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Home page > Articles > Pregnancy and Childbirth FAQ
Pregnancy and Childbirth FAQ


By Sabrina Cuddy and Cyberia Shrink

Contents


I am a 38 yr. old, recently married woman. My husband and I have been having unprotected sex for the past year and one half in hopes of conceiving a child. To date, we have not been successful in conceiving. My OB/GYN tells me to wait to become pregnant because I am overweight. Well, that was in March of this year and I have since lost 90 lbs. We are still not using any form of birth control.

My questions are:
How old is "too old" to conceive? How do I handle my period coming every month? Every month it seems like my period is a little late and I build my hopes up and when I do get my period it feels like what I believe the emotions of someone who has lost a child feels. It's an emotional roller coaster for me and it hurts deeply. We are on a budget and cannot afford adoption, invitro or any other costs as far as other methods of having a child. I guess I would just like some emotional support. Thank you.

Sabrina answers:

You are too old to conceive when you go through menopause! I have heard of women in their 50s getting pregnant! I see women in their late 30s and early 40s regularly in my classes - they have healthy babies and often natural childbirth too. Frankly, if I were in your position, I would look for a doctor or midwife who is not biased against women of substance! There is not much to support the claim that you will take longer to conceive just because you are overweight! That kind of doctor is also likely to treat you as high risk just because of weight (and probably age too), possibly subjecting you to extra tests and perhaps even going as far as inducing labor early to keep the baby from getting too big! I have personally seen a woman induced for no other reason than her own weight being high - and she had a tiny baby that really wasn't ready! I guess there is a fear that an overweight mom is also a mom with gestational diabetes, but let's treat disease, not assumed disease! Look for a practitioner who will assume you are healthy until tests prove otherwise. After a year and a half of trying, most MDs will begin to do the basic infertility work-ups so if you are interested in finding out if there are problems, get another doctor...

About the periods, I think the best way to handle the disappointment each month is having a support group. There is a newsgroup, alt.infertility that you could read, but probably the best thing to do is read for a short time (so others' stories don't depress you!) and make a few friends - then be pen-pals to help each other through. One of my past students was in a group of 4 pen-pals who happened to all live near enough that they could meet occasionally. It helped a lot for each to hear what the others were going through! One by one, they all went through treatments and finally got pregnant! Then they could support each other through pregnancy as well.

Take care, and good luck! Send me email if you want: swnymph@fensende.com

 


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I had regular periods before I started the pill 2 years ago. I went off the pill in April and didn't have a period from April until August. I've now missed again (September) and gone through 5 negative pregnancy tests. Any suggestions? Should I be concerned (were are trying to conceive)? Is this normal when going off the pill?

Sabrina answers:

This is a hard one. Different women react differently to the pill. It partly depends on which pill and what dosage you were on. Assuming that you were on a combination pill (estrogen and progesterone), what it does is make your body think you are pregnant so that you don't ovulate. For some women, the body acts like you have miscarried and you ovulate right away when you stop taking it. For others, the body acts as though you have just had a baby and your periods are suppressed for a while. You sound like the second person. There are other things that can cause you to miss periods, so I would talk to your doctor and perhaps have a check-up. I don't want to try to tell you what's wrong with so little detail, and besides, I'm not qualified! If you don't have anything physically wrong, then you probably just need more time to adjust before your periods get regular again... Then on to the conception!

Good Luck!


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My husband and I have been trying to get pregnant and I know I am being neurotic. My menstrual cycles have been weird for the last 5 months and I have had a history of ovarian cysts. My doctor promises me that I am perfectly healthy but I can't stop thinking about getting pregnant. Question 1: Are there early signs of pregnancy that I can be looking for? Question 2: Will home pregnancy tests work BEFORE the first day of your missed period? Since I am unsure of when that is, it is difficult for me to know when to take one.

Sabrina answers:

Don't be so hard on yourself! Most women who are trying to get pregnant think about it all the time! The early signs of pregnancy are very similar to the sings of PMS I'm afraid - and knowing them seems to make women feel them, pregnant or not. When you want so badly to be pregnant, it is easy to think every little twinge is a sign of pregnancy - that sure happened to me! I have written a FAQ (frequently asked questions file) for misc.kids.pregnancy called "General Pregnancy". Part 1 of that FAQ has a compilation of many women's early pregnancy symptoms. You can find the FAQ at http://www.fensende.com/Users/swnymph/Preg1.html.

Home pregnancy tests detect a hormone called HCG. It has to be present in a high enough concentration for the test to detect it, and that happens for most people around the 14th day after conception, or about the time your period is due. A blood test can detect lower levels of HCG, so it can be done much sooner. It is a little hard when your periods are irregular to tell when your next one is due - generally the variable is how long it takes from the time of your period until you ovulate. The time from ovulation to the next period is very stable at around 14 days. You might benefit from charting your basal body temperature for a few months to get an idea of when you are ovulating!

Good Luck, and keep trying!  

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I would like to know what are the causes for late menstruation besides strees. I am late for about 5 days and I am worried. There is no chance of me being pregnant but I fear a genital infection or something like that. I have traveled to South America this month and changed my diet and was under stress, could it be this?

Cyberia answers:

Such absence of menstruation is called amenorrhea. It may result from a number medical conditions (anorexia nervosa, congenital defects of reproductive system, cysts/tumors, etc.). However, there are various other causes: pregnancy, hormonal imbalance, stress, emotional distress, extreme fat reduction due to serious exercise or weight loss, or drastic change of environment (travelling). If amenorrhea occurs regularly, medical consultation is strongly advised. Occasional amenorrhea might also need medical attention, depending on the cause and duration.

In your case, the reason is most likely the stress and travel. I wouldn't worry about it too much, but if it persists for another week or two, you should see a gynecologist.  


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 Is it possible to predict the sex of your baby by knowing when you conceived or any other method ?

Sabrina answers:

Well, there is a FAQ available on the WWW on "Choosing your baby's sex" at http://www.childbirth.org/articles/faqs.html - it talks about several ways that you can improve your odds in advance. Using the same basic ideas, you can improve your guess as to what sex your baby is once it has been conceived.

The idea is that male sperm swim faster, while female sperm live longer. That means that if you have sex before you ovulate, you are more likely to have a girl, and if you have sex after you ovulate, you are more likely to have a boy. There is a book out called "how to choose the sex of your baby" by Shettles and Rorvik, 1984. There are several suggestions in the book that supposedly increase your odds of picking what sex your baby will be from 50% to 80%. Let's assume that you didn't try these before you got pregnant, since you are asking about post-conception guessing.

So, if you had sex 3 days before you ovulated, you are more likely to have a girl. If it was 2 days before, then you have about a 50-50 chance of boy or girl, and if it was less than 2 days up to 48 hours after you ovulated, then you are more likely to have a boy.

There is another FAQ at that same WWW site that covers the pros and cons of finding out the baby's sex before the birth.


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Do you have any suggestions on how to reduce swollen ankles during menstruation?

Sabrina answers:

Well, my specialty is pregnancy, but I will answer this question the same way I would answer a pregnant woman... I would say that you should cut out caffeine, increase fluid intake, and eat some calcium, and magnesium.

Try getting into water, too - in order of preference, a pool, hot tub, or bathtub. Total body immersion will squeeze the excess fluid out of your legs and back into your circulatory system - don't be surprised if you have to run to the bathroom after 20-30 minutes!

If you can, stay off your feet as much as possible, and elevate your legs while sitting. Try not to sit for long periods of time without a stretch.

Sabrina Cuddy's Pregnancy Page


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