Is infertility always a sign of undetected cancer at 35?

Hi

Welcome to icliniq.com.

I understand your worry.

Infertility is usually not because of cancer. Most of the time it happens because of:

• Hormonal issues.
• Ovulation.
• Small changes in the uterus or tubes.

In your case, if periods are irregular, it may mean the egg is not coming out every month like it should.

Your AMH level is 1.1, which is a little low. AMH is like a “battery check” for your ovaries. It tells us how many eggs are still inside the ovaries. Lower AMH can mean the egg number is a bit less than expected.

Possible reasons are:

• Ovulatory dysfunction.
• Low ovarian reserve (diminished ovarian reserve).
• Polycystic ovary syndrome (PCOS).
• Problems in tubes or uterus.

Your provisional diagnosis is ovulatory dysfunction. Another possible diagnosis we consider is PCOS.

In this context, routine fertility evaluation is appropriate, but broad cancer screening, including scans or biopsies, is not routinely indicated in the absence of specific warning signs, such as unexplained weight loss, persistent pain, or abnormal bleeding.

Other tests may include monitoring ovulation, an ultrasound of the pelvis, and a detailed look at hormone levels to help determine the cause and the best management.

Infertility is treated by first finding what is causing it, then treating that cause.

We check ovulation (egg release) using simple ways like:

• Ovulation test kits.
• Basal body temperature chart.
• Ultrasound monitoring.

If ovulation is not happening, doctors may give medicines like Letrozole or Clomiphene citrate to help the ovary release an egg. These should only be used under a doctor’s supervision. Checking the level of a hormone called AMH and other reproductive hormones can help us make sure the hormones are balanced, and the ovaries are healthy.

We make a plan for getting pregnant that's just for the individual, based on how many eggs are left in the ovaries, what the imaging tests show, and what the structural evaluation finds, like a pelvic ultrasound and a look at the uterine cavity and fallopian tubes, if that has not been done already.

It is also very important to live a lifestyle, manage weight, eat a balanced diet, exercise regularly and manage stress because all these things are important for getting pregnant.

I suggest that you keep living a life, try not to get too stressed or anxious and do not look for too much information on the internet because it might make you more anxious.

To give you help I need you to answer these questions:

• Have you tracked when you ovulate or had an ultrasound?
• Has your partner had his sperm checked?
• How long have you been trying to get pregnant?
• Have you had any fertility treatment?

If we check both partners completely we can find the cause of the problem accurately and give the right treatment.

I hope this helps you.

Thanks.