Or You Might Find That Youre Not As Interested In Sex And Be Totally Fine With That
A lot of my patients who are many years past menopause report that their lives have changed in that way: The emphasis on and impact of sexual intercourse arent what they were before, says Pizarro. When talking through potential treatment options, many of his patients decide its not a big enough deal for them to pursue a medical solution to lowered libido. Its just not something that concerns them. Their life has transitioned to a point where theyre more focused on spending time with their partner or traveling, he explains.
Women After 50 Can Have Safe Pregnancy
But They Have More C-sections, Diabetes, High Blood Pressure
Nov. 12, 2002 — As the years pass and technology improves, the barrier to pregnancy gets pushed farther and farther back. It used to be thought that women shouldn’t get pregnant over the age of 40. Today, 50-something women and their doctors wonder if it is safe to push that barrier even farther.
“There is no medical reason” not to, said Richard J. Paulson, MD, in a news conference today. Chief of the division of reproductive endocrinology and fertility at the University of Southern California Keck School of Medicine, he is also the lead investigator on a study that appears in the Nov. 13 issue of The Journal of the American Medical Association.
The study of women aged 50 to 63, all of whom were postmenopausal, revealed an increased number of complications, but nothing that cannot be handled by close monitoring and quality healthcare.
After menopause, a woman no longer produces eggs and thus cannot become pregnant naturally. But although eggs succumb to this biological clock, pregnancy is still possible using a donor egg. Therefore, all of the women in the study had an egg from a younger woman implanted into her uterus.
“There are really two biological clocks: One for the ovary, which seems to run out, and one for the rest of the reproductive system, which seems to go on,” said Paulson. All that’s needed is a little priming with the hormones estrogen and progesterone, followed by a donated, fertilized egg.
How Does Menopause Occur
Menopause is the physical change that marks the end of menstruation. The process of menopause is slow and begins months or years before the menstruation phase ends. The process has three stages :
This is the time when your reproductive cycle turns erratic, misses the rhythm and ultimately stops. What if you want to get pregnant under such circumstances?
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With The Advent Of Assisted Reproductive Techniques It Is Now Physiologically Possible For Post
By Dr Vaishali Chaudhary
We often read about celebrity mothers like Naomi Campbell, who became a mother at the age of 50 years or a 74-year-old, Erramatti Mangayamma from Andhra Pradesh, who holds the record for being the oldest woman to give birth by IVF.
Is it possible for a mother to become pregnant after menopause? Pregnancy happens as a result of the fertilisation of the egg by the sperm. So to achieve a pregnancy, the availability of the egg and the sperm is the most basic requirement. Menopause, which means stopping periods, is preceded by the depletion of the eggs. Hence, natural pregnancy is not possible after menopause.
Pregnancy can be possible after menopause if:
i) A woman opts to freeze her eggs while she was younger and utilise them for pregnancy in her later years
ii) If she uses donor eggs
iii) A recently devised procedure of Ovarian Rejuvenation, which is still under experimentation.
IVF with donor eggs is a very successful procedure for those women who have not been able to freeze their eggs earlier while they were young or women who have planned their pregnancy after menopause or in women who unfortunately suffer from premature ovarian failure, where the ovaries stop producing eggs at an early age.
Risks of a pregnancy in a menopausal woman
Benefits Of Being An Older Mom
Although it can be harder to get pregnant when you’re older, there are also some advantages to being an older mom, for both you and your baby. These include:
Healthier preschoolers with better language skills. Preschoolers with older mothers are healthier overall. They have increased immunization rates, fewer hospitalizations, and fewer unintentional injuries than those born to younger mothers. They also tend to have better language skills and verbal development.
Increased intelligence when you’re older. Women who gave birth after age 35 scored higher on tests of thinking and verbal memory when they were ages 41 to 92. Additionally, women who used contraceptives for over 10 years had better problem-solving skills and higher executive functioning skills when they were older.
Better parenting skills. It’s no secret that you probably have more patience than you did when you were younger. Older moms are less likely to discipline their children harshly or yell at them. They are better at setting boundaries as well. Children with older mothers tend to have fewer behavioral, social, and emotional issues.
