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42 yo, trying to conceive for very long time

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I've been trying to conceive for very long time. I have many reasons to think that I am an untypical patient for my age group. I am 42, but my recent FSH is 5.8 and many other proofs of great ovarian condition. A year ago after conceiving with Progesterone cream only for the first time ever I had to take 2 abortion pills vaginally at 9 weeks. It worked fine and there was no complications at all. I had 2 cycles of rest on BC. After the abortion my periods have never got normal. It's always brown color, kind of dry -clots like and the volume is noticeable less than it used to be. I also noticed some lining growing problem only after abortion. I recently checked my hemostasis-no problems. I had a little progesterone deficiency my whole life. It looks like my little hormonal disbalance got much worse after the abortion. I've been ovulating naturally every single cycle. What is a possible reason for abnormal period discharge (no period delays) and what could I do to resolve it? Thank you!

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replied May 29th, 2013
Infertility Answer A43592
Welcome to ehealthforum.
It is difficult to comment on the exact cause for the inability to conceive that you describe without going ahead with further evaluation. If your ovarian function is fine, then other factors affecting fertility should be ruled out. If you have been trying for pregnancy, consider monitoring cervical mucus changes, cervix position, and the BBT (basal body temperature) charting to predict your ovulation (along with the follicular study if required) and time your intercourse for having fruitful results. Have intercourse in positions that allow for deeper penetration for high deposit of semen. Do not change positions immediately after ejaculation, put pillows under buttocks to minimize semen spill, and avoid getting up within 30 minutes of ejaculation. Have diet with foods rich in zinc content to ensure better maturation of egg and sperms. If you have not been successful in your pregnancy plans within 6 months to 1 year’s time of trying, you should consider getting a complete infertility work-up done for you and your partner to see if there are any underlying causes for the infertility/inability to conceive. Treatment as indicated (based on examination and investigations results) would be started to help you get pregnant. Consider visiting your gynecologist/obstetrician for further evaluation and assistance and be in regular follow-up and monitoring as instructed and report any new/abnormal symptoms immediately.
Take care.

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