The short answer is that we think pregnancy rates are improved when polyps that are found are removed. If a woman is planning to become pregnant, and we find a polyp as part of a fertility evaluation, we will remove it.
Polyps are on the list of things that can cause breakthrough bleeding during a woman’s cycle. Some other causes of breakthrough bleeding are fibroids and not ovulating regularly or well.
Whether getting pregnant the first time was easy or required assistance, there are many factors that influence your ability to get pregnant a second time.
If you are planning a pregnancy, please remember the importance of prenatal vitamins, eating well, and regular activity.
It is difficult to predict from a prior experience how long it might take you to get pregnant. Your increased age and changing medical history can be factors. Changes in a woman’s ovaries, uterus, and tubes can make it easier or harder to get pregnant for the second time.
Here are some factors that can impact your ability to conceive:
Many patients are curious about whether fertility issues their parents might have struggled with may have a role in their own ability to get pregnant. My answer is always the same: your parents’ issues will not necessarily become yours.
In general, the more you know about your family’s health history, the more your medical team can start using those facts in evaluating your overall health and fertility picture.
There are many possible causes for decreased fertility, including endometriosis, fibroids, premature menopause, polycystic ovary syndrome, low sperm count, underlying conditions, and physical issues. Some of these – hypothyroidism or polycystic ovary syndrome in particular – do tend to run in families.
Still, patterns of fertility in your family may not predict how easily you will conceive.
We know, for example, that fertility decreases with age. In general, older women have a lower chance of getting pregnant. By the time women are 30 years old, a quarter of them will have issues with fertility. If your mom or sister was trying to conceive around age 40 or later, that could have been the source of her difficulties.