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You Can Still Get Pregnant During Perimenopause
Perimenopause typically begins eight to 10 years before menopause, when the ovaries gradually begin to produce less estrogen and progesterone. Perimenopause usually begins in a woman’s 40s, but can start in her 30s as well.
Can women get pregnant during perimenopause? Yes, though it may take a little more trying compared to getting pregnant in your 20s. For healthy couples in their 20s and early 30s, around 1 in 4 women will get pregnant in any single menstrual cycle. By age 40, around 1 in 10 women will get pregnant per menstrual cycle.
The reason for this gradual lowering of fertility can be related to womens hormones. During perimenopause, reproductive cycles often become irregular due an underlying hormonal imbalance, making it more difficult to pinpoint ovulation.
The number and quality of a women’s eggs may also be a factor. In general, a women begins puberty with between 300,000 – 500,000 eggs. This number drops to around 25,000 at age 37 and continues dropping to 1,000 or fewer by age 51. In addition to fewer viable eggs, women in perimenopause may be more likely to experience an anovulatory cycle in which they do not ovulate at all. Male fertility also declines with age which may add to fertility issues in older couples.
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.
And Keep In Mind That You Can Still Get Pregnant Even After The Menopause Process Starts
Because menopause is defined by not having a period for 12 months straight, when you’re perimenopausal, or transitioning towards menopause, your period may go MIA but then make a comeback at some point. Some people have breakthrough bleeding or periods in between, according to The American College of Obstetricians and Gynecologists. And while that doesnt necessarily mean that youve ovulated, it could mean that you have. And that means you could potentially get pregnant.
But If Youre Not Keen
If the thought of sleepless nights and changing nappies in your 40s or 50s has you quaking in fear, then heres what you need to do to make sure no little ones decide to make a surprise entrance.
- Be on top of your cycle Just because youve skipped a couple of periods doesnt mean youve gone through the change and can forget about your reproductive organs. So make note of how often youre menstruating so you can work out how long its been since your last one, and be aware of your moods and other hormonal changes.
- Use contraception Until youre sure youve stopped ovulating, youll need to keep using contraception. Having your tubes tied or your partner having a vasectomy are the safest bets IUDs, the pill, and condoms are just some of the other options available. Chat to your doctor about which is best for you.
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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.
How Can You Tell If You Are Pregnant During Perimenopause
Pregnancy and menopause share some similar symptoms, from the classic missed period, to fatigue and night sweats. So how can you tell if you are pregnant during perimenopause, or if your symptoms are the result of further transitioning in the process?
Pregnancy symptoms may differ from one woman to the next, but there are some symptoms seen in both pregnancy and menopause, while others are unique to pregnancy. Pregnancy symptoms like sensitive or swollen breasts, nausea, constipation, and food sensitivity should be followed up by an at home pregnancy test, and a trip to the doctor if warranted. While anyone can experience these symptoms, they are more often associated with pregnancy and a test with your doctor can confirm this.
Symptoms unique to menopause include irregular ovulation, vaginal dryness, and loss of bone mass. Although many of these can only be investigated with the help of your doctor, its important to understand the difference in symptoms so you can figure out what you are experiencing.
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The Couple Had Already Spent 20000 On Ivf
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A woman has given birth seven years after going through the menopause.
Tess Morten had been feeling unwell for months and doctors initially suspected that she had ovarian cancer, before realising that she was three months pregnant.
Baby Molly was born in January at the Royal Berkshire Hospital at the healthy weight of 7lb 14oz.
What Perimenopause Means For Fertility
Perimenopause. The word itself made me shiver. How could the word menopause be associated with me?
According to the Mayo Clinic, perimenopause means around menopause and begins for most women in their 40s. It is also called the menopausal transition. I looked and felt like I was in my early to mid-30s, but FSH levels indicated my eggs were the age of someone a decade older than me. My fertility doctor explained that about 1% to 2% of women hit perimenopause at my age. I could technically still become pregnant, but it would be a miracle.
