HomeAnswersObstetrics and Gynecologysecond pregnanciesI am a 36-year-old woman trying to get pregnant for the second time. Should I consider undergoing a preconception check-up?

Should a 36-year-old woman undergo a preconception check-up for her second pregnancy?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Gaurav Gupta

Medically reviewed by

iCliniq medical review team

Published At December 8, 2023
Reviewed AtDecember 8, 2023

Patient's Query

Hello doctor,

I am a 36-year-old female trying to get pregnant for the second time. My first child is seven years old. What are the chances, and should I undergo a preconception check-up? Is it advisable to take medications? I am currently not on any medications. Kindly suggest.

Answered by Dr. Gaurav Gupta

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Firstly, I would like to inform you that, the chances of a 36-year-old woman getting pregnant are still favorable, but they do begin to decline after reaching age 35. According to the American College of Obstetricians and Gynecologists (ACOG), a woman's fertility starts to decrease at around age 32, and by age 35, her monthly likelihood of getting pregnant is approximately 20 %. I suggest you undergo a preconception checkup before embarking on the journey to conceive. This will enable your doctor to assess your overall health and identify any potential issues that might affect your pregnancy. The checkup typically includes a physical examination, blood tests, and a pap smear (Papanicolaou test). If you have any underlying health conditions, such as diabetes or high blood pressure, it is crucial to manage them effectively before becoming pregnant. These conditions can elevate the risk of complications during both pregnancy and childbirth. I suggest you consult your doctor regarding the necessity of any medications before attempting pregnancy. Some medications can pose risks to a developing fetus, so it is essential to be informed about potential hazards. If you are not currently taking any medications and have no underlying health concerns, you may not require any specific preparations for pregnancy. Nevertheless, it is still beneficial to maintain a healthy diet, engage in regular exercise, and consider taking prenatal vitamins. Feel free to reach out for tips on increasing your chances of getting pregnant. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Gaurav Gupta
Dr. Gaurav Gupta

General Practitioner

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