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Dr. Tim, MD
Dr. Tim, MD, Board Cert. OB/GYN
Category: OB GYN
Satisfied Customers: 1007
Experience:  General OB/GYN, complicated obstetrics, complicated GYN
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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: 1 year ago.
Category: OB GYN
Expert:  Dr. Tim, MD replied 1 year 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 1 year 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 1 year 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

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