Do you want to get pregnant in 40’s ??

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Now a day’s in the fast forward life and world & increasing inflation . Need to have more financial stability along with maintenance of a high quality & desirable life. People need to have a proper career goals, for that a huge chunk of time and age goes in achieving that. Having kids & getting pregnant sometimes gets in to the least priority ,Hence more and more childless couples are there in the society.

But being a ambitious lady and need to earn the bread for the family can be a proved to be a backlog in the nature’s call for being not pregnant even if she wants it . NO NO & COMPLETE NO , In this article we will discuss all the reason and the validation of the current problem along with that i will tell u sure short methods to get pregnant easily in 40’s..

Here are 7 possible reasons why people may delay marriage and pregnancy:

Pursuing education or career goals: Many people choose to focus on their education or career before settling down and starting a family. They may want to establish their professional life or achieve certain milestones before taking on the responsibilities of marriage and parenthood.

Financial considerations: Economic factors can play a significant role in delaying marriage and pregnancy. People may want to wait until they feel financially stable and able to support a family before getting married or having children. This could involve saving money, paying off debts, or advancing their careers to improve their financial situation.

Personal growth and self-discovery: Some individuals may choose to delay marriage and pregnancy to focus on personal growth and self-discovery. They may want to travel, explore different interests, or develop their individuality before committing to a marriage or starting a family.

Relationship readiness: People may choose to delay marriage and pregnancy until they feel emotionally and mentally ready for the responsibilities that come with these life events. They may want to establish a strong foundation with their partner, work through personal issues, or ensure they are in a stable and healthy relationship before taking the next step.

Lifestyle choices: Some individuals may prioritize their lifestyle choices, such as enjoying freedom, independence, or pursuing hobbies, over getting married or starting a family. They may want to travel, focus on their health and well-being, or have the flexibility to make spontaneous decisions without the commitments that come with marriage and parenthood.

Changing societal norms: Societal norms and attitudes towards marriage and parenthood have evolved over time. In some cultures or communities, delaying marriage and pregnancy may be more accepted or even encouraged. People may feel less societal pressure to conform to traditional timelines and may choose to delay marriage and parenthood to align with their personal values and beliefs.

Infertility concerns: Some individuals may choose to delay marriage and pregnancy due to concerns about fertility. They may want to take measures to preserve their fertility, such as freezing eggs or sperm, or undergo medical treatments to address fertility issues before getting pregnant .

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Here are 7 physiological possible reasons why women can’t pregnant ;

1. Polycystic ovarian syndrome(PCOS) ; Pcos is a hormonal disorder that affects the ovaries and can cause irregular menstrual cycles, excess production of androgens( male hormones ), and the formation of cysts on the ovaries . lifestyles factors such as poor diet , lack of physical activity , obesity have been linked to the development of PCOS.

2. Obesity; Obesity, which is often a result of an unhealthy lifestyle characterized by poor diet and lack of exercise, has been associated with increased risk of infertility in both men and women. Obesity can disrupt hormonal balance, affect ovulation and sperm production, and reduce the success of fertility treatments.


3. Diabetes: Uncontrolled diabetes, which can be caused or exacerbated by an unhealthy lifestyle including poor diet and lack of exercise, can have detrimental effects on fertility. High blood sugar levels can damage reproductive organs, affect hormone levels, and lead to complications such as polycystic ovary syndrome (PCOS) and erectile dysfunction in men.


4. Smoking: Smoking tobacco, which is a lifestyle choice, can significantly impact fertility in both men and women. Smoking has been linked to reduced sperm quality and quantity, damage to reproductive organs, and increased risk of infertility in women due to reduced ovarian function and increased risk of miscarriages.


5. Alcohol and Substance Abuse: Excessive alcohol consumption and substance abuse can adversely affect fertility. Chronic alcohol use can disrupt hormonal balance, affect sperm production, and increase the risk of erectile dysfunction, while substance abuse can have similar effects on reproductive health.


6. Poor Diet: A diet that is high in processed foods, unhealthy fats, and low in essential nutrients can negatively impact fertility. Poor nutrition can disrupt hormonal balance, affect ovulation and sperm
production, and increase the risk of conditions such as PCOS and obesity, which can lead to infertility.


7. Stress: Chronic stress, which can be caused by various lifestyle factors such as work pressure, lack of sleep, and unhealthy coping mechanisms, can disrupt hormonal balance and affect fertility. High stress levels can interfere with ovulation, sperm production, and overall reproductive health.

Here are 6 Anatomical reasons why women can’t get Pregnant ;

1.Blocked fallopian tubes: The fallopian tubes are responsible for transporting eggs from the ovaries to the uterus. If one or both of the fallopian tubes are blocked due to conditions such as pelvic inflammatory disease (PID), endometriosis, or scar tissue from previous surgeries, it can prevent the egg from reaching the uterus and result in infertility.

2.Uterine abnormalities: Certain structural abnormalities of the uterus, such as uterine fibroids (non-cancerous growths in the uterus), uterine polyps (abnormal growths in the uterine lining), or a septate uterus (a condition where the uterus has a septum or wall dividing it into two cavities), can interfere with implantation of a fertilized egg or cause difficulties in carrying a pregnancy to full term.

