Doctor insights on:
Why Do Some Women Get Pregnant So Easily
Most are not healthy: Healthy is a word defined by the person reporting on health. As a long time reproductive md, the vast majority of those who think they are healthy actually are not. People pursuing low fat, low calorie, or vegetarian diets and who exercise (aerobic) frequently actually are hurting their chances for pregnancy. Western health is in desperate shape and starving africans may be healthier overall. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Awhy for some women easy to get pregnant right away. N some girls takes up to years to end up pregnant?? why?
Ovulation: Ovulation is when a woman's body releases an egg which can then be fertilized by a sperm, leading to pregnancy. For many reasons, some women ovulate regularly and others do not. Women who do not ovulate regularly often have difficulty getting pregnant. Some ovulation problems are inherited, others can be caused by an imbalance of hormones. ...Read more
Dr fowler's information is accurate - in general we expect a 15-25 % pregnancy rate in 41-42 year old women with ivf. This depends on many individual factors as well. Most women in their 40's have signs of diminished ovarian reserve (low egg supply) but this varies and some wil get pregnant relatively easily with ivf, while others struggle.
The effect of weight on an ivf cycle is complex. Body mass index (bmi) is not a perfect measure of overweight/ obesity, but it is easy to measure and is a useful tool for studies measuring the effects of obesity as it takes height and weight into account, not just weight. It does not work for people who are low fat/high muscle weight like bodybuilders, but it's useful for the rest of us and is easy to calculate (see the link below). Bmi 18.5 to under 25 is ideal, 25-30 is overweight, and 30 or above is considered obesity.
High bmi affects how well ivf drugs are absorbed into the body - most are given as subcutaneous injections (into the fatty tissue under the skin) - so higher doses of injectable medication may be needed. High bmi probably also affects how well embryos implant. Many studies show that high bmi (over 24, over 27, over 30) can result in reduced implantation rates (the chance that each embryo will 'take' in the uterus) without affecting embryo quality, and this leads to lower pregnancy rates with increased bmi. There are also studies that show that women with high bmi have the same success rates as women with lower bmi, but just need higher medication doses. The question has not been definitely settled.
Very high bmi (40 or over) affects the safety of ivf - egg retrieval procedures are usually done on an oupatient basis. Many centers use md anesthesiologists, and it is normal not to intubate the patient during the procedure, as we would do for a laparoscopy or major surgery. It makes sense to have an upper limit of bmi for most centers in the us for ivf patients - this varies from center to center but could be in the 40-42.5 range. Pregnancy complications such as gestational diabetes rise with high bmi as well, and some fertility clinics will not treat women with bmi over 45 even with low-tech treatments like clomid, (clomiphene) but again policies vary from clinic to clinic.
For younger women, especially under 35 with normal ovarian reserve testing, it may be worth delaying treatment until after losing weight, for older women, as long as they are in a safe bmi range, it is often better not to delay treatment especially by 6 months or a year. I have seen successful healthy pregnancies in women with bmi in the low to mid 40's undergoing ivf.
So exercise and losing weight is good for most americans, but for a 41 year old woman who needs ivf it's a discussion to have with her fertility md and it's usually better not to delay treatment unless she is in a weight range where her reproductive endocrinologist or anesthesiologist feels it's not safe to proceed.
Hope this helps. Best wishes. ...Read more
How easy is it for a 41 year old woman to get pregnant on her first sexual encounter? Her last child is 14 years old. She is overweight & doesn't exercise.
Hello.: Hello. Although fertility rates have dropped significantly by that age, it only takes one viable egg and one healthy, motile sperm to add up to conception. Many women are still able to become pregnant through natural means at that age. Whether or not it occurs the first time two people have sexual intercourse depends on the luck of the draw. The fact that she is overweight, doesn't exercise or that she had her last child 14 years ago, doesn't mean that she can't conceive. With that said, the the odds aren't high for this but it could still occur. ...Read more
Baby can get it: If a baby is born vaginally, there is a chance of contracting the virus. However, that is not a reason to have a cesarean delivery. It is best to discuss your baby's risk with your OB doctor. I am going to ask baby and throat specialists to comment also. ...Read moreSee 1 more doctor answer
YES: Early on in pregancy some women have no symptoms at all. Others have breast tenderness, morning sickess and many other signs hopefeully you will be in the first group! ...Read more
Why do some women get pregnant when they have sex during infertile days or right after having their period?
Fertility: Remember sperm live for up to five days after ejaculation in the female. So, these days leading up to fertility can also cause pregnancy. The reality is that it all depends on the length of the cycle and when a woman truly ovulates. Ovulation and the five days can put fertility to be that week following the menstrual period in some women. ...Read more
I read that some women get pregnant on the pill because it's not effective enough for their body. How do I know it's effective enough for mine?
Faith: Sometimes in this world, one has to live by faith. Birth control pills work in almost every woman, almost all the time. That's good enough for life. Just like treating a strep throat infection... we know that penicillin works almost every time, but not every single time. When a person with strep throat starts her penicillin, she has faith it will work. There are no 100% guarantees. ...Read more
Risk Factors: There are hormonal changes that can cause some women to experience mood fluctuations. Also, women with a previous history of depression are at greater risk. In addition, if a woman is experiencing a general lack of support or severe environmental stress, there would be a greater risk of depression. ...Read more
Fusion of the embryo:
Fusion of the embryo with the inner layer of the uterus which then becomes the support for the embryo to turn into a fetus and ultimately in 40 weeks time, a baby who can breathe on his own.
The implantation may take place outside the uterus, we call that ectopic pregnancy and it is dangerous for the mother. ...Read more
Timing: A women conceives in proximity to when she ovulates. This typically occurs mid-cycle. Intercourse during those days increases your chances. Also, if you have been trying for a while, consider a sperm count. Up to 50% of infertility is due to male factor. ...Read moreSee 1 more doctor answer
"Easy", no: Fecundity and spontaneous ovulation percentages drop significantly after age 40, unless frequent pregnancies after age 30 have occured. It is still possible to get pregnant, but it may require the assistance of "jumper cables" (fertility drugs) for ovulation. "easy" pregnancies seem to occur to teenagers in the back seat of a vehicle without contraception rather that 42 year olds. ...Read more