Dr. Lucky Sekhon

And whether or not you're planning to be pregnant, pregnancy is possible.

Now usually, not everyone, but usually people are going into perimenopause in their early 40s.

And so in addition to maybe the count starting to change in a way that changes the cycle and the frequency of ovulation and how predictable that is, in the background you also have changes in the quality of the eggs.

And so it often can be more challenging because you're less likely to ovulate randomly a healthy egg, but it is possible.

You still have healthy eggs at that age.

So women, yes, without my help can get pregnant in perimenopause.

Sometimes it's under-recognized because they might say, oh, I'm already feeling all of these fluctuations and changes and they don't pick up that they're pregnant.

So I always tell people,

If you're used to having an irregular cycle because you're experiencing these changes, it is important to rule out pregnancy and take a test.

Now if someone's coming to me for treatment, a lot of times, you know, we talked about the technologies and how things have shifted.

One thing we've become really good at is freezing eggs and freezing embryos.

When you go to thaw out an embryo that's been frozen, you can tell a patient most likely it's going to thaw out successfully and you can try with this embryo.

And I already told you about the success rates getting a lot better.

So I'm seeing a lot of women who froze eggs or embryos in their mid or late 30s or even earlier, and they're coming back to continue building their family and also dealing with perimenopause, right?

Because your uterus doesn't really age.

I should have started this conversation with that.

So your uterus doesn't age.

Not really.

No.

I mean, there might be like slight decreases in implantation potential because as we get older with more and more ovulations and hormone fluctuations, things like fibroids can get worse.