02.08.2015

Menopause and chances of pregnancy

My previous blog addressed the chances of getting pregnant after 43 and the options for those in this age group who wish to have children. A low AMH level after age 40 years is associated with a poor outcome.  In younger patients, low AMH patients will have reasonable pregnancy rates although they will produce few eggs.
Previous ovarian surgery is a negative prognostic indicator.  If you have had previous ovarian surgery, your chances of a positive outcome will be lower than someone who has not.
A strategy we are currently exploring at InVia Fertility Specialists is to gather embryos from more than one cycle and do preimplantation genetic screening on them. If all of the embryos are shown to be abnormal, this can help the woman and her partner make a decision to use donor eggs. To see a fertility specialist who can help you find the best options for having a child based on your age and other relevant factors, make an appointment at one of InVia’s four Chicago area fertility clinics. The reason the pregnancy rate is so low is that most if not all of the embryos in these women are chromosomally abnormal (aneuploid).
To see a fertility specialist that offers a wide variety of treatment options including ovulation induction, intrauterine inseminations, IVF, PGS, egg donation and embryo donation, make an appointment at one of InVia’s four Chicagoland locations.
If you are interested in learning more about egg freezing, please talk to one of our physicians to see if you are a candidate and if it is right for you. 6) As age increases, the risks of other disorders that may adversely affect fertility, such as fibroids, tubal disease, and endometriosis, also increase. 7) Women with a history of ovarian surgery, chemotherapy, radiation therapy, severe endometriosis, smoking, or pelvic infection, or a strong family history of early menopause, may be at increased risk for having a premature decline in the number and quality of eggs available. 8) The age-related decline in fertility is accompanied by a significant increase in the rates of chromosomally abnormal eggs and embryos. 10) With the anticipated age-related decline in fertility, the increased incidence of disorders that impair fertility, and the higher risk of pregnancy loss, women older than 35 years should receive expedited evaluation and treatment after 6 months of failed attempts to conceive, or earlier if clinically indicated.  A physician board certified in Reproductive Endocrinology and Infertility is the best choice for fertility treatment. As perimenopause is a natural process that every woman must go through, there is no a reversing of its effects; they are unavoidable and irreversible. Get the scoop on perimenopause--its causes, symptoms, and how it differs from menopause in this Q&A article. The moment a girl starts her menstrual cycle and makes the transition into womanhood, she is capable of becoming pregnant. While some women may experience infertility or sterility, a regular menstrual cycle most often indicates a woman should have no problem getting pregnant.


However, many women find that menopause comes as a relief, as there is no longer any need to worry about hormonal contraception, unplanned pregnancies, or untimely periods. Other postmenopausal symptoms, such as vaginal dryness, can also affect your sex life, so it is important to be aware of the condition in order to be able to treat the symptoms and avoid complications.
Post-menopause are the years the following menopause, in which a woman in no longer ovulating or menstruating.
Everything in this blog applies to chances of conception with assisted reproductive technologies. Yes!  However the pregnancy rate, even with IVF, drops precipitously every year after age 40, and most women increasingly have trouble getting pregnant. Just because you may not have found the person you wish to have and raise children with, doesn’t mean you have to let the ravages of time take its toll on your reproductive cells. During this time, you will still have periods; however, they can become irregular which may affect your chances of becoming pregnant.
It is the time when your body begins to make the biological changes that will lead to menopause and infertility. Hormones help to control many functions in the body like the menstrual cycle and sodium and fluid retention. While perimenopause is the precursor to barrenness, it does not automatically mean that it is impossible to get pregnant during this time.
However, there are ways to make the transition smoother and avoid or minimize the symptoms. The production of essential sex hormones slows down, and a woman's body changes in the way it used to function before.
Even if another child is not in the cards, menopause marks the end of reproductive life and the end of an era.
However, even though you can't get pregnant after menopause, you could still contract a sexually transmitted disease (STD), so it is important to remember to practice safe sex by using a barrier method such as a condom or female condom. The live birth rate per cycle at age 40 is around 18%, at age 41 is around 13%, age 42 is around 9% and 5% at age 43 years.
Egg freezing is a way to maintain the integrity and quality of your eggs while allowing yourself some time, be it to work on your education, career, relationship, or to just enjoy your life without the worry of the ticking clock.


During the transformations leading up to menopause, you may also experience a number of ailments, including vaginal dryness, irregular periods and hair loss.
Throughout perimenopause you are still having periods, which means that you are still ovulating, so the possibility of becoming pregnant is still there. Methods for combating perimenopause symptoms include lifestyle changes, alternative treatments and, in severe cases, hormone replacement therapy.
During the premenopause stage of life, a girl grows into a woman and hormones shape her body.
While perimenopause may lead many to believe they are no longer capable of becoming pregnant, this could not be further from the truth. By the time you are forty-five years old, your chance of conceiving with your own eggs is about 1%. It allows your ‘older and wiser’ self the opportunity to use your own (instead of relying on donor eggs) eggs, while keeping the likelihood of pregnancy at that of your “younger” self. These are common menopause symptoms and are caused by the hormonal changes that occur during perimenopause. However, the hormone imbalances that occur during perimenopause can lead to disruptions in your menstrual cycle and cause irregular periods. With premenopause changes come many different symptoms, such as the possibility of migraines, acne, and mood swings. If you are not menstruating regularly, it can be difficult to get pregnant, but it is still possible.
During postmenopause, when eggs are no longer released for fertilization, it will be impossible for a woman to get pregnant without the help of artificial insemination and implantation.



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