How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Tim, MD Your Own Question

Dr. Tim, MD
Dr. Tim, MD, Board Cert. OB/GYN
Category: OB GYN
Satisfied Customers: 1006
Experience:  General OB/GYN, complicated obstetrics, complicated GYN
62949540
Type Your OB GYN Question Here...
Dr. Tim, MD is online now

I'm currently trying to conceive. I'm 30 and have early

Resolved Question:

Hi,I'm currently trying to conceive. I'm 30 and have early menopause in my family. I believe my mum was early to mid 40s.I have been on the pill for 15 years but I came off for 6 months when I was 24. My cycles were between 26 and 28 days.I have now been off the pill for 6 months at the age of 30 and my cycles range from 25 to 28 days. Is this a sign that my egg quality has reduced?
Submitted: 8 months ago.
Category: OB GYN
Expert:  Dr. Tim, MD replied 8 months ago.

Thank you for the question.

Here are some thoughts based on what you are describing:

1. Menopause in the mid-40's is earlier than typical, but not completely abnormal

2. You are still relatively young and not near when other women in your family go through menopause

3. Birth control pills for 15 years does not affect fertility or egg quality - you did not imply this but if you are worried, I just would like to mention this fact

4. Most women have 28 day cycles, and an interval of 25-28 days is completely normal. The most important thing is that they are occurring monthly. This is the best sign that you are cycling normally

5. The 'quality' of eggs is not related to your cycle interval - you are still young and they are likely of high / normal qualty

6. There is a lab called 'AMH' that can be drawn and it is an excellent measure of egg quality

Does this answer your questions?

Dr. Tim

Customer: replied 8 months ago.
that's great thank you! That is very helpful. I had read that if your cycles become shorter it can be a sign that your egg quality is reducing.If I may ask a further question- is ovulation discomfort normal? I always feel mildly heavy around my uterus and slightly tender around the time I ovulate.Many thanks,Rachel
Expert:  Dr. Tim, MD replied 8 months ago.

A slightly shorter cycle interval like you are describing is not, in and of itself, a sign of poor egg quality.

With regard to ovulation: In the first half of your cycle, you recruit 'eggs' / cysts in you ovaries. One of these becomes the dominant cyst and as you approach ovulation (the release of the egg), the cyst gets big quickly and then bursts open releasing the egg. There is commonly a short period of cramping on one side or the other associated with this event. This is all completely normal!

Please remember to take a moment to rate my answer as POSITIVE. I would appreciate that very much!

Dr. Tim

Dr. Tim, MD, Board Cert. OB/GYN
Category: OB GYN
Satisfied Customers: 1006
Experience: General OB/GYN, complicated obstetrics, complicated GYN
Dr. Tim, MD and other OB GYN Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Monika Hearne, M.D.

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/drhearne/2009-11-8_74742_monika_hearne2.jpg Monika Hearne, M.D.'s Avatar

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified OB/GYN

    Satisfied Customers:

    150
    OB/GYN with 20 years of experience.
  • http://ww2.justanswer.co.uk/uploads/DO/doctor norm/2013-8-13_19659_drnorm.64x64.jpg Dr. Norm S.'s Avatar

    Dr. Norm S.

    Board Certified OB/GYN

    Satisfied Customers:

    7914
    Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
  • http://ww2.justanswer.co.uk/uploads/SA/SaulJE/2013-8-20_202642_drsaul.64x64.jpg Dr. Saul's Avatar

    Dr. Saul

    Doctor

    Satisfied Customers:

    1877
    I am a board certified, practicing obstetrician gynecologist with many years of clinical experience.
  • http://ww2.justanswer.co.uk/uploads/RO/rollins/2015-5-30_142734_.64x64.jpg Dr. C.'s Avatar

    Dr. C.

    Board Certified

    Satisfied Customers:

    1335
    30 yrs experience, awarding winning educator
  • http://ww2.justanswer.co.uk/uploads/jbbrowndoc/2009-09-29_180651_headshot.jpg Dr.JBB's Avatar

    Dr.JBB

    Board Certified OB/GYN

    Satisfied Customers:

    1293
    15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence
  • http://ww2.justanswer.co.uk/uploads/RP/Rpjtlawr/2012-9-5_16443_Robportraitadjusted.64x64.jpg Dr. Lawrence's Avatar

    Dr. Lawrence

    OB/GYN

    Satisfied Customers:

    371
    Board Certified OB/GYN and accomplished educator