3.Cervical issues: The cervix is the narrow passage that connects the uterus to the vagina. Conditions such as cervical stenosis (narrowing of the cervix) or cervical mucus abnormalities (where the cervical mucus is not conducive to sperm passage) can make it difficult for sperm to pass through the cervix and reach the egg for fertilization.

4.Ovarian issues: Conditions such as premature ovarian insufficiency (POI), where the ovaries fail to function properly before the age of 40, or ovarian cysts (fluid-filled sacs on the ovaries) can affect the quality and quantity of eggs available for fertilization, reducing the chances of conception.

5.Adenomyosis: Adenomyosis is a condition where the tissue lining the uterus grows into the muscular wall of the uterus. This can cause heavy menstrual bleeding, pain, and inflammation, which may interfere with implantation of a fertilized egg or affect the overall health of the uterus.

6.Endometriosis: Endometriosis is a condition where the tissue that normally lines the uterus grows outside of the uterus, such as on the ovaries, fallopian tubes, or other pelvic organs. This can cause inflammation, scarring, and adhesions that can disrupt the normal functioning of the reproductive organs, making it difficult for women to conceive

But we are here to get the solution , and YES we will ;

Any lady regarding age when she is ready to get pregnant there are few test which every obstetrician will run , as it will indicate about the health & fertility health of the lady few of them are a follow;

  1. Hormone levels: Hormone levels play a crucial role in regulating the menstrual cycle and fertility. Blood tests to check levels of hormones such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen, progesterone, and thyroid hormones can provide information about the woman’s hormonal status and whether there may be any hormonal imbalances that could affect fertility.
  2. Blood type and Rh factor: Knowing a woman’s blood type and Rh factor (positive or negative) is important for pregnancy planning, as it can affect the risk of certain complications during pregnancy, such as Rh incompatibility between the mother and the baby. If the woman is Rh-negative and the father is Rh-positive, additional precautions may be needed during pregnancy to prevent Rh sensitization.
  3. Complete blood count (CBC): A CBC is a routine blood test that measures various components of the blood, including red and white blood cell counts, hemoglobin, and platelet counts. It can provide information about a woman’s overall health and detect any potential issues such as anemia or infections that may need to be addressed before conceiving.
  4. Blood glucose levels: High blood glucose levels, indicating uncontrolled diabetes, can increase the risk of pregnancy complications such as birth defects, miscarriage, and gestational diabetes. Testing fasting blood glucose and/or hemoglobin A1c levels can help assess a woman’s blood sugar control and identify any potential risks.
  5. Rubella immunity: Rubella, also known as German measles, is a viral infection that can cause birth defects if contracted during pregnancy. Testing for rubella immunity can determine if a woman is immune to rubella through vaccination or previous infection, and whether vaccination may be needed before conceiving to protect against rubella-related complications.
  6. Sexually transmitted infections (STIs): Some STIs, such as chlamydia and gonorrhea, can cause fertility issues if left untreated. Testing for STIs can help identify any infections that may need to be treated before attempting to conceive to reduce the risk of complications.
  7. AMH: Anti Mullerian Hormone levels show the follicular reserve of any female body . As ovarian reserve in the female body is fixed since birth and with age it decreases . Normally Amh for the fertility point of view , An average value for a fertile woman is 1.0 to 4.0 ng/ml.  Amh values below 1.0 ng/ml is considered low .
  8. Endometrial thickness: For the implantation of the baby the minimum endometrial thickness is required 5mm as age increases the thickness also decreases . That could be checked via PELVIC USG .

After all the checkup done we will go for the various steps to achieve pregnancy depending on the underlying condition of the patient;

Disorder with example & line of treatment;

DISORDEREXAMPLE LINE OF TREATMENT
1.Metabolic DiseasePcos, diabetes & obesitytreatment based on lifestyle management
and medication depending on the severity of disease
2. Space occupying lesions Fibroid, Endometriosis, Adenomyosis First line of treatment is medical only afterwards surgical method is followed
3. Anatomical/ developmental disorderUterine developmental disorder , like small uterus unicornuate uterus & delphus uterus, fallopian tube blockPoper named surgical procedure is followed ex. metroplasty ; INTRAUTERINE INSEMINATION .
4. Follicular reservefalling amh , follicular atresiawe have to preserve the follicles from lady should be advised to get pregnant as soon as possible , artificial methods like intra vitro fertilization ,
5. Follicular failure when no follicles left or follicles can’t be retrieved Patient should go for other options like donor eggs , and donated sperms in case of very low sperm count
6. Extreme age Incase of unmanageable health issue , and disease like cancer i.e leading to long chemo or organ removal ex ovarian or uterine cancer Surrogacy is the last and Full proof option for that.

Adoption ;

Adoption can be a life-changing event for both the adoptive parents and the child. It provides an opportunity for individuals or couples who are unable to have children biologically or who choose to expand their families to create a loving and nurturing home for a child in need. Adoption can also provide stability, security, and a sense of belonging for the child, as they become a legal member of their adoptive family.

A Mother’s love can’t be bound only with blood relation . Once a lady decides to love someone with her soul nothing can be compared to that whether baby is her own or adopted , then only love matters . And it a beautiful way for 2 human beings to get connected & fulfill each other needs .

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Summary;

Whether to be a mom or not to be a mom is completely , the women choice . But still if she wants to get pregnant then no age is a barrier with so many options available etc. medical , Assisted reproductive technology & Adoption . But should be done under proper medical , psychological & legal supervision .

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