TTC after 35

41 and TTC

any advice on what i should do at 41 to prepare to have a baby? any special diet or exercise things i should be doing prior to conceiving?

Re: 41 and TTC

  • Have you had an OB/GYN do Day 3 bloodwork (FSH, etc.) and an AMH on you?  My first step would be to do that; that will give you a preliminary idea of ovarian reserve, and let you know if you should be seeing an RE sooner rather than later. 

    I did try to lose some weight (which became impossible to maintain once I started on fertility meds) and started a pre-natal vitamin as well.

    GL!

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

  • I would ask my OB/GYN to do Day 3 of your cycle blood work to check your FSH, etc. The AMH you can check at any point in your cycle. These are all good indicators of your reserve.

    Here are the things that have always been suggested to me...these are just my suggestions... 

    I would start to use an Ovulation Predictor Test (Kit). I like the "Clearblue Digital". You can buy it at CVS, Rite Aid, etc. You start to use it around day 10 of your cycle. It's super easy and when you get a "smiley face" it means it has detected your LH surge. I usually have sex the next morning, and the subsequent 2 mornings after that. Make sure your husband has not abstained for more than 5 days and give him 24 hours between tries. This allows you to time sex for your most fertile time.

    Keep your weight within normal BMI

    Do yoga as often as you like, walk 40 minutes/day

    Drink 1 1/2 liters of water a day

    Eat as organic as possible (dairy, meats, poultry, veggies, fruits)

    Start a pre-natal vitamin (800 mcg folic acid at least) with DHA (prescription like Citra Natal w/DHA)

    Stop caffeine and alcohol

    Don't eat fish like Tuna, King Mackeral, Swordfish, Tile Fish. The mercury levels in these fish are too high.

    Your husband (I'm assuming) should also be taking a multi-vitamin that has folic acid (at least 400mcg). He should exercise but not vigorously. He should not use hot tubs, saunas etc. (anything that can keep "his boys" too warm/hot). He should limit alcohol and caffeine.

    After 3 or 4 months of trying, I would see a Reproductive Endocrinologist. 

     

     

     

     

     

     

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  • imagePPL2011:

    I would ask my OB/GYN to do Day 3 of your cycle blood work to check your FSH, etc. The AMH you can check at any point in your cycle. These are all good indicators of your reserve.

    Here are the things that have always been suggested to me...these are just my suggestions... 

    I would start to use an Ovulation Predictor Test (Kit). I like the "Clearblue Digital". You can buy it at CVS, Rite Aid, etc. You start to use it around day 10 of your cycle. It's super easy and when you get a "smiley face" it means it has detected your LH surge. I usually have sex the next morning, and the subsequent 2 mornings after that. Make sure your husband has not abstained for more than 5 days and give him 24 hours between tries. This allows you to time sex for your most fertile time.

    Keep your weight within normal BMI

    Do yoga as often as you like, walk 40 minutes/day

    Drink 1 1/2 liters of water a day

    Eat as organic as possible (dairy, meats, poultry, veggies, fruits)

    Start a pre-natal vitamin (800 mcg folic acid at least) with DHA (prescription like Citra Natal w/DHA)

    Stop caffeine and alcohol

    Don't eat fish like Tuna, King Mackeral, Swordfish, Tile Fish. The mercury levels in these fish are too high.

    Your husband (I'm assuming) should also be taking a multi-vitamin that has folic acid (at least 400mcg). He should exercise but not vigorously. He should not use hot tubs, saunas etc. (anything that can keep "his boys" too warm/hot). He should limit alcohol and caffeine.

    After 3 or 4 months of trying, I would see a Reproductive Endocrinologist. 

     

    Wow, what a fantastic and thorough list! I've been doing lots of this but hadn't even thought about DH's vitamin intake, or the tuna thing either. Thank you!


         

    imageimage

    Married August 2012. Me: 41  DH: 42 
    Daughter from previous marriage: 20

    BFP 12/19/12: Ectopic discovered at 8 weeks, right tube removed 01/18/13
    June 2013 Testing Results: Progesterone: 31.7, LH: 5, FSH: 5, Estradiol: 161
    Clomid cycles Nov. 2013 and Jan, Feb, and March 2014

    TTC journey over as of the end of October 2014

    TTCAL BLOG

    All ALers welcome!

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