When to start trying for a child?

Hi, my partner suffers from PCOS and is having her first Laparoscopic surgery next week due to the doctors suggesting she might have endometriosis.

She's 21 years of age and I was looking to find out when would you say is best to start trying for a child?

Any advice would be great or any personal experiences would also be amazing.

5 Replies

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  • See what the results are from the laparoscopy and if her condition is bad ask for advice from the consultant.

    We've been trying for 4 years now so if her condition is bad it may take some time, if this is what you both want then I'd say the earlier you start trying the better

  • It's just one of those situations where we're still young and if there was a child involved we'd want to give it the best it can get. It's hard because my partner doesn't want to risk it and waiting just in case later on there's problems.

  • I would advise you start trying when your both ready to have a child and the responsibilities that go with it. Unfortunately some doctors will recommend you get pregnant straight away to help with endo (they advised me this when I was diagnosed aged 21 also) but pregnancy does not always cure it as I'm sure some of the ladies on here will tell you. i would ask at the appointment how your partners fertility may be affected and perhaps discuss from there.

  • Thank you very much.

  • Hi Carlos

    Pregnancy cannot cure endometriosis - that is a very out dated myth that I don't think any consultant would suggest it now. In my case my endo came back with a vengeance. Neither can a hysterectomy. In order of importance:

    Are you in the UK? If so make sure your partner is being operated on by a specialist in endo and not a general gynaecologist. This is critical . She can exercise her choice to be seen by any specialist of her choice anywhere in the country. The list of accredited specialists is at:

    bsge.org.uk/ec-BSGE-accredi...

    My specialist was Mr Ashwini Trehan, who is generally accepted as the best. He is the most wonderful man and his website is below. Read it all as he gives some very useful information about endo.

    endometriosis-consultant.co.uk

    Whether endo might be minimal or severe (which can't be known until a surgeon goes in) it is vital to be seen by a proper specialist since badly treated early endo is what becomes serious disease.

    Number two - the pregnancy issue. Endo is actually very rare on the ovaries and Fallopian tubes. Infertility is much more likely caused buy a short luteal phase of the menstrual cycle. This is the second half between ovulation and the period - that is to say the time during which a fertilised egg would implant and become viable as a pregnancy. Although all women might vary slightly, the accepted minimum length of this luteal phase for a pregnancy to result is 10 days otherwise the egg is unlikely to implant. In a woman with a 'normal' 28 day cycle then the follicular phase (the first half when the follicle develops) and the luteal phase will both be around 14 days as nature intended. If a woman has a 24 day cycle and ovulates at say day 14 then she only has the critical 10 day luteal phase and should try getting pregnant asap. Women with endo are often found to have shorter cycles and thus shorter luteal phases which contributes to infertility.

    What you need to do is take some charge of this, which you can do. Firstly, if your partner doesn't already keep a diary of the length of her cycles, she must do so, marking day one as the first day of bleeding, and do this from now on. I don't know if she has a little ovulation pain mid cycle (I did) but buy ovulation tests and do the tests around mid cycle, perhaps from day 12, and establish what day she ovulates on. This will usually be fairly constant. Once this is established simply take this number from her total cycle length and you will know the length of her luteal phase. If what is left is over 10 days then infertility is less likely to result from this cause. Cycle lengths do vary in some women but if there is an overall shortening trend then this will be a warning sign of increased risk of infertility. If she does have over 10 days in the luteal phase and is found to have no endo on her uterus or ovaries then signs for pregnancy will look promising and you can wait a while.

    Keep us informed of her progress.

    Linda x

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