HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Is It Possible For A Woman In Her 40s To Conceive After A Miscarriage?

Posted on Tue, 7 Nov 2023

Question: Hi I had a miscarriage at 13 weeks gestation last year, the baby didn't grown from 5 weeks. I miscarried naturally at home. Since the miscarriage my periods vary though the doctor still says they are regular. I worry I don't ovulate? Do you think as I have got pregnant before that I do ovulate?Â My cycles are as follows:Â October 29 day cycleÂ November 33 day cycleÂ December 28 day cycleÂ January 36 day cycleÂ February 24 day cycleÂ March 27 day cycleÂ April 27 day cycleÂ May 27 day cycle I am worried that I wont conceive again and I am 42 years of age and have a high BMI of 45.Â I am working on eating healthy and exercise.Â Do you think I can conceive again? I am worried I will have another miscarriage.Â I had bloods taken to rule out polycystic ovaries in December, I had bloods taken on day 30 of a 33 day cycle. I have been reassured my bloods are ok but I would value your opinion. My LH 4 and FSH 5.4evels. Serum estradiol was 265pmol/l, serum prolactin at 8.6pmol/l, sorry I have no further information.Â Please help me as soon as you can. My doctor says stop worrying because I have conceived before I should conceive again naturally.Â The menopause worries meÂ I have just had a day 21 progesterone test which was actually done on day 22 of 27 day cycle the value has come back as 4, I have no idea what this means. Does it mean I didn't ovulate I am worried sick that I will never conceiveÂ

Answered by Dr. Dr. B. Radhakrishnan. Nair (23 minutes later)

Brief Answer:
You are having irregular periods

Detailed Answer:
Hi
Greetings
You have not mentioned about other medical problems esply diabetes and thyroid hormone issues.Since your BMI is 40 we need to follow up ovulation by follicular study.
Progesterone level is okay but to predict ovulation ultradound scan would be better..
HOPE your husband semen analysis is normal.If so from day 2 of periods onwards get a follicular study to monitor your ovulation and plan for a timed intercourse for 3 more cycles..
If semen is abnormal IUI can be thought off..
HOPE MY ANSWER HELPS YOU
Regards .

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. B. Radhakrishnan. Nair (59 minutes later)

Why are they irregular if happening every 27 days and do you think I ovulate or not

Answered by Dr. Dr. B. Radhakrishnan. Nair (2 hours later)

Brief Answer:
Since irregular may not be ovulating in all cycles

Detailed Answer:
Hi
As I mentioned earlier you may be ovulsting,but to confirm we need to do a follicular study.
It is a treatment process also .You can have sex on those days if semen is normal.Feel free to ask your doubt with more details.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. B. Radhakrishnan. Nair (24 minutes later)

But I am not irregular they are regular cycles sperm count is fine

Answered by Dr. Dr. B. Radhakrishnan. Nair (2 hours later)

Brief Answer:
yes,you may be ovulating then

Detailed Answer:
Hi
To confirm ovulation , i have suggested follicular study by ultrasound scan.We will know the approximate date of ovulation than waiting for regular cycle.
From day 2 of period onwards scan is done with a gap of usually 3 to 4 days to know the follicular growth.Since you have not done till now that would be the easiest way to confirm.
from march onwards your cycles are regular.
Hope you are convinced
Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng