Which fertility treatment or medication would help a 39-year-old woman become pregnant?

Hi,

Welcome to icliniq.com.

How are you doing? I understand your concern and anxiety.

Let me start on a positive note when you take treatment with hormone injections and tablets, you are always at a higher chance of multiple pregnancies.

Let me tell you that the risk factors you face are mentioned as follows:

1 . Age- After 35 years of age, the probability of pregnancy reduces. But you do not need to worry, the eldest mother reported is 45-years-old woman. My patient aged 41 years of age had triplets.

2. Weight of 52 to 56 kg is the upper limit for you. It is easy to say but tough to do but I suggest you lose weight.

The fact that you had no children for 14 years is also bad.

Let me put across a set of things to do:

1. Try to reduce your weight gradually.
2. Never do fasting.
3. Have a high-protein meal.
4. Have a low calories diet.
5. Avoid junk foods, sweets, and red meat.
6. Practice regular exercise, aerobics or yoga, or brisk walking. Try to reduce 2 to 3 kg per month. Even a fall of overall 5 kg will improve your fertility. In the future, you will do better with lesser weight.

To know if there are adequate eggs in your ovaries I suggest you have serum anti-müllerian hormone (AMH) tested, within the first 10 days of periods. Consult your specialist doctor, discuss with him or her, and take the investigations with their consent. This test will let you know how many eggs are left, but it will only tell about the quantity and not the quality of the eggs.

If you find good egg reserve, which I hope and pray you to do, I suggest you go ahead with an early morning empty stomach thyroid profile & serum prolactin test. Both can interfere with normal ovulation and early growth of the baby.

I suggest you have tubal patency tested. (Tube is the bridge between the uterus & ovaries. There the egg & sperm meet to form the baby and the tube is the size of the hair follicle). It can be tested by (HSG) hysterosalpingogram (X-ray with dye) or (SSG) sonosalpingography (Scan with dye) or laparoscopy. This tube cannot be seen on the scan. Consult your specialist doctor, discuss with him or her, and take the investigations with their consent.

I would like to ask if you have your partner's semen analysis also done.

If all these are fine you can go ahead with ovulation induction, when multiple eggs come out of ovaries and chances of pregnancy are high, also for multiple pregnancies or I suggest in vitro fertilization or intracytoplasmic sperm injection (IVF or ICSI). Consult your specialist doctor, discuss with him or her, and take the investigations with their consent.

If there is a problem with any of the above tests you can go for IVF or ICSI where your eggs will be made into embryos & will be frozen. In your country, only one embryo is kept at a time, so you can have a single baby usually. But those embryos frozen in your name can be used at a later date, after a second baby, even if you cross 40 years of age. The embryo's age will be frozen at this age of 39 years.

I hope I have cleared your query.

All the best.