How Can You Boost Your Chances Of Getting Pregnant During Perimenopause
If youre eager to get pregnant but the 5 percent stat is getting you down, you may be wondering, What I can do to boost my chances of conceiving?
The only thing a woman can do to improve her chances of getting pregnant is to be as healthy as she can be, says Dr. Zanotti. Obesity and smoking decrease the risk of conception. And if she is not having regular cycles, she should see her provider or a fertility specialist as soon as possible.
Dr. Banulis also advocates for seeking an evaluation as soon as possible if you want to get pregnant. In other words, dont wait.
While there is no perfect test to determine what your chances of pregnancy are, we can check certain hormone levels to get a better idea of how well your ovaries are functioning, she says.
Dr. Nanette Santoro, MD, a professor in the School of Medicine at the University of Colorado Anschutz Medical Campus, who specializes in reproductive medicine, suggests that a woman who is in perimenopause but wants to get pregnant should get her ovarian reserve assessed.
You Cant Get Pregnant After Menopause
Once youve had a full year without your period the reproductive stage of life is overand so begins a whole new era of life free from periods and fear of pregnancy. If you still want to start a family, there are other options available like adoption. There are still plenty of children out there in need of love and attention, just waiting for someone like you to say hello.
Were lucky to live in an era in which waiting to have children is not only an option but happening with increasing frequency. As long as youre aware of the risks, you can forge ahead down this new path freely empowered by the knowledge that some things may be more complicated, but at the end of this road you can still have the family youve always wanted.
What Are The Signs Of Pregnancy After Menopause
Even though pregnancy after menopause isnt possible in an old-fashioned way, until the treatment with ovary rejuvenation becomes available to all, women still have some options to conceive. In this stage of your life, it can be difficult to realize youre pregnant because some pregnancy signs are similar to those of menopause.
The most notable signs include the urgent need to urinate, mood swings, and youre feeling warmer than usual. Probably the easiest way to tell youre pregnant in menopause is the occurrence of signs that arent typical for menopause such as sore breasts, abdominal cramps, and nausea.
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In Vitro Fertilization After Menopause
IVF after menopause has been successfully demonstrated.
Postmenopausal eggs are no longer viable, but there are still two ways you can take advantage of IVF. You can use eggs you had frozen earlier in life, or you can use fresh or frozen donor eggs.
You will also need hormone therapy to prepare your body for implantation and to carry a baby to term.
When compared with premenopausal women, postmenopausal women are more likely to experience both minor and major complications of pregnancy after IVF.
Depending on your overall state of health, IVF after menopause may not be an option for you. Its worth consulting with a fertility expert who has worked with postmenopausal women.
Why Have A Child During Perimenopause
Raising a child requires money and time. Women who choose to become pregnant during perimenopause , may do so because they did not have the time to have a child in their younger years, for instance, because they were very busy with their career. This could also be explained by the fact they were waiting to be more financially secure in order to ensure the welfare of their child. Having a baby in your forties has advantages. For instance, women often feel more confident and their financial situation may be more stable.
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What Are The Long
There are several conditions that you could be at a higher risk of after menopause. Your risk for any condition depends on many things like your family history, your health before menopause and lifestyle factors . Two conditions that affect your health after menopause are osteoporosis and coronary artery disease.
Osteoporosis, a “brittle-bone” disease, occurs when the inside of bones become less dense, making them more fragile and likely to fracture. Estrogen plays an important role in preserving bone mass. Estrogen signals cells in the bones to stop breaking down.
Women lose an average of 25% of their bone mass from the time of menopause to age 60. This is largely because of the loss of estrogen. Over time, this loss of bone can lead to bone fractures. Your healthcare provider may want to test the strength of your bones over time. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia. Osteopenia is a disease where bone density is decreased and this can be a precursor to later osteoporosis.
If you have osteoporosis or osteopenia, your treatment options could include estrogen therapy.
Coronary artery disease
- The loss of estrogen .
- Increased blood pressure.
- A decrease in physical activity.
- Bad habits from your past catching up with you .
Can You Prevent Menopausal Pregnancy
Even at the ripe age of 40, ovulation is possible until menopause has been reached, in case of sexually active women, contraception is the best way to prevent pregnancies and the complications it carries.
There are a variety of methods for contraception, including barrier methods, hormonal birth control pills and surgical methods of birth control. Birth control pills may increase hormonal fluctuations causing an increase in menopausal symptoms. In surgical methods, tubal ligation is the most preferred method in which the ends of the fallopian tubes are cut, clamped or burnt, thus preventing the chance of pregnancy. It is always best to consult your gynaecologist before making a decision.
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Menopause And Pregnancy Share Similar Symptoms
Perimenopause symptoms can last up to ten years for some women, and many of them are similar to pregnancy symptoms. Its important to listen to your body and pay attention to any changes. Here are just a few examples of the symptoms that perimenopause and pregnancy share:2, 3
- Hot flashes and night sweats
- A missed period
- Changes in feelings about sex
- General fatigue or trouble sleeping
- Mood swings
- Weight gain
You can always take an at-home pregnancy test and its highly unlikely youll get a fake positive, even though hormones can fluctuate a lot during perimenopause. If youre still curious about whats causing your symptomsgo to the doctor and get your hormones checked. You may not be pregnant, however, there may be other health conditions that are influencing your hormones and therefore your symptoms.
Where To Get Help And Support
Although IVF can help some women conceive, Dr Stewart cautions against seeing it as a solution for all: “Some NHS commissioners will allow one cycle of IVF treatment for couples over 40 who haven’t tried it before, but the situation varies. More usually IVF requires several rounds of treatment and is self-funded. You need to have an ovarian egg reserve great enough to produce a number of eggs to ensure a reasonable chance of success in a standard cycle, otherwise theres little point in trying IVF.”
She advises women in their early forties to get a referral to a fertility specialist if they are not pregnant within a year of trying – or earlier if there is an obvious issue – to make sure there are no other contributing factors other than age.
“If those investigations are normal and couples have tried for two years it’s classed as unexplained subfertility, recognising that there are other factors that may not easily be tested for. Sometimes continuing to have intercourse over a prolonged period of time gives a cumulative pregnancy rate that may be greater than what can be achieved through treatment if there is no clear cause.”
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Chances Of Pregnancy During Perimenopause
The pregnancy rate for perimenopausal women is estimated to be 10-20 percent in women ages 40-44 and 12 percent in women ages 45-49. Unintentional pregnancy is rare in women over age 50, but you should still exercise caution. About 5 in 100 women having unprotected sexual intercourse at age 50 will become pregnant.
Fertility typically drops with age, especially after 35, but unless you are in full menopause, its reasonable to assume that you can still get pregnant. Birth rates for women ages 45 and above may be small, but national surveys still report that pregnancy is possible in midlife.
So, can you get pregnant during perimenopause? Absolutely, but there are factors to consider that will impact your chances of success. Even with the drop in estrogen, most women will continue to ovulate and menstruate during perimenopause, but periods may become irregular or less frequent. Its possible to get pregnant as long as ovulation is still occurring, but the number and quality of eggs will continue to reduce over time.
Older women are also likely to have additional health factors that may interfere with conception such as high blood pressure, genetic predispositions or conditions of the cervix and ovaries. Regardless of age-related decline, your chances of pregnancy in perimenopause are greatly reduced, but not altogether impossible.
Can I Get Pregnant During Menopause
The possibility of pregnancy disappears once you are postmenopausal, you have been without your period for an entire year . However, you can actually get pregnant during the menopause transition . If you dont want to become pregnant, you should continue to use some form of birth control until you have gone fully through menopause. Ask your healthcare provider before you stop using contraception.
For some women, getting pregnant can be difficult once theyre in their late 30s and 40s because of a decline in fertility. However, if becoming pregnant is the goal, there are fertility-enhancing treatments and techniques that can help you get pregnant. Make sure to speak to your healthcare provider about these options.
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Ovulation And The Menstrual Cycle
During their reproductive years, women have regular monthly menstrual periods because they ovulate regularly each month. Eggs mature inside of fluid-filled spheres called follicles. At the beginning of each menstrual cycle when a woman is having her period, a hormone produced in the pituitary gland, which is located in the brain, stimulates a group of follicles to grow more rapidly on both ovaries. The pituitary hormone that stimulates the ovaries is called follicle-stimulating hormone . Normally, only one of those follicles will reach maturity and release an egg the remainder gradually will stop growing and degenerate. Pregnancy results if the egg becomes fertilized and implants in the lining of the uterus . If pregnancy does not occur, the endometrium is shed as the menstrual flow and the cycle begins again. In their early teens, girls often have irregular ovulation resulting in irregular menstrual cycles, but by age 16 they should have established regular ovulation resulting in regular periods. A womans cycles will remain regular, 26 to 35 days, until her late 30s to early 40s when she may notice that her cycles become shorter. As time passes, she will begin to skip ovulation resulting in missed periods. Ultimately, periods become increasingly infrequent until they cease completely. When a woman has not had a menstrual period for 1 full year, she is said to be in menopause.
Are There Advantages To Having A Baby After 40
There are a few, not many a woman who waits until her forties to conceive is likely a woman who has focused on her career, and having achieved all she wants professionally, now feels ready to have a child. Psychological health is an important factor in becoming a parent, so being ready is a plus. If a woman has stayed active and in shape, she should recover from a pregnancy as well as a younger woman, although not as easily. Being able to chase a toddler around the house is important.
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The Risk Of Pregnancy
The decline of hormones means increasingly irregular ovulation so it is difficult for a woman to know how long she continues to be fertile. Many forget when their last period occurred six months ago? Perhaps eight? Although it is tempting to consider yourself no longer fertile during the peri-menopause, remember that it is usually after 12 months without a period that women are considered to be infertile.
No matter how irregular your periods may have become, this does not entirely rule out your chances of conceiving it is possible to have a natural conception until the mid-fifties. This may be both positive and negative.
If you do not want to run the risk of becoming pregnant while going through the peri-menopause, it is recommended that you continue using contraception for two years after your last period.
Generally speaking, however, it is harder for older women to conceive and the risks associated with pregnancy in older women are higher. This is because a woman is born with all the eggs she will ever have. As these eggs age, they become more likely to have chromosomal abnormalities.
In addition, an older womans body is not as adaptable to pregnancy as a younger womans, and factors such as high blood pressure all contribute their own risks to the pregnancy.
Do You Need Contraceptives During Perimenopause
Unless you are absolutely sure you are in full menopause, getting pregnant is still a possibility and therefore contraceptives are essential. Whether you are using birth control or other methods of contraception, if you want to be sure you still need to use it. Some studies have found that over 75% of pregnancies in women over 40 are unplanned, so its important to assume you are fertile, unless proven otherwise.
Can Menopause Cause Depression
Your body goes through a lot of changes during menopause. There are extreme shifts in your hormone levels, you may not be sleeping well because of hot flashes and you may be experiencing mood swings. Anxiety and fear could also be at play during this time. All of these factors can lead to depression.
If you are experiencing any of the symptoms of depression, talk to your healthcare provider. During your conversation, your provider will tell you about different types of treatment and check to make sure there isnt another medical condition causing your depression. Thyroid problems can sometimes be the cause of depression.
It Can Help To Think About Ivf Years Before Perimenopause
While in-vitro fertilization is a popular option for many women waiting to start their families, its not an option for everyone. For example, freezing your oocytes before age 35 can contribute to healthier IVF pregnancies and births later in life.4 Starting these conversations earlier with your doctor can help you best match your life stage to your life goals, and stay in control of your reproductive health.
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What Are The Symptoms Of Menopause
You may be transitioning into menopause if you begin experiencing some or all of the following symptoms:
- Hot flashes .
- Night sweats and/or cold flashes.
These symptoms can be a sign that the ovaries are producing less estrogen, or a sign of increased fluctuation in hormone levels. Not all women get all of these symptoms. However, women affected with new symptoms of racing heart, urinary changes, headaches, or other new medical problems should see a doctor to make sure there is no other cause for these symptoms.
How To Become Pregnant During Perimenopause
A great way to improve your chances of conceiving is to track the time of your ovulation. During perimenopause a womans periods might become sporadic. As a result, pinpointing exactly when ovulation occurs and therefore when she is at her most fertile can easily become more complicated. Another problem is that aging eggs reduce the odds of conception.A woman who wishes to have a baby should not only look at her menstrual cycle to determine when she is the most fertile, she should also pay attention to any signs of ovulation, such as white vaginal discharge or breast tenderness.Its recommended that moms-to-be who experience perimenopause should consult their medical practitioner beforehand in order to help them conceive. This is also essential to ensuring their good health all throughout the pregnancy, as well as that of their future baby. Paying attention to their lifestyle, for instance, as well as maintaining a varied and balanced diet and keeping fit by doing exercises is also important.
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Its Best Not To Ignore Any Changes That Cause You Distress
You may cringe at the thought of talking to your gynecologist about sex. But rest assured, there is no reason to feel awkward. If you’re dealing with these changes and are very much unhappy with them, talk to your doctor. Right now, this may be a conversation that needs to take place via telehealth due to the pandemic. If you feel dismissed, then Dr. Rowen encourages you to consider switching to another provider if at all possible. Go find someone who will listen to you and take your problems seriously, Dr. Rowen says. Together, you can come up with a treatment plan that may help you have a more fulfilling sex life, even after menopause.
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