is not the first Indian septuagenarian to give birth through IVF. In 2016, Punjabs Daljinder Kaur then 70 gave birth to a baby boy.

Data show that there has been a rise in the number of people opting for ART in the past few years – especially in India, where couples who do not have children can be taunted as being infertile. In many parts of the country, having ones own child is a condition for social acceptance. In an interview to a local newspaper, Mangayamma said that no one would call her infertile now.

IVF, though safe, is not completely free of risks for older women. Heres a quick look at what happens in IVF, why theres a high chance of conceiving twins through IVF and the risks of IVF for older moms.

Birth science

Though there are other forms of ART like fertility medication, doctors usually recommend IVF for post-menopausal women who have stopped producing their own eggs every month.

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Can You Get Pregnant After Menopause

Females are born with millions of eggs inside their ovaries. Until puberty, these eggs remain in a state of latency however, after reaching puberty, drastic changes occur in the biochemical environment of the body due to hormones. As a result of hormonal fluctuations, every month, few eggs are released from the ovary but only one egg achieves complete maturation. Once this egg is ovulated, it is released into the fallopian tubules to allow fertilization of egg and a normal pregnancy .

With the passage of time, the release of mature eggs from ovaries become less frequent and the women become less capable of producing fully matured eggs. Needless to say that less frequent production of mature eggs is partly due to physiological aging and partly due to hormonal changes, which ultimately leads to menopause. In short, it marks the end of female fertility.

Pregnancy Over : Ethical Considerations That Must Go Into Deciding When You’re Too Old To Give Birth

How old is too old to give birth? The answer to this question would have been obvious 30 years ago, but recent advancements in fertility treatments mean that in 2015, a womans biological clock can be permanently put on hold. Thanks to science, a 55- or even 65-year-old woman can do what was once unthinkable: become pregnant and give birth to a healthy child. However, just because a woman of this age can physically become pregnant, is the decision to do so ethical?

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