How would I have approached my fertility process differently had I known Id become perimenopausal in my late 30s? I believed I had plenty of time to easily conceive, but it turned out my mom had entered menopause at 42in fact we had a strong history of early menopause in my family. Had I understood this, I would have likely frozen a dozen eggs as opposed to four, and I definitely would have had my FSH checked yearly, if not every six months. I certainly would have consulted with a fertility specialist sooner.
Faced with the prospect of my aging eggs, it was time to thaw the eggs Id frozen six years earlier. After months of trying to expand our family, my eggs were defrosted, made into embryos, two of which were viable, and transferred to my uterus. This was it.
But two weeks later, I took a pregnancy test. It was positive. Im pregnant, I said in utter disbelief that those words were mine.
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.
How Does Menopause Affect My Bladder Control
Unfortunately, bladder control issues are common for women going through menopause. There are several reasons why this happens, including:
- Estrogen. This hormone plays several roles in your body. It not only controls your period and promotes changes in your body during pregnancy, estrogen also keeps the lining of your bladder and urethra healthy.
- Pelvic floor muscles. Supporting the organs in your pelvis your bladder and uterus are called the pelvic floor muscles. Throughout your life, these muscles can weaken. This can happen during pregnancy, childbirth and from weight gain. When the muscles weaken, you can experience urinary incontinence .
Specific bladder control problems that you might have can include:
- Stress incontinence .
- Urge incontinence .
- Painful urination .
- Nocturia .
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Getting Pregnant In Your 30s
Women between the ages of 30 and 35 still have a reasonably high chance of getting pregnant. However, your fertility has already begun to decline by the time you turn 30. After the age of 30, your chances of pregnancy decline by about 3% each year.
Most significantly, your fertility drops sharply after the age of 35. At age 37, you can expect to have just 25,000 eggs 2.5% of your starting count. The risks of getting pregnant are also higher after age 35. By age 35, you are more likely to experience miscarriage, pregnancy complications, and genetic abnormalities of the fetus. For more information on getting pregnant in your 30s, check out our blog post here.
Chances Of Conceiving Naturally As You Age
While stories about women giving birth in their 50s, 60s, and even 70s make for good headlines, these pregnancies are usually accomplished with donor eggs and in vitro fertilization . There is no set oldest age when you can get pregnant naturally, but fertility starts to decline as you age. You’re usually not able to get pregnant between 5 and 10 years before menopause.
You’re born with all of the eggs you’ll ever have. As you get older, the number of eggs you have decreases. They are also more likely to have abnormalities. Additionally, the older you are, the more likely you are to develop disorders that can make you less likely to get pregnant, such as endometriosis. By the age of 45, you’re not likely to get pregnant naturally.
After one year of trying, your chances of getting pregnant by age are:
- 85% if you’re under 30
- 75% at 30
- 44% at 40
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Your Libido Might Dip Thanks To Menopause
Its not universal, but some people with menopause report decreased libido, says Dr. Pizarro. Issue is, it’s tough for doctors to figure out how to combat a lowered sex drivethe cause isnt exactly easy to pinpoint. For decades, weve blamed loss of libido on a womans ovaries or hormones, says Libido is such a complicated thing that goes way beyond issues of the ovaries, uterus, and hormones, says Dr. Pizarro.
Beyond whatever mysterious physiological changes might affect someones libido at this life stage, adjusting to menopause’s physical changes might play a role. Adequate exercise helps make sure your blood is flowing properly, which is an essential part of getting wet during sex.
Why Pregnancy After Menopause Is No Longer Possible
After the end of menopause, a womans ovaries produce much lower levels of estrogen and progesterone. These are the hormones responsible for fertility in a womans body. During menopause, the levels of these hormones may spike at different times, making it possible for a woman to get pregnant. But once menopause ends, there are several changes which make it impossible for a woman to get pregnant. Firstly, the menstrual cycle and the accompanying period stop completely. Secondly, the ovaries stop releasing an egg every four weeks. These two factors lower hormonal levels and cessation of ovaries in releasing eggs make it impossible for a woman to get pregnant naturally after menopause.