Over 35: Problems Conceiving

QUESTION

Dear Midwife,I am a 35-year-old white female with 3 successful pregnancies. My first was born when I was 21. They are 5-15 years old. I am now married again and my new husband has no children and wants one of his own desperately. I am healthy, but I am obese at approximately 185 pounds and 5'4". I do not have regular periods....they are from 28-40 days, so we can't tell when I ovulate. We make love almost on a daily basis.

Can you tell me why I can't seem to get pregnant? I am late again as it's been 37 days -- it has been around 33 days in length. Was I too early with the test? I have experienced some nausea, but no tenderness. It makes it difficult to check cervical mucous when we make love so much.Thank you very much for your help! I look forward to hearing from you.

ANSWER

You don't mention how long you have been trying, but assuming it has been more than 6 months, you might benefit from losing weight and/or taking a diabetes medication.

Before doing all that though, you might ask your husband to take a sperm test just to make sure all is well there. Good luck!

-- Cynthia, CNM

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